Sleep-Related Infant Deaths in Michigan Lindsay Gross, LMSW Project Coordinator

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1 Sleep-Related Infant Deaths in Michigan Lindsay Gross, LMSW Project Coordinator Michigan Child Death Review/Sudden Unexpected Infant Death Case Registry

2 Key terms Sleep-related infant death: Death of an infant wherein the sleep environment was likely to have contributed to the death, including those ruled SIDS, SUID, suffocation, and other causes. Asphyxia (suffocation) is the most common cause of sleep-related death, followed by undetermined cause, SIDS, and other causes.

3 Data Highlights Sleep-related infant death is a leading cause of death among infants less than 1 year in Michigan. From 2010 to 2014, there were 712 sleep-related infant deaths, which is a rate of 1.2 deaths per 1,000 live births. *Source: CDC SUID Case Registry, Michigan Public Health Institute, 2016*

4 Data Highlights *Source: CDC SUID Case Registry, Michigan Public Health Institute, 2016*

5 Data Highlights 2 in 3 infants found unresponsive are not on their backs Approximately 50% of infants who died of sleep-related causes were found on their stomach and 15% were found on their side. *Source: CDC SUID Case Registry, Michigan Public Health Institute, 2016*

6 Data Highlights 3 in 4 sleep-related deaths occur in an unsafe sleep location Nearly 50% of infants who died of sleep-related causes were placed in an adult bed, 20% were placed on a couch, chair, or floor, and 10% were placed in other unsafe sleep locations. Only 25% of infants who died of sleep-related causes were placed to sleep in a crib, bassinet or portable crib. *Source: CDC SUID Case Registry, Michigan Public Health Institute, 2016*

7 Data Highlights 3 in 5 sleep-related deaths involve an infant sharing a sleep surface Approximately 60% of sleep-related deaths occurred among infants who shared a sleep surface. Of sleep-related deaths where the determined cause was asphyxia (suffocation) *, the most commonly found objects in the sleep environment that obstructed infants airways where adults, comforters or quilts, pillows, and mattresses. *Source: CDC SUID Case Registry, Michigan Public Health Institute, 2016*

8 Data Highlights *Source: CDC SUID Case Registry, Michigan Public Health Institute, 2016*

9 Other Factors Compared to 75% of all Michigan mothers, 38% of mothers of infants who died of sleeprelated causes had ever breastfed. 1 Compared to 18% of all Michigan mothers, 47% of mothers of infants who died of sleeprelated causes smoked during pregnancy. 2 1 Centers for Disease Control and Prevention (CDC), 2015; Michigan Resident Birth Files, Division for Vital Records & Health Statistics, Michigan Department of Health & Human Services; retrieved at

10 County Specific Data Sleep Related Infant Deaths by Region^, Michigan, County No. of Deaths No. of Births Rate* Allegan 6 6, Bay 6 5, Berrien 22 9, Calhoun 14 8, City of Detroit , Genesee 48 25, Ingham 17 16, Ionia 7 3, Iosco 6 1, Jackson 9 9, Kalamazoo 25 15, Kent 37 44, Lapeer 6 4, Lenawee 6 5, Livingston 8 8,

11 County Specific Data Sleep Related Infant Deaths by Region^, Michigan, Macomb 22 45, Mecosta 6 2, Midland 9 4, Monroe 14 7, Montcalm 8 3, Muskegon 19 10, Newaygo 7 2, Oakland 53 66, Ottawa 9 16, Saginaw 21 11, St. Clair 15 7, St. Joseph 8 4, Washtenaw 13 18, Wayne , Out-Wayne (exl. Detroit) 77 66, Counties with less than 6 deaths are excluded from this analysis *Rate per 1,000 live births Sleep-related infant deaths are defined in Michigan as deaths to infants less than 1 year of age that occur suddenly and unexpectedly and include sudden infant death syndrome (SIDS), undetermined/sudden unexplained infant death (SUID), suffocation/positional asphyxia, and other causes wherein the sleep environment was likely to have contributed to the death. Death data are by county of residence from CDC SUID Case Registry, Michigan Public Health Institute, Birth data are from Michigan Resident Birth Files, Division for Vital Records and Health Statistics, Michigan Department of Community Health, 2016.

12 Questions? Lindsay Gross, Project Coordinator (517)

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