Judy  writes: 
I remain confused about terminology though. If a baby has a drugged  mom 
who rolls over and smothers baby, or a smoking dad whose fumes mess with  
baby's breathing and it shuts down for too long, or baby somehow gets his  ribs 
trapped between the bed and a wall in an unsafe situation, and that  baby 
dies, how is that "unexplained"? I guess my brain is just  too  overloaded to 
grasp this?
 
You are certainly correct to question those scenarios as being unexplained. 
 You are using the word "unexplained" rather than "unexpected" or what is  
called SUDI (Sudden Unexpected Death of an Infant). The article states:  
"Concurrently, other causes of sudden unexpected infant death that occur during 
 sleep (sleep-related deaths), including suffocation, asphyxia, and 
entrapment,  and ill-defined or unspecified causes of death have increased in 
incidence,  particularly since the AAP published its last statement on SIDS in 
2005." I  wonder what might be some examples of an "ill-defined or unspecified 
 cause of death in an infant?" Would these be "Sudden Unexplained Infant 
Death or  "SUID." So vague and confusing. James McKenna has talked about  this 
in his many presentations.
 

Mary-Jane Sackett, RN, IBCLC, RLC
Pittsfield, MA


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