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Radio 4 investigates how some simple advice drastically reduced the amount of UK cot deaths


Category: Radio 4

Date: 06.05.2005
Printable version


To mark Baby Safety Week, 91Èȱ¬ Radio 4's Building A Healthier Britain on Tuesday 10 May looks at how a simple piece of advice has saved the lives of an estimated 200,000 babies.

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However, a new report shows that if current methods of analysis had been available in the Seventies, many more lives would have been saved.

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Incredibly, the trend to sleep babies on their fronts, the cause of so many deaths, was the result of untested studies.

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By the mid-Eighties, Sudden Infant Death Syndrome (SIDS, commonly referred to as cot death) rates had increased in many countries.

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Theories ranged from viral infections to irregular heart rhythms and over-heating, but no-one knew quite why the number of deaths had increased.

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A report in the Netherlands suggested that putting babies to sleep on their fronts led to a high risk of cot death.

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Professor Peter Fleming, consultant paediatrician in Bristol, then starting the Avon Cot Death Study, was fascinated by the findings in the Dutch report and, with his colleague Doctor Ruth Gilbert, analysed their local data and found that 93 per cent of babies in the Avon area who had died had been put to sleep lying on their fronts.

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Researchers refused to believe that something as simple as this could have such a profound effect; it wasn't until a follow- up study in 1991 that Professor Fleming felt confident enough to approach the government's health advisors with his findings.

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Following a high profile campaign on the issue by TV presenter Anne Diamond - who lost her own child through SIDS - the Government gave their official support to the study and launched a highly successful national campaign - Back To Sleep.

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As a direct result, cot deaths fell by 70% nationally - the equivalent of about 12 babies per week.

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Dr Ruth Gilbert, now at the Institute of Child Health in London, has discovered that in the Forties it was standard practice for babies to be put to sleep on their backs.

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The research which reversed this tied rubber sheets across the babies faces, and claimed they couldn't suffocate lying on their fronts.

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Tragically, if studies from the Seventies had been analysed together as is the practice today, it would have been clear then - two decades before the Back To Sleep campaign - how dangerous it was for babies to sleep on their fronts.

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Although the fall in the number of deaths following the Back To Sleep campaign was enormous, 350 babies still die from Sudden Infant Death Syndrome in the UK every year and the research continues.

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Further evidence from Professor Fleming's group showed that other risk factors included parents who smoke, and having the baby in the parental bed rather than in a separate cot in the same room.

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His team are currently investigating the role that genetics play in Sudden Infant Death Syndrome.

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Building A Healthier Nation is on Radio 4 on Tuesday 10 May at 9.00pm and repeated on Wednesday 11 May at 4.30pm.


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Category: Radio 4

Date: 06.05.2005
Printable version

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