European Journal of Pediatrics

, Volume 173, Issue 12, pp 1659–1661

Infant deaths in slings

  • Chrystèle Madre
  • Caroline Rambaud
  • David Avran
  • Charlotte Michot
  • Philippe Sachs
  • Stéphane Dauger
Case Report

DOI: 10.1007/s00431-013-2238-6

Cite this article as:
Madre, C., Rambaud, C., Avran, D. et al. Eur J Pediatr (2014) 173: 1659. doi:10.1007/s00431-013-2238-6

Abstract

Although the incidence of sudden unexpected death in infancy (SUDI) decreased markedly after campaigns to promote supine positioning during sleeping, it has remained unchanged over the last decade. Epidemiological data suggest a role for new causes such as suffocation, asphyxia, and entrapment. Health authorities in several countries have issued warnings about slings used to carry infants. However, few reports of infant deaths in slings have been published in medical journals. Our paediatric intensive care unit has admitted two infants who experienced cardiorespiratory arrest while carried in a sling. Diagnostic investigations including a post-mortem examination established asphyxia as the mechanism of death. In conclusion, baby slings may carry a risk of SUDI, either by compression of the baby into a forward-flexed position or by direct suffocation. European recommendations for the cautious use of baby slings should be disseminated to families and professionals involved in caring for infants, as done recently in Australia, Canada, and the USA.

Keywords

Sudden infant death syndrome Suffocation Paediatric intensive care Baby carrying system Post-mortem examination 

Abbreviations

HBV

hepatitis B virus

PICU

paediatric intensive care unit

SUDI

sudden unexpected death in infancy

WG

weeks of gestation

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Chrystèle Madre
    • 1
  • Caroline Rambaud
    • 2
    • 3
  • David Avran
    • 4
  • Charlotte Michot
    • 4
  • Philippe Sachs
    • 4
  • Stéphane Dauger
    • 4
    • 5
  1. 1.Surgical Paediatric High Dependency UnitAP-HP, Hôpital Robert DebréParisFrance
  2. 2.Forensic Pathology Unit, AP-HPHôpital Raymond PoincaréGarchesFrance
  3. 3.Versailles St. Quentin UniversityVersaillesFrance
  4. 4.Paediatric Intensive Care UnitAP-HP, Hôpital Robert DebréParisFrance
  5. 5.Faculté de Médecine Denis DiderotUniversité Paris 7ParisFrance