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Updated: Jul 3, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
[Revised guideline 'prevention of cot death']
T W H Flinsenberg1, J H Ruys, A C Engelberts
1Maaslandziekenhuis, afd. Kindergeneeskunde, Postbus 5500, 6130 MB Sittard.
New guidelines discourage co-sleeping with infants under 4 months and recommend the supine sleeping position from birth to prevent sudden infant death syndrome (SIDS). These updates replace previous recommendations for safe infant sleep practices.
Area of Science:
- Pediatrics
- Public Health
Context:
- Sudden infant death syndrome (SIDS) remains a concern for infant health.
- Previous guidelines for SIDS prevention have been updated based on new etiological insights.
- The Dutch Paediatric Association and Child and Youth Health Care Physicians developed the new guideline.
Purpose:
- To provide updated recommendations for the prevention of cot death (SIDS).
- To incorporate new scientific understanding into clinical practice for infant safety.
- To replace the 1996 consensus statement on SIDS prevention.
Summary:
- The updated guideline actively discourages co-sleeping with infants under 4 months old.
- It strongly recommends the supine sleeping position for infants from birth.
- The previous allowance for side-lying position in the first two weeks of life has been removed.
Impact:
- Aims to reduce SIDS rates through revised safe sleep recommendations.
- Promotes consistent safe sleep practices for all infants from birth.
- Enhances infant safety by updating guidelines based on current scientific knowledge.
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