Concurrently, other causes of sudden unexpected infant
death occurring 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.
A recent meta - analysis of 11 studies that investigated the association of bed - sharing and SIDS revealed a summary OR of 2.88 (95 % confidence interval [CI]: 1.99 — 4.18) with bed - sharing.158 Furthermore, bed - sharing in an adult bed not designed for infant safety exposes the infant to additional risks for accidental injury and
death, such as suffocation, asphyxia,
entrapment, falls, and strangulation.159, 160 Infants, particularly those in the first 3 months of life and those born prematurely and / or with low birth weight, are at highest risk, 161 possibly because immature motor skills and muscle strength make it difficult to escape potential threats.158 In recent years, the concern among public health officials about bed - sharing has
increased, because there have been
increased reports of SUIDs occurring in high - risk sleep environments, particularly bed - sharing and / or sleeping on a couch or armchair.162, — , 165