Objective: To investigate the possibility that adult size V-shaped pil
lows may be associated with accidental asphyxial deaths in infants. Me
thodology: Review was undertaken of all cases of sudden infant death p
resenting to the Women's and Children's Hospital in Adelaide involving
infants who had been found on adult size V-shaped pillows. Results: F
our cases of sudden infant death were found in which infants were foun
d sleeping on V-shaped pillows. All of the deaths had occurred in 1995
. In two of the cases the pillows were considered to be implicated in
the cause of death as the potential for obstruction of the infants' ai
rways could be demonstrated on death scene reconstruction. Conclusion:
Adult size V-shaped pillows may be unsafe for use in small infants wh
o may accidentally suffocate if trapped between the two arms, or under
, the pillow. The use of such pillows to maintain the body position of
sleeping infants should be discouraged.