Although bumper pads are theoretically designed to prevent injury to a baby while in the crib or bassinet, the risk of accidental death or injury to an infant from using them outweighs their possible benefits, according to a new study by pediatric researchers at Washington University School of Medicine in St. Louis.
In the study, which appears in the September 2007 issue of The Journal of Pediatrics, the researchers reviewed three U.S. Consumer Product Safety Commission databases for deaths related to crib bumpers and crib-related injuries from 1985-2005. They found 27 accidental deaths reported by authorities of children from 1 month old to 2 years old that were attributed to suffocation or strangulation by bumper pads or their ties. They also found 25 non-fatal injuries in infants attributed to bumper pads.
Of the deaths in which there was a formal investigation, 11 infants likely suffocated when their face rested against the bumper pad, 13 infants died from being wedged between the bumper pad and another object and three infants died from strangulation by a bumper tie.
"Many infants lack the motor development needed to free themselves when they become wedged between the bumper pad and another surface," said Bradley Thach, M.D., professor of pediatrics and staff physician at St. Louis Children's Hospital who researches infant apnea and Sudden Infant Death Syndrome. "They are likely to suffocate because they are rebreathing expired air or their nose and mouth are compressed."
Thach said both soft or firm bumper pads pose risks. "If the pads are too soft, the baby's nose or face can get pressed up against it, and the baby suffocates," he said. "If they are too firm, the baby can climb up on the pads and fall out of the crib."