Sindrome De Muerte Subita Del Lactante

Prevencion En La Practica Hospitalaria = Hospital Practice in Neonatal Period to Prevent Infant Sudden Death Syndrome

Published in: Rev Med Inst Mex Seguro Soc, v. 44, no. 6, Nov.-Dec. 2006, p. 511-518

Posted on on December 31, 2005

by Samuel Flores-Huerta, Rosa Isela Ramos-Hernandez, Sergio Flores-Hernandez, Sofia Villa-Contreras, Homero Martinez

Read More

Access further information on this document at

This article was published outside of RAND. The full text of the article can be found at the link above.

OBJECTIVE: To describe hospital care for newborns in the Instituto Mexicano del Seguro Social (IMSS), as well as all the recommendations given to parents to prevent sudden infant death syndrome (SIDS) at home. MATERIAL AND METHODS: There were twenty-eight IMSS hospitals randomly selected from four geographical areas of the country, under a stratified sampling method according to the number of births per year. The method used was newborns direct observation in the neonatal care areas, and to fill out a questionnaire applied by trained observers. This questionnaire was adapted from the Maternity Advice Study that includes hospital care for newborns and all the recommendations that parents have to do for newborns at home. RESULTS: The newborns in neonatal areas used to sleep in lateral position (80 and 67 %). Baby cradles with medium firmness and elevated head-rest were predominant in the areas surveyed. Babies were generally wrapped-up from the neck to down, tightly enough that it prevented arm and leg movement. Parents received information on how to prevent SIDS at home, and up to 21 % of them received no information at all. CONCLUSIONS: there were no specific practices at all the hospitals in this survey to diminish SIDS. It is necessary to organize specific health actions to diminish the risk of SIDS at home.

This report is part of the RAND Corporation External publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

Our mission to help improve policy and decisionmaking through research and analysis is enabled through our core values of quality and objectivity and our unwavering commitment to the highest level of integrity and ethical behavior. To help ensure our research and analysis are rigorous, objective, and nonpartisan, we subject our research publications to a robust and exacting quality-assurance process; avoid both the appearance and reality of financial and other conflicts of interest through staff training, project screening, and a policy of mandatory disclosure; and pursue transparency in our research engagements through our commitment to the open publication of our research findings and recommendations, disclosure of the source of funding of published research, and policies to ensure intellectual independence. For more information, visit

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.