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Subcomisiones, Comités y Grupos de Trabajo Arch Argent Pediatr 2017;115 Supl 5:S105-S110 / S105
RESUMEN ABSTRACT
El Grupo de Trabajo en Muerte Súbita e The Sudden and Unexpected Infant Death
Inesperada del Lactante, junto con la Subcomisión Task Force together with the Subcommittee
de Lactancia Materna de la Sociedad Argentina de on Breastfeeding of the Sociedad Argentina de
Pediatría, elaboraron nuevas recomendaciones Pediatría have issued updated recommendations
sobre la práctica del colecho, en la cual el niño on bedsharing with the parents, a practice which
duerme en la misma superficie junto a su madre, remains controversial.
situación que es motivo de controversia. Sleeping with the mother maximizes breastfeeding,
El colecho favorece la lactancia materna, que, which is protective against Sudden Infant Death.
a su vez, es protectora de la muerte súbita del There is a small group of infants that have been
lactante. Un pequeño grupo de niños presenta associated with an increased risk of Sudden
mayor riesgo de muerte súbita del lactante Infant Death and fatal sleeping accidents in
y accidentes fatales durante el colecho en certain circumstances. These hazards include
ciertas circunstancias, que incluyen dormir en parental smoking, sedating drugs or medication
un sillón o sofá, padres fumadores, ingesta and alcohol consumption prior to sleep and sofa-
de sedantes, drogas y/o consumo de alcohol, sharing situations. Bedsharing by breastfeeding
niños prematuros y/o de bajo peso. El colecho mothers with their infants, in the absence of the
en niños alimentados con leche humana, sin los above-mentioned risk factors, and with parents
factores de riesgo mencionados y con padres aware of how to ensure a safe infant sleep
responsables de implementar un ambiente de environment has not been shown to be associated
sueño seguro, no aumenta el riesgo de muerte with increased risk of Sudden Infant Death.
súbita del lactante. Esta guía no recomienda This guidance does not advise on telling parents
taxativamente la prohibición del colecho. that they must never sleep with the baby, but
Instruye a los profesionales de la salud a propalar rather instructs health professionals to give
a las familias un mensaje balanceado que incluya parents balanced advice to allow informed
tanto los riesgos como los beneficios del colecho, decision making, emphasizing the concept that
lo que les permite a los padres una decisión parental room sharing without bedsharing is the
informada al respecto. El documento señala que safest place for the babies to sleep.
la cohabitación sin colecho es el lugar más seguro Key words: sudden infant death, breastfeeding, bed-
para los bebés al momento de dormir. sharing, room-sharing.
Palabras clave: muerte súbita del lactante, lactancia
materna, colecho, cohabitación. http://dx.doi.org/10.5546/aap.2017.S105
Dra. Roxana Conti: Coordinadores: Dra. Roxana G. Contia y Dr. Alejandro Jenik A.b
roxanaconti@hotmail. a. Subcomisión de Lactancia Materna de la Sociedad Argentina de Pediatría:
com
Dra. Roxana Conti, Dra. Mónica Waisman, Dr. Antonio Morilla, Dra. Vera May,
Financiamiento: Dra. Adriana Acquavita, Lic. Mónica Tesone, Lic. Cristina Malerba, Dra. Rosa
Ninguno. Berenstein, Dra. Elda Ibañez, Dra. Patricia Barrios Skrok, Dr. Gustavo Hugo Sager,
Lic. Rosa del Valle Herrera, Lic. Viviana Pereira, Lic. Graciela Sánchez.
Conflicto de intereses: b. Grupo de Trabajo de Muerte Súbita e Inesperada del Lactante de la Sociedad
Ninguno que declarar.
Argentina de Pediatría: Dr. Alejandro Jenik, Dra. Estela Grad, Dra. Letizia Fazola,
Recibido: 20-5-2017 Dr. Manuel Rocca Rivarola, Dra. Norma Rossato, Dra. Virginia Orazi.
Aceptado: 22-5-2017 Consultoras: Dra. María Luisa Ageitos y Dra. Norma Rossato
S106 / Arch Argent Pediatr 2017;115 Supl 5:S105-S110 / Subcomisiones, Comités y Grupos de Trabajo
• No prohibir el chupete para dormir, cuando la the Survey of Mothers’ Sleep and Fatigue. Clinical Lactation
2010;1:27-31.
lactancia esté bien establecida.
17. Shamberger R. Breast feeding Associated with Reduced
• Realizar los controles periódicos durante el Sudden Infant Syndrome and Infant Mortality. Med J Obstet
embarazo. Gynecol 2014:2(1):1021.
• No fumar durante el embarazo. 18. Ip S, Chung M, Raman G, et al. A summary of the Agency
for Healthcare Research and Quality’s evidence report
• No exponer al niño al humo del tabaco.
on breastfeeding in developed countries. Breastfeed Med
• Utilizar la silla de seguridad para el auto 2009;4(Suppl 1):S17-30.
(huevito) exclusivamente para viajar en un 19. Hauck FR, Thompson JM, Tanabe KO, et al. Breastfeeding
vehículo. and reduced risk of sudden infant death syndrome: a meta-
analysis. Pediatrics 2011;128(1):103-10.
• Vacunación completa.
20. Vennemann MM, Bajanowski T, Brinkmann B, et al. Does
• C u n a c l á s i c a q u e c u m p l a c o n l a s breastfeeding reduce the risk of sudden infant death
especificaciones del “Consenso sobre syndrome? Pediatrics 2009;123(3): e406-10.
mobiliario infantil” de la Sociedad Argentina 21. Mitchell EA, Taylor BJ, Ford RPK, et al. Four modificale and
another major risk factors for cot death: the New Zeland
de Pediatría.63 n
study. J Paediatr Child Health 1992;28(Suppl 1):S3-8.
22. Ruys JH, de Jonge GA, Brand R, et al. Bed-sharing in the
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