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What is it about ?
Sudden death is the sudden and unexpected death of an apparently healthy baby with no physical abnormality that can explain it.
Sudden death is not predictable. It occurs during sleep; it does not cause pain or agitation. Vomiting is often found around the child, but this is usually not the cause of death. Sudden death is not hereditary; it is very rare that there are two sudden deaths within the same family. It most often occurs before the age of six months. It is important to point out to parents that no one is to blame.
What is its frequency?
In Belgium, it is estimated that around 70 children die each year from sudden infant death syndrome (out of 100,000 live births). There are no exact figures1.
What happens in the event of sudden death?
A thorough examination will always be carried out to find the cause of the child’s death, with particular attention to the following points:
- condition
- events before death
- possible recent illnesses or other symptoms
- time the child was last seen alive
- place where the child was found lifeless
- vomiting in bed or on clothes
Then, a complete physical examination is performed, and, if necessary, an autopsy.
Finally, laboratory analyzes will be carried out:
- blood cell count
- sugar level measurement
- determination of salts: sodium, potassium and calcium
- kidney function measurement
- blood and urine culture to check for pathogens
- screening for pathogens in the upper respiratory tract and stool.
If trauma or abuse is suspected, an x-ray will be taken to look for bone damage.
These tests can reveal illnesses or other causes that could explain a sudden death. Laboratory tests should be done as soon as possible after death.
If the doctor suspects sudden death, he will always contact the police. Usually, a forensic pathologist will also be on site. This is indeed the normal procedure in the event of sudden unexplained death. This does not mean that someone is presumed to be guilty of the death of the baby.
Ugly
As soon as possible, parents and family will be supported. Medicines, such as pain relievers or sleeping tablets light, can temporarily provide some rest, but cannot replace support. As a parent, you can stay with the deceased baby for a while. It can help you come to terms with death and shorten the grieving process.
In the days and weeks following death, it is best to have regular contact with healthcare providers, such as your GP. It is best to involve your other children as well. Sudden death also has an effect on the siblings of the deceased baby. The recently adopted role of big brother or big sister comes to an abrupt end, and the child is unable to understand the cause and significance of the event. Your other children may react differently to the death of their younger sibling. They may deny death, remain indifferent, or develop various behavioral or mental disorders. psychosomatic symptoms.
Until puberty, bereavement in children takes place differently than in adults. Young children do not see death as irreversible. Children between the ages of 5 and 10 often think someone is responsible for the death.
The doctor can also help you explain the results of the forensic investigation.
It is normal that certain dates, such as the birth or death of the child, cause painful memories.
How can you reduce the risk of sudden death?
- Always lay the baby on his back to sleep.
- Do not smoke in the child’s environment.
- Make sure that your child is not too hot: the room temperature in his room will therefore not exceed 18 to 20 ° C.
- Do not give him any medicine without the doctor’s advice.
Sources
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