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Maternal Smoking May Alter Arousal Process Of Infants, Increasing Their Risk For SIDS 

A study in the April 1 issue of the journal SLEEP shows that maternal smoking is associated with an impaired infant arousal process that may increase the risk for sudden infant death syndrome (SIDS). The authors suggest that maternal smoking has replaced stomach sleeping as the greatest modifiable risk factor for SIDS.

Results show that the progression from sub-cortical activation to cortical arousal was depressed in smoke-exposed infants, who had lower proportions of full cortical arousals from sleep and higher proportions of sub-cortical activations than infants born to non-smoking mothers. The study also indicates that there is a dose-dependent relationship between cortical activation proportions and levels of infant urinary cotinine, a nicotine metabolite. Cortical arousals were lowest in babies with higher levels of smoke exposure.

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