Advertisement

European Journal of Pediatrics

, Volume 173, Issue 12, pp 1659–1661 | Cite as

Infant deaths in slings

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

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

Notes

Conflict of interest

The authors declare no conflict of interest.

References

  1. 1.
    Australian Competition and Consumer Commission (2011) Baby slings safety alert. http://www.sidsandkids.org/news/baby-sling-alert-accc/. Accessed 13 Dec 2013
  2. 2.
    Bloch J, Denis P, Jezewski-Serra D, Comité de Pilotage (2011) [French] Les morts inattendues des nourrissons de moins de 2 ans Enquête nationale 2007-2009 – Synthèse. Saint-Maurice: Institut de Veille Sanitaire. [In French] http://www.invs.sante.fr/publications/2011/morts_nourrissons/plaquette_morts_inattendues_nourrissons.pdf. Accessed 13 Dec 2013
  3. 3.
    Consumer Product Safety Commission (US). Infant deaths prompt CPSC warning about sling carriers for babies. http://www.cpsc.gov/cpscpub/prerel/prhtml10/10165.html. Accessed 13 Dec 2013
  4. 4.
    Côté A (2010) Investigating sudden unexpected death in infancy and early childhood. Paediatr Respir Rev 11:219–25PubMedCrossRefGoogle Scholar
  5. 5.
    Health Canada. Health Canada reminds parents to exercise caution when using infant slings and soft Carriers. http://www.healthycanadians.gc.ca/recall-alert-rappel-avis/hc-sc/2010/13481a-fra.php#related-connexe. Accessed 12 Mar 2010
  6. 6.
    Maqueda Castellote E, Gili Bigatà T, Sánchez Pérez S, Escofet Soteras C (2012) Infant suffocation associated with the incorrect use of a baby sling. Ann Pediatr (Barc) 77(6):416–28CrossRefGoogle Scholar
  7. 7.
    Moon RY, Horne RS, Hauck FR (2007) Sudden infant death syndrome. Lancet 370:1578–87PubMedCrossRefGoogle Scholar
  8. 8.
    Moon RY, Darnall RA, Goodstein MH, Hauck FR (2011) Task force on sudden infant death syndrome, SIDS and other sleep-related infant deaths: expansion of recommendations for a safe infant sleeping environment. Pediatrics 128(5):1030–67PubMedCrossRefGoogle Scholar
  9. 9.
    Tonkin SL, Stewart JH, Withey S (1980) Obstruction of the upper airway as a mechanism of sudden infant death: evidence for a restricted nasal airway contributing to pharyngeal obstruction. Sleep 3(3–4):375–82PubMedGoogle Scholar
  10. 10.
    Weber MA, Ashworth MT, Risdon RA, Hartley JC, Malone M, Sebire NJ (2008) The role of post-mortem investigations in determining the cause of sudden unexpected death in infancy. Arch Dis Child 93(12):1048–53PubMedCrossRefGoogle Scholar

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
    Email author
  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

Personalised recommendations