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Date: | Sun, 26 Jan 2003 20:59:40 -0000 |
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Arly Helm posted:
> Re: Helen Ball's post: "In the UK the nationwide CESDI study found a
> 12x risk of SIDS in babies who bed-shared with parent(s)who smoked
> compared to babies who bed-shared with parents who didn't smoke..."
>
> My question: What is the figure for the increase in risk of SIDS for
> breastfed babies who bed-share with parents who smoke compared to
> breastfed babies of parents who smoked who didn't bed-share? This is
> the figure I believe I need to supply to patients who choose to smoke
> anyway, since it is bed-sharing, not smoking, that most consider
> optional.
Figures on SIDS-risk for the interaction between breastfeeding,
smoking and bed-sharing are not published in the CESDI report,
nor in any of the articles arising from this study that I know
of. The interactions between smoking and SIDS, and bed-sharing
and smoking and SIDS were addressed. Breastfeeding was found to
be neither protective, nor a risk factor, for SIDS in this study.
I asked the project statistician several years ago how
breastfeeding fitted into the smoking and bed-sharing picture.
Despite the CESDI study examining 325 cases of SIDS and 1300
controls over a 3 year period, he said the numbers were so small
(SIDS cases who were breastfed and who had a parent who smoked
was a small subset of the cases, and then dividing these into
bed-sharers and non-bed-sharers produced two even smaller
subsets) that they were too small to form the basis of a risk
calculation. Which is why, in the UK at least, I don't think we
have the data to give a clear answer...
Helen
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