Another risk factor is being born before 39 weeks of gestation. Accidental suffocation from bed sharing (also known as co-sleeping) or soft objects may also play a role. These environmental stressors may include sleeping on the stomach or side, overheating, and exposure to tobacco smoke. The requirement of a combination of factors including a specific underlying susceptibility, a specific time in development, and an environmental stressor has been proposed. SIDS remains the leading cause of infant mortality in Western countries, constituting half of all post-neonatal deaths. There is usually no noise or evidence of struggle. Typically death occurs between the hours of midnight and 9:00 a.m. Diagnosis requires that the death remain unexplained even after a thorough autopsy and detailed death scene investigation. Sudden infant death syndrome ( SIDS) is the sudden unexplained death of a child of less than one year of age.
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