While infant mortality rates have declined, new research by a top pediatrician at the Children’s Hospital of Virginia at VCU, Dr. Elizabeth Wolfe, shows a troubling increase in Sudden Unexpected Infant Deaths (SUID), with key risk factors parents should be aware of.
Sudden Infant Deaths Are Increasing Despite Overall Decline in Infant Mortality
A recent study from Virginia Commonwealth University (VCU) and the Children’s Hospital of Richmond at VCU has revealed a concerning trend: while infant mortality in the U.S. has dropped by 24.2% over the past two decades, Sudden Unexpected Infant Deaths (SUID) have increased by 11.8% in just the past two years. Researchers from Virginia Commonwealth University and Children’s Hospital of Richmond at VCU discovered this improvement in research recently published in Journal of the American Medical Association Pediatrics.
Elizabeth Wolf, M.D., a pediatrician at CHoR and associate professor in VCU School of Medicine’s Department of Pediatrics, was the lead author on the study and provides a closer look at what it means. Read the full study from VCU Health News.
What is SUID?
SUID refers to the sudden and unexplained death of an otherwise healthy baby under one year old, including deaths caused by Sudden Infant Death Syndrome (SIDS), accidental suffocation, and unknown causes. This alarming rise underscores the need for continued awareness of safe sleep practices and risk factors.
Why Are More Babies Dying Suddenly?
While the exact causes remain under investigation, researchers point to several factors that may be contributing to the rise in SUID cases:
1. The Impact of the COVID-19 Pandemic
The pandemic has introduced stress, financial strain, and disruptions in healthcare access, all of which can influence parental behaviors and infant care practices.
2. Unsafe Sleep Practices on the Rise
Social media trends promoting unsafe sleep products and co-sleeping have raised concerns. Experts warn against soft bedding, sleep positioners, and sharing beds with infants, as these increase the risk of suffocation.
3. Racial and Socioeconomic Disparities
The study found that Black, Native Hawaiian, and Native American infants experience higher rates of SUID than white infants. This suggests that factors like healthcare access, housing stability, and maternal stress may play a role.
What Can Parents Do to Reduce the Risk of SUID?
Dr. Elizabeth Wolf, associate professor of pediatrics at VCU and lead author of the study, urges parents to follow proven safe sleep guidelines:
Safe Sleep Guidelines for Infants:
- Always place infants on their backs to sleep (face-up position).
- Use a firm, flat sleep surface such as a crib or bassinet designed for infant sleep—avoid co-sleeping.
- Never use swings, car seats, or inclined sleepers for routine sleep.
- Keep the infant’s sleep space clear—avoid pillows, blankets, bumpers, or stuffed animals that could pose a suffocation hazard.
- Room-share without bed-sharing for at least the first 6 to 12 months.
- Avoid alcohol and drug use while caring for an infant, as impairment increases risks.
- Move a sleeping infant from a car seat to their crib or bassinet as soon as you arrive home.
By following these evidence-based recommendations, caregivers can create a safer sleep environment and help reduce the risk of SUID.
Expert Perspectives
“The death of an infant from SIDS or SUID is unbelievably horrific. We, as a public health community, need to do everything we can to try and reduce the risk factors as much as possible.”
– Dr. Elizabeth Wolf, VCU Health
Resources for Parents
If you’re looking for trusted information on infant sleep safety, consider these sources:
American Academy of Pediatrics Safe Sleep Guidelines – aap.org
CDC Safe Sleep Resources – cdc.gov/sids
National Institute of Child Health and Human Development – safetosleep.nichd.nih.gov
For more insights on SUID research and prevention, visit the original article at VCU Health News.
For more expert-backed parenting advice, check out CharlottesvilleFamily’s Sleep Training Guide.

