Thanks buat semua yang udah sharing dan simpati atas anak sepupu saya. Ceritanya ternyata emang Raffi (anak sepupuku itu) baru kemaren (hari H kejadian) bisa tengkurap sendiri. Munkin waktu tidur siang, tiba-2 dia tengkurap, dan posisinya kurang pas. Waktu sdh tidur, ditinggal keluar kamar (dapur), dan waktu balik lagi ke kamar, kok dibangunin diam aja, dan badannya udah membiru. Kebetulan di rumah cuman ada sepupuku dan pengasuh anaknya, sepupuku panik mo bawa ke RS ngga ada kendaraan (masuk kompleks) kebetulan di depan rumahnya ada tukang bawa sepeda motor, langsung sepupuku minta diboncengin sambil bawa anakknya ke RS, dan ternyata tdk tertolong. Kata ibunya, sepupuku sempet bilang kalo ngga mau punya anak lagi, takut trauma kejadian kayak gitu.. :( Sekali lagi makasih yach atas sharing info dan ucapan simpatinya, berikut rangkumannya, semoga berguna. Rgds, ihd
-----Original Message----- From: Indah Hapsari Dewi [mailto:[EMAIL PROTECTED] Sent: Friday, October 10, 2003 4:32 AM To: [EMAIL PROTECTED] com (E-mail) Subject: [balita-anda] SIDS moms.. sharing cerita yach.. sedih banget deh, barusan saja aku dapat kabar kalo sore ini anak sepupuku meninggal..Baru usia 4 bulan.. Kaget banget dengernya, ampe merinding waktu ditelpon sodaraku. Ternyata bukan karena sakit, tapi karena tidur tengkurap.. mungkin 'ampeg' gak bisa napas, dan ngga ketahuan..(mungkin belum bisa mbalik badan sendiri kali' yach..Kalo gak salah kemungkinan meninggal karena SIDS (Sudden Infant Death Syndrom-cmiiw). Ironisnya, padahal sepupuku itu selalu nungguin all the time alias FTM, yang waktu aku nengok waktu melahirkan, mau merawat anaknya sendiri.. Bukan menyalahkan dan memang bukan salah siapa-siapa, sudah takdirnya mungkin.. Tadi waktu telpon rumah, alhamdullillah.. bersyukur banget bisa denger suara anakku... Waktu anakku masih new born dulu, aku sendiri jarang/gak pernah nidurin dengan posisi tengkurap, padahal kata banyak orang bagus untuk menguatkan jantung bayi yach... Tp ada juga yang kontra.. yang bisa mentrigger SIDS ini.. ternyata sekarang bener-2 kejadian.. Mungkin moms ada yang pernah sharing mengenai posisi tidur bayi yang bagus atau artikel mengenai SIDS ini, tolong donk sharingnya.. Just curious aja.. Thanks before Rgds, ihd ---------------------------------------------------------------------------- ------------------------------------------------- [Frieza Diane Gabriel] Dear Indah, Apakah anak sepupumu itu kepalanya sdh berdiri?? Duh aku jadi merinding juga nih.... Masalahnya Disa selalu aku tengkurapin dari umur 10 hari (disuruh DSAnya).... Dan akhirnya sampai dia 4,5 bln ini....dia lebih senang tengkurap dan skr sdh bisa terbang2 serta merayap2 dan berputar2 360 derajat. Tidurnya pun lebih pulas. Indah, apa sepupumu sdh ijin DSAnya utk menengkurapkan anak? Sblmnya DSAku check dulu, apakah Disa sdh bisa mengangkat kepalanya....., dll. Umur kurang lebih 3 bulan dia sdh bisa dari telentang ke tengkurap....tapi lebih ahli lagi dari tengkurap ke telentang (mungkin krn sering ditengkurapin). DSAku bilang, spy anak cerdas, dia hrs ditengkurapin. Apalagi khusus tk bayi alergi (napas grok2, cekukuan, muntah, dll) sebaiknya ditengkurapin.... Aku bener2 lupa tanya, gmana dgn SIDS yah>????? Duh jadi ngeri sendiri.... Mamihnya Icha (Salsabila Ardisa) [shanti] Mba Indah, Saya turut berduka cita....aduh...pasti ibunya sedih banget ya....:-((, aku juga ikut sedih....jadi inget yg dirumah nih... Waktu anaku masih bayi dulu, aku ngga pernah nidurin anak dengan posisi tengkurep tuh....aku juga takut sih...kalau anak kita lagi tidur ngga mungkin kan kita ngeliatin anak terus, pasti nyambil ngapain..gitu...makanya aku sih cari aman di telentangin, malah kadang di miringin aja, di ganjel pake guling, jadi kan si anak ngga pegel..., ya..boleh di bilang aku salah satu yg kontra...... Segitu aja sharing nya mba Indah... [Sofie] Now is time to get serious ... Mbak Indah ... turut berduka cita ya ... sampaikan ke sepupu mbak. Temen suami saya juga pernah mengalami hal yg sama, usia anaknya juga sekitar 4 bulan. Saat kejadian, bahkan sang ibu sedang main dikamar tidur itu bersama anak per1nya ... Ketika ditemukan sang baby sudah kaku ... duh ... dan diperkirakan sudah sekitar 1 jam meninggalnya. sedih ya .... apalagi jarak utk mendapatkan anak ke2 ini lama dan susah .. sekitar 6 tahun gitu deh ... yg gak tega denger si abangnya bertanya: Kok adik diambil Tuhan ya ma ...? Karena abang nakal ya? Abang kan sayaaang sama adik .... kesian yah ... Sebenernya saya banyak sekali baca mengenai SIDS ini, & from what I read ... belum ada sebab yg jelas. Salah satunya yah itu .. tidur tengkurap pada saat sang baby belum bisa utk berbalik sendiri. Saya juga takuuuuuuuttt sekali, sampai2 dulu saya sering bertengkar sama suami gr2 soal menengkurapkan Raihan. AKhirnya dicapai kesepakatan .. tidur tengkurap hanya siang hari .. dan bener2 dijagain disamping boxnya. kalo malam .. raihan saya biarkan terlentang. Saking takutnya .. sampai skrg ... Raihan sudah 25 bulan .. setiap kali dia tidur tengkurap saya selalu gak tenang ... (paranoid sekali yah ...) dan saya selalu ngecek apakah hidungnya ketutup bantal atau tidak .. dan tidak lupa saya juga make sure kalo punggungnya turun naik (tanda dia bernafas dgn baik .... (bener2 paranoid yah saya ... GPP lah ...) Gitu aja .. sorry kalo udah panjang2 ceritanya tapi gak kasih solution apa - apa .. [Abi Luthfan] Bagi ibu muda yang tidak ingin kehilangan buah hatinya karena SIDS. Tidur Telentang Pada Bayi Beresiko Alami Rata Kepala Bayi yang tidur dengan posisi sama setiap malam atau menghabiskan banyak waktu di kereta dorong beresiko mengalami perataan kepala. Tetapi menurut para spesialis kesehatan anak kondisi ini dapat mudah dicegah dan disembuhkan apabila diketahui sejak dini. Menurut American Academy of Pediatrics (AAP) jumlah anak yang mengalami perataan kepala meningkat sejak awal tahun 1990-an dimana orang tua mengatakan menidurkan bayi dengan posisi telentang dilakukan untuk meminimalisasi sindrom kematian bayi mendadak (SIDS). Bayi sebaiknya tidur dengan posisi telentang tetapi posisi kepala mereka sebaiknya berubah. Berikut beberapa saran dari AAP untuk mengurangi resiko rata kepala: Secara periodik rubah orientasi bayi dalam tempat tidur bayi sehingga perhatiannya tidak selalu terfokus pada arah yang sama. Jika bayi selalu menghadap pintu misalnya, rubah posisinya sehingga ia harus membalikan kepalanya dengan cara berbeda untuk dapat melihat pintu. Tempatkan bayi pada perutnya untuk periode tertentu selagi terjaga dan terawasi. Ini dapat membantu memperkuat bahu. Kurangi menghabiskan waktu dalam kereta dorong dimana akan memberikan tekanan pada bagian yang sama yaitu kepala ketika tengah tidur dengan posisi telentang. (sumber: http//www.vision.net.id) [lenny] Mbak indah, sebelumnya saya turut berduka cita ama sodara mbak indah... Kalo si Bryan sama ama si kecilnya mbak Hikma. Kalo dia tidur tengkurap saya mesti selalu liat gerak nafas dari gerakan punggungnya, tapi kalo 1 th ? karena saya perna baca di bunda kalo gak salah, ada satu ibu anaknya meninggal karena SIDS, juga usia sepantaran Bryan.. duh semoga gak ada apa-apa aman Bryan.. itu karena tidur pake selimut. Sampe sekarang, saya gak biasain Bryan pake selimut, kalaupun pake juga gak lama.. dia tendang.. ^_^ ... Kalo Bryan pernah ditidurkan tengkurap ya hanya siang aja itupun sebentar kepalanya dipindah arah dan tidak lupa selalu saya sendiri yang tungguin. Tapi juga gak berlangsung lama hanya beberapa kali aja, saya gak srek cara tidur gitu... [Ilona] Mbak Indah.... anak saya sejak baru lahir... langsung saya tengkurapin. Yang saya dengar... tengkurap bagus untuk mengeluarkan angin diperut si kecil dan mempercepat lehernya menjadi kuat. Tapi tidur tengkurap hanya saya lakukan siang hari..1/2 jam-an deh.... dan harus ditungguin... Alhamdulillah ya mbak.... anak saya nggak apa2...... dan tidur dengan gaya ini masih dilakukannya hingga sekarang. Yang saya hindari dari dia adalah pemberian selimut... karna dulu tetangga ibu saya ada yang bayinya meninggal karna ketutup selimut. Segini aja sharing saya Mbak... Ananda's mom [rince] Turut berduka cita ya atas kepergian anak sepupunya mbah Indah. Semoga yang ditinggal diberi ketabahan dan selalu tawakal kepada-Nya, Amin. Menurut saya sebenernya tidur tengkurap bagus untuk paru2 bayi. Tapi harus dibawah pengawasan dan tidak perlu lama2, cukup 15 menit saja. Harus diawasin bener jangan sampai hidungnya tertutup bantal (makanya baby tidak disarankan pake bantal empuk) atau selimut. Baby dibawah 6 bulan kan belum bisa mengkoordinasikan inderanya sendiri. Jadi kalo hidungnya tertutup bantal atau selimut dia tidak bisa berbuat apa2 u/ merubah posisi atau menyingkirkan selimut dari hidungnya.... duh! kasihan sekali ya. Tapi kalo sudah diatas 1 tahun sih kayaknya sudah aman ya (Insyaallah) untuk tidur dengan berbagai posisi. Dhira malah sukanya tidur nungging :-(( Tapi pengalaman saya sama tuh sama ama mbak Lenny, kalo Dhira saya pakein selimut pasti ditendang :-( akhirnya drpd kedinginan kalo tidur malam (papanya hobi pake AC sampe 16) saya selalu pakein dia piyama yang agak tebal. Aman deh. [Ibunya Fya] Saya juga mbak, dari sejak lahir langsung saya tengkurapkan. Siang dan malam. Di boksnya Fya, hanya ada bamper yang nempel di dinding boks. Lainnya nggak ada, baik bantal ataupun selimut. Sampai sekarang ( mau 12 bln), Fya tidur selalu tengkurap dan kadang miring. Kalau saya terlentangkan, Fya dengan sendirinya selalu kembali tengkurap. Katanya sih, memang harus sejak dini di biasakan tengkurap. Bukan pas usia 3-4 bln yang memang rawan untuk SIDS. Segitu aja sharingnya ya Mbak. [EMAIL PROTECTED] What is SIDS? SIDS is an acronym that stands for sudden infant death syndrome, also known as crib death. SIDS isn't any one illness or disease; it's the diagnosis given when an apparently healthy baby under age 1 dies without warning, and doctors and investigators can't pinpoint a cause after performing a full investigation including an autopsy, review of family and medical history, and examination of the death scene. Each year in the United States, SIDS claims the lives of approximately 3,000 infants, 90 percent of whom are less than 6 months old. Because of the American Academy of Pediatrics' "Back to Sleep" campaign, SIDS death rates have declined more than 42 percent since 1992. Even so, SIDS remains the leading cause of death in U.S. children under a year old. What causes SIDS? No one knows for sure, but researchers around the world are working feverishly to figure it out, and they're getting closer every day. What have they learned so far? It's beginning to look as if SIDS may result from more than one problem, or that several events must happen together for SIDS to occur. A leading theory is that an anatomical defect, most likely in the brain, leads to a problem in the way the baby breathes or the way blood flows in her body. Another possibility is that affected infants have a developmental delay that causes proper breathing or blood flow to develop more slowly than they do in normal infants. When babies with any of these problems are confronted with a challenge - such as sleeping on their stomach and thus rebreathing carbon dioxide trapped in their bedding, overheating, breathing cigarette smoke, or momentary loss of blood pressure during sleep - they may be too vulnerable to survive. Here's a closer look at some of the leading SIDS theories. A defect in the brain stem Hannah Kinney, a neuropathologist at Harvard Medical School, has identified an abnormality in the region of the brain stem that controls carbon dioxide sensing in some babies who have died of SIDS. Sleeping face down can trap carbon dioxide between the baby's face and the mattress, so the baby breathes in excess amounts of this deadly gas. Most babies will wake up when the level of carbon dioxide gets too high. But Kinney suspects that this brain stem defect prevents some babies from sensing when the gas has accumulated to a life-threatening level. Abnormalities in blood pressure control Ronald Harper, a neuroscientist at the Brain Research Institute at the UCLA School of Medicine, is looking at the brain's ability to overcome the drops in blood pressure that all infants go through when asleep. He believes that some SIDS babies may die from an inability to recover from a sudden loss in blood pressure. That failure may result from the brain stem defect noted above, or from a defect in other brain areas. But, unlike Kinney, Harper suspects that the problem is an inability to restore blood flow to critical organs (such as the heart), not a breathing failure. He also says that back sleeping assists certain brain areas in restoring blood pressure. Developmental delays in a baby's defense system The first year of life is a time of rapid growth and development. Babies are born with a primitive defense system known as the startle response (they arch their head back, kick, and flail their arms) and later develop a more coordinated ability to move their body away from danger. Bradley Thach, a pediatrician and researcher, believes that some babies die because they simply aren't able to defend themselves against a life-threatening event such as being trapped under a blanket. Neck artery constriction When a baby sleeping on her stomach tries to move her face away from her bedding, she may inadvertently compress arteries in her neck, which can cut off blood flow to the brain, say researchers from Australia's University of Sydney and New South Wales Institute of Forensic Medicine. That, in turn, could damage the nerve centers that help control involuntary functions such as breathing and, ultimately, lead to the baby's death. This is considered the weakest SIDS hypothesis by some experts because it does not explain the significance of certain risk factors such as pre- and postnatal exposure to cigarette smoke. Which babies are most at risk? All babies under age 1 are at risk for SIDS because doctors still have no way to pinpoint those with the most relevant defects or abnormalities. Some children, however, have a higher risk of SIDS than the general population does. Noted pediatrician William Sears has identified several characteristics. A baby may be at higher risk for SIDS if she ... * was born prematurely * has a mother who smoked or abused drugs during pregnancy or was under the age of 20 at the time of her first pregnancy * is around a smoking parent or caregiver * was born to a mother who had poor or no prenatal care * is placed in the crib on her stomach * suffered an ALTE (apparent life-threatening event), especially a stoppage in breathing that made her pale, blue, and limp Research also shows that African-American infants are two and a half times more likely to die of SIDS than white infants, and Native American babies are at three times the risk. Interestingly, Asians in North America are at lower than average risk. Boys of all ethnicities are at slightly higher risk than girls by a ratio of 1.5 to 1, according to Sears. Low-birthweight infants, twins, and other multiples are also at higher risk. At what age is the risk of SIDS highest? SIDS is most common between 1 and 4 months of age, with 90 percent of cases in infants under 6 months, though babies are still considered at risk for SIDS up to the age of 1. SIDS strikes most often during sleep (but not always), usually between the hours of 10 p.m. and 10 a.m. - the usual hours of extended sleep. Also, SIDS is more common during cold weather months. How can I reduce my baby's risk of SIDS? You can do a number of things to decrease your baby's risk, but at present there's no guaranteed way to prevent SIDS. Here are the most important steps to take: Put your baby to sleep on her back This is the single most important thing you can do to help protect your baby. The "Back to Sleep" public awareness campaign estimates that this technique has saved thousands of lives since the campaign began in 1994. Putting your baby on her side (with one arm outstretched so she can't roll onto her face) is safer than tummy-down, but still not as good as back sleeping. Research shows that stomach sleeping doubles your baby's risk of SIDS. When your baby is a newborn, you can keep her happily positioned on her back by swaddling her snugly with her hands up near her mouth so she can comfort herself. As she gets older, she'll start to move around a bit at night, so you won't want to wrap her. By the time she's 5 or 6 months old, she'll be able to roll over in both directions, making it more difficult for you to keep her on her back at night. Try not to worry. At that age her risk for SIDS will start to drop, so just do your best to get her settled on her back or propped on her side, and don't fuss if she rolls over. Be aware, though, that keeping your baby on her back all the time can contribute to a condition called plagiocephaly, in which your baby develops a flat spot on the back or side of her head. See our article on how to position your baby to avoid this problem. If you have any questions about your baby's sleep position, talk to your doctor or nurse. Don't smoke during pregnancy and don't allow smoking around your baby Women who smoke cigarettes during or after pregnancy put their baby at increased risk for SIDS. Recent studies have found that the risk of SIDS rises with each additional smoker in the household, with the numbers of cigarettes smoked a day, and with the length of the infant's exposure to cigarette smoke. Keep the air around your baby smoke-free. Choose bedding carefully Several studies have linked soft sleeping surfaces to an increased risk of SIDS. Always put your baby to sleep on a firm, flat mattress with no pillow, fluffy blanket, sheepskin, or comforter under her. Any blankets and bumpers should be thin, flat, and fastened securely to minimize the risk of covering your baby's head or face. Don't put stuffed toys or other soft materials in your baby's crib. Waterbeds, beanbags, and other soft surfaces are all unsafe for an infant to sleep on. Avoid overheating your baby Too warm a room or too much bedding are associated with an increased risk of SIDS. Keep the room your baby sleeps in at a comfortable temperature (around 60 to 70 degrees Fahrenheit, according to Palo Alto-based pediatrician Harry Dennis). Signs that your baby may be overheated include sweating, damp hair, heat rash, rapid breathing, restlessness, and fever. Breastfeed your baby if you can Research shows that breastfed babies are less at risk for SIDS. Take your baby in for regular checkups Babies who are up to date on their immunizations are less at risk for SIDS. Can sharing a bed with my baby help reduce the risk of SIDS? Some experts believe that sleep sharing (having your baby sleep in your bed) reduces the risk of SIDS. This advice is based on studies that show that co-sleeping alters a baby's sleep patterns, making them lighter and helping her match her breathing to her mother's. Recent research also suggests that sharing a bed allows a mother to respond more quickly to changes in her baby's breathing and movements since, in theory, she's sleeping less soundly when her baby is right next to her. But no research conclusively proves that sleep sharing reduces the risk of SIDS. In fact, you may have heard just the opposite. A 1999 study by the U.S. Consumer Product Safety Commission found that sleep sharing actually increased a baby's suffocation risk. But experts in the field of pediatrics, sleep, and SIDS, as well as a spokesperson for the American Academy of Pediatrics, have criticized the study's methodology. James McKenna, head of the Mother-Baby Behavioral Sleep Laboratory at the University of Notre Dame and a BabyCenter contributor, calls the study "bad science," chiefly because the number of deaths attributed to bed sharing was not compared to the total number of babies who bed share. McKenna and others also point out that the death certificates often lacked details on the circumstances of the child's death, such as whether the parents were under the influence of drugs or alcohol or impaired in any other way. McKenna advises BabyCenter parents who use the family bed to take these precautions: Make sure your mattress fits tightly against the headboard and has no space around it where a baby's head could get stuck. Make sure there are no cords or plastic bags anywhere near the bed. Parents who smoke should not co-sleep, he says: "Nobody knows exactly why, but when smokers sleep with their babies, the risk of SIDS is higher." He also recommends that women who are exceedingly overweight not sleep with a baby less than 3 months old. The best advice is to talk to your doctor about sleep sharing, and never let your infant sleep with you if you have a waterbed or regularly take drugs or drink alcohol. And remember, even if your baby is sleeping in your bed, the American Academy of Pediatrics recommends that you put her to sleep on her back. Click here for more tips on safe sleep sharing. Can products such as a sleep monitor or special crib mattress help? To date there is no evidence to support the use of these products. Some electronic home sleep monitors (which are attached to your child) will sound an alarm if your baby stops breathing, but there is no research that proves these monitors help prevent SIDS, and they may pose a risk of electrical injury. The National Institutes of Health don't recommend sleep monitors for otherwise healthy infants. If your baby has already had a life-threatening breathing incident or has other SIDS risk factors, though, your doctor may recommend one. As for a special crib mattress, some companies are now marketing mattresses with a built-in ventilation system that they claim prevents the buildup of carbon dioxide. These mattresses may keep more fresh air circulating around your baby, but they may also give you a false sense of security. If you opt to buy one, you should still follow the risk-reduction tips above. "I haven't heard of these mattresses, but any firm mattress should do very well," says Harper. "If parents use firm mattresses, are careful of too much covering and overheating, and especially place their infants on their back, they should be assured that they are doing as much as they can." The one product that does show some real promise of preventing SIDS is a wearable blanket called the SleepSack, which is used in place of heavy bedding (thus reducing the risk of a baby slipping under the covers and suffocating or rebreathing exhaled carbon dioxide). The SleepSack is the only product to be endorsed by the SIDS Alliance. Where can I get more information? The SIDS Alliance offers free educational brochures and a 24-hour hotline for information and referrals. The National Sudden Infant Death Syndrome Resource Center provides information and support to parents, caregivers, researchers, and others. The CJ Foundation for SIDS is the largest non-government funder of SIDS-related programs in the United States. Visit their site for news about SIDS, a look at ongoing research, and updates on fundraisers and events around the country. See also: SIDS, A Parent's Guide to Understanding and Preventing Sudden Infant Death Syndrome, by William Sears, M.D. ISBN=0316779539 --------------------------------------------------------------------- >> Mau kirim bunga hari ini ? Klik, http://www.indokado.com/ >> Info balita, http://www.balita-anda.com >> Stop berlangganan, e-mail ke: [EMAIL PROTECTED]
