EuropeSouth AsiaAsia PacificAmericasMiddle EastAfricaBBC HomepageWorld ServiceEducation
BBC Homepagelow graphics version | feedback | help
BBC News Online
 You are in: Health
Front Page 
World 
UK 
UK Politics 
Business 
Sci/Tech 
Health 
Medical notes 
Background Briefings 
Education 
Sport 
Entertainment 
Talking Point 
In Depth 
AudioVideo 

News image
News image
News imageThe BBC's James Westhead
"On average one child dies every day"
News image real 28k
News image
News imageThe BBC's health correspondent Richard Hannaford
"This is the largest ever study of cot deaths"
News image real 28k
News image
News imageProfessor Christopher Bacon, report co-author
"Many of the factors that we identified were things that the parents really couldn't be blamed for"
News image real 28k
News image
Wednesday, 2 February, 2000, 11:15 GMT
Many cot deaths 'avoidable'

Baby Babies should be placed on their backs to sleep


Six out of ten cot deaths could be partly caused by sub-standard care, deprived living conditions or abuse, a major report has found.

The vast majority of these cases are down to parents not following guidance on how to minimise risk.

But the researchers say that cot deaths are not investigated as thoroughly as they should be and some cases of parental abuse are being overlooked.

The researchers call on the Home Office and the Department of Health to review the way cases of cot death, or Sudden Infant Death Syndrome, are investigated by doctors and police.

They describe the current arrangements as "inadequate and in need of revision".


News image Other findings of the research
News image Many of the cot deaths had medical problems from birth
News image Their mothers were more likely to have had previous stillbirths or other infant deaths
News image Cot death rates were higher in families living in deprived conditions
News image There was no evidence that airline flights or mattress type or age are risk factors
News image Immunisation is associated with a significantly lower risk
News image 63% of cot deaths were boys
News image Twins are at higher risk
News image The highest number of deaths took place at 13 weeks
The report, funded by the Confidential Enquiry into Stillbirths & Deaths in Infancy (CESDI), the Foundation for the Study of Infant Death (FSID) and the Department of Health, gives the findings of the largest ever study of cot deaths in the UK.

Cot death is the largest single category of deaths in babies over one month old.

The researchers found that in 60% of cot deaths, parents had failed to minimise the risk to their child.

In many cases they had ignored, or had failed to receive, advice such as laying their child on its back to sleep and not smoking.

However, undiagnosed maltreatment was probably the primary cause in 6% of cases.

Failings in the system

The study found that post-mortem investigations were not always thorough, diagnoses varied with the professionals involved, and medical and family histories which might prove important were not routinely available.

The report says: "As a result, it was believed that causes of death, both natural and unnatural, may be unrecognised.

"Parents may not be properly advised or supported, and uninformed speculation concerning maltreatment may arise."

The authors recommend that when an unexpected infant death occurs:

  • Families are visited at home with 24-48 hours by a paediatrician or other health professional, liasing with a specially trained police officer, to gather information
  • All postmortems are carried out promptly by a pathologist with specialised knowledge
  • A local case review of the death by all professionals involved in the baby's care to determine cause of death, and agree a plan to support the family

News image Reducing the risk
News image Place baby on its back to sleep
News image Do not smoke near baby
News image Do not let baby get too hot
News image Keep baby's head uncovered
News image Place baby at the foot of the cot to prevent wriggling down under the covers
News image Don't fall asleep on a sofa with baby
News image If baby is unwell, seek advice promptly

Colin Baker, FSID chairman, said: "Seven babies are still dying every week in the UK, and details about the circumstances of their deaths are not being comprehensively collected.

"We could be losing valuable information that may prevent further tragedies.

"We believe we owe it to our babies to do as much as we possibly can to try to find out why cot death is still the main cause of death in infancy."

The Community Practitioners' and Health Visitors' Association (CPHVA) hailed the report as "a milestone for saving hundreds of babies' lives a year".

CPHVA's director Jackie Carnell said: "It is a blueprint to assist health visitors in their efforts to further reduce the number of deaths in babies under one year old."

The study covered 450 babies of one week to one year old who died between 1993 and 1996 in the former NHS regions of South Western, Yorkshire, Trent, Northern and Wessex.

A total of 325 of these deaths were categorised as cot death as no cause of death could be found.

The FSID and the Department of Health are producing an updated advice booklet to be distributed to expectant parents.

The FSID says that the study was carried out before its current campaign on reducing risk had a chance to take full effect.

News imageSearch BBC News Online
News image
News image
News imageNews image
Advanced search options
News image
Launch console
News image
News image
News imageBBC RADIO NEWS
News image
News image
News imageBBC ONE TV NEWS
News image
News image
News imageWORLD NEWS SUMMARY
News image
News image
News image
News image
News imageNews imageNews imageNews imagePROGRAMMES GUIDE

Talking PointTALKING POINT
News imageCot deaths
Are parents being blamed?
News imageNews image

See also:
News image
News image 02 Feb 00 |  Health
News image Visits 'would help prevent deaths'
News image
News image 02 Feb 00 |  Health
News image 'They thought my baby was murdered'
News image
News image 05 Aug 99 |  Health
News image Cot death rate falls
News image
News image 25 Feb 99 |  Health
News image Cot death error 'costs lives'
News image
News image 13 Jan 99 |  Health
News image Overheated blood may cause cot death
News image
News image 03 Dec 99 |  Health
News image Baby bed-sharing warning
News image
News image 23 Mar 99 |  Health
News image Many unaware smoking harms children
News image
News image 10 Aug 99 |  Health
News image Duvets 'still a cot death risk'
News image
News image 17 Aug 99 |  Health
News image Cot death diagnosis may hide suffocation
News image

Internet links:

The BBC is not responsible for the content of external internet sites
News image
Links to other Health stories are at the foot of the page.
News image

E-mail this story to a friend

Links to more Health stories



News imageNews image