Puerperal women’s knowledge of sudden death syndrome in babies and preventive measures


  • Emily Pavlovski de Paula Department of Emergency Services, Hospital Universitário da Universidade Estadual de Ponta Grossa
  • Cristina Berger Fadel Department of Dental Medicine, Universidade Estadual de Ponta Grossa https://orcid.org/0000-0002-7303-5429
  • Melina Lopes Lima Department of Academic Management, Hospital Universitário da Universidade Estadual de Ponta Grossa
  • Fabiana Bucholdz Teixeira Alves Department of Dental Medicine, Universidade Estadual de Ponta Grossa
  • Luciane Patrícia Andreani Cabral Department of Academic Management, Hospital Universitário da Universidade Estadual de Ponta Grossa
  • Everson Augusto Krum Department of Pharmacology, Universidade Estadual de Ponta Grossa




death, first aid, infant, knowledge, mother, sudden


Introduction: Infant mortality is an important collective health data, as it is an indicator of the quality of care provided to mothers and children born alive in a certain territory. This study investigated the knowledge of puerperal women admitted to a public teaching hospital about sudden death syndrome in babies and its preventive measures, aiming to support the development of educational and preventive measures at hospital level.
Material and methods: This was a quantitative-qualitative and descriptive study carried out in the context of a Multiprofessional Residency in Health program in urgency and emergency setting of a public teaching hospital in the countryside of Paraná, Brazil. The study sample consisted of all mediate puerperal women admitted to the maternity ward of the referred hospital from October to December 2019. Semi-structured interviews with an average duration of ten minutes were carried out using a semi-directed script based on the recommendations for prevention of sudden death of the Brazilian Society of Pediatrics.
Results/discussion: A total of 61 puerperal women were included in the study, who showed little knowledge about sudden infant death syndrome and risky behaviors involved, such as positioning the baby on the side, using pillows, and sharing the bed with the baby. Ease of care, easier supervision, and physical and emotional comfort were the main reasons pointed out for bed sharing with the baby.
Conclusion: It is of utmost importance to educate parents and family members on sudden infant death and on the adoption of simple and effective preventive measures.


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Brasil, Ministério da Saúde. Mortalidade Infantil por causas evitáveis entre os anos de 2007 e 2017. Ministério da Saúde, TABNET. Brasília, Março, 2020. (Accessed March 24, 2020). Available at: http://tabnet.datasus.gov.br/cgi/menu_tabnet_php.htm.

Brasil, Ministério da Saúde; Datasus. Taxa de mortalidade infantil – Ficha de qualificação, 2019. Ministério da Saíde, DATASUS. Brasília, março, 2020. (Accessed March 24, 2020). Available at: http://tabnet.datasus.gov.br/cgi/menu_tabnet_php.htm.

Bezerra MAL, Carvalho KM, Bezerra JOL, Novaes LFG, Moura THM, Leal LP. Fatores associados ao conhecimento das mães sobre a Síndrome da Morte Súbita dos Lactentes. Esc Anna Nery.2015; 19(2):303-309. https://doi.org/10.5935/1414-8145.20150041.

Brink LT, Gebhardt GS, Mason D, Groenewald CA, Odendaal HJ. The association between preterm labor, perinatal mortality and infant death (during the first year) in Bishop Lavis, Cape Town, South Africa. SAMJ, S. Afr. med. j. [Internet]. 2019 Feb [cited 2021 Feb 22]; 109 (2):102-106. http://dx.doi.org/10.7196/samj.2019.v109i2.13438.

Matoso LML. Morte Súbita do Lactente: uma revisão integrativa. Revista Saúde e Desenvolvimento.2019, 13(16):75-80.

Hoffman HJ, Damus K, Hillman L, Krongrad E. Results of the National Institute of Child Health and Human Development SIDS Cooperative Epidemiological Study. Ac. Science NY.1998. (Assessed June 18, 2020). Available at: https://www.uptodate.com/contents/sudden-infant-death-syndrome-risk-factors-and-risk-reduction-strategies/abstract/26.

Horne RS, Hauck FR, Moon RY. Sudden infant death syndromeand advice for safe sleeping. BMJ. 2015Apr 28; 350:h1989. (Assessed June 19, 2020). Available at: https://www.bmj.com/content/350/bmj.h1989.

Elhaik E. Neonatal circumcision and prematurity are associated with sudden infant death syndrome (SIDS). J. Clin. Transl. Res. 2019; 4:136–151.

Oliveira AMF, Andrade PR, Pinheiro EM, Avelar AFM, Costa P, Belela-Anacleto ASC. Fatores de risco e de proteção para a síndrome da morte súbita do lactente. Rev. Bras. Enferm. 2020;73(2). https://doi.org/10.1590/0034-7167-2019-0458.

Pereira DO, Ferreira TLS, Araújo DV, Melo KDF, Andrade FB. Avaliação das consultas de pré-natal: adesão ao pré natal e complicações na saúde materno infantil. Rev. Ciênc. Plur.2017;3(3): 2-15. https://doi.org/10.21680/2446-7286.2017v3n3ID12891.

Sociedade Brasileira de Pediatria. Síndrome da Morte Súbita do Lactente: Aspetos Epidemiológicos, Fisiopatologia e Prevenção. Sociedade Brasileira de Pediatria. 2018. (Assessed June 19, 2020). Available at: https://www.sbp.com.br/fileadmin/user_upload/img/documentos/doc_sindrome_msl.pdf.

Yikilkan H, Ünalan PC, Cakir E, Ersu RH, Cifcili S, Akman M, et al. Sudden infant death syndrome: How much mothers and health professionals know. Pediatrics International. 2011; 53: 24-8. (Assessed March 13, 2021). Available at: https://pubmed.ncbi.nlm.nih.gov/20626640/.

Sociedade Americana de Pediatria. Sudden Infant Death Syndrome. Sociedade Americana de Pediatria. 2018. (Assessed June 19, 2020). Available at: https://pedsinreview.aappublications.org/content/14/3/83.

Organização Mundial da Saúde. Recomendações da OMS sobre cuidados pré-natais para uma experiência positiva na gravidez. Organização Mundial da Saúde. 2016. (Assessed June 16, 2020). Available at: https://apps.who.int/iris/bitstream/handle/10665/250800/WHO-RHR-16.12-por.pdf?sequence=2.

Task Force on Sudden Infant Death Syndrome. SIDS and Other Sleep – Related Infant Deaths. Updated 2016. (Assessed June 16, 2020). Available at: https://pediatrics.aappublications.org/content/138/5/e20162938.

Rushi GEC, Zandonale E, Miranda AE, Antônio FF. Determinantes na qualidade do pré natal na Atenção Básica: o papel do apoio matricial e saúde da mulher. Cad. saúde colet. 2018June; 26(2): 131-139. (Assessed June 16, 2020). Available at: https://doi.org/10.1590/1414-462X201800020229.

Leal MC, Perreira APE, Viellas EF, Domingues RMSM, Gama SGN. Assistência ao Pré Natal na rede pública do Brasil. Rev. Saúde Pública.2020;54:08. https://doi.org/10.11606/s1518-8787.2020054001458.

Rocha MS, Barbosa VSS, Lima ALS. Fatores que influeciam a não adesão ao programa de pré-natal. Revista Recien. 2017; 7(21):21-29. https://doi.org/10.24276/rrecien2358-3088.2017.7.21.21-29.

Brasil, Ministério da Saúde. Rede Cegonha. Ministério da Saúde2013. (Assessed June 19, 2020). Available at: https://www.saude.gov.br/images/pdf/2016/abril/19/2-a-Negocia----o-REDE-CEGONHA--27042011.pdf.

Perreti CG, Oliveira R. Os significados socioculturais na prática do co-leito. Revista Brasileira de Iniciação Científica.2017;4(2):110-129.

Azevedo L, Mota L, Machado AI. Ambiente de sono seguro no primeiro ano de vida. Nascer e Crescer.2015 Feb;24(1):18-23.

Cesar JA, Acevedo JD, Kaczan CR, Venzo JCP, Costa LR, Silva LCM, et al. Identifyng mothers intention to place infant in supine sleep position: a population-based study. Ciênc. saúdecoletiva. 2018;23(2):501-508.

Corwin MJ, Mallory GB, Misra SM. Sudden infant death syndrome: Risk factors and risk reduction strategies. UpToDate (Assessed May 20, 2020). Available at: https://www.uptodate.com/contents/sudden-infant-death-syndrome-risk-factors-and-risk-reduction-strategies?search=morte%20s%C3%BAbita%20inesperada%20do%20beb%C3%AA&source=search_result&selectedTitle=2~78&usage_type=default&display_rank=2.

Adams SM, Ward CE, Garcia KL. Sudden infant death syndrome. Am Fam Physician. 2015 Jun 1;91(11):778-783.

Erck Lambert AB, Parks SE, Contengim C, Faulkner M, Hauck, FR, Shapiro-Mendoza CK. Sleep-Related Infant Suffocation Deaths Attributable to Soft Bedding, Overlay, and Wedging. Pediatrics. 2019 May;143(5):e20183408. https://doi.org/10.1542/peds.2018-3408.

Goldstein RD, Blair PS, Sens MA, Shapiro-Mendoza CK, Krous HF, Rognum TO, et al. Inconsistent classification of unexplained sudden deaths in infants and children hinders surveillance, prevention and research: recommendations from The 3rd International Congress on Sudden Infant and Child Death. Forensic Sci Med Pathol. 2019;15:622–628. https://doi.org/10.1007/s12024-019-00156-9.




How to Cite

Pavlovski de Paula E, Fadel CB, Lopes Lima M, Alves FBT, Cabral LPA, Krum EA. Puerperal women’s knowledge of sudden death syndrome in babies and preventive measures. REVNEC [Internet]. 2022Dec.27 [cited 2023Mar.22];31(4):337-44. Available from: https://revistas.rcaap.pt/nascercrescer/article/view/24212



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