THERMAL-STRESS, SLEEPING POSITION, AND THE SUDDEN-INFANT-DEATH-SYNDROME

We review the evidence that overheating or disordered thermoregulation may be responsible for some cases of the Sudden Infant Death Syndrome (SIDS). Possible mechanisms for an interaction of thermal stress and the prone position are discussed with an emphasis on hear production a nd loss via the infant head. After the reduction in the prevalence of the prone position following ''Back to Sleep'' campaigns, and the emer gence of cigarette smoking as a key risk factor, the role of disordere d thermoregulation continues to be important in many cases of SIDS.