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jake-head-shot.jpgJake Young is a MD/PhD student at Mount Sinai School of Medicine focusing in Neuroscience. He is due to graduate in 2032. He received a BS and a MS in Biological Sciences from Stanford University -- where he spent most of his time drinking heavily and building vegetable catapults instead of learning information that would now be eminently useful. When he is not failing terrifically to perform his sworn duties, he enjoys watching bad movies, ethnic food, and running.

Pure Pedantry is a blog about science -- social sciences and otherwise -- as well as academic and scientific culture. No one can live on science alone, so I also like to dwell on pop culture, periodically explore the humanities, and indulge in other types of geeky goodness.

Jake is joined periodically by two wonderful guest bloggers: Kara Contreary and Kate Seip. See the About Page.

DISCLAIMERS: 1) Jake Young is not a licensed physician (yet). He is merely a medical student. The information published on this site is not intended for use in medical decision making. Please seek advice from a licensed, medical professional before making any health decisions. 2) The opinions expressed are my own or those of my co-bloggers. They do not represent the views of SEED magazine or the educational establishments we currently attend.

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Babies lack reflex necessary for nose breathing in certain positions

Category: Development
Posted on: September 7, 2006 12:56 AM, by Jake Young

Why we lay babies on their backs:

Research suggests that healthy newborn infants do not have what doctors call "nasoaxillary reflex" -- a protective reflex that helps keep their nasal passages open.

In adults lying on their side, the nasoaxillary reflex ensures that the uppermost nasal airway is open, Dr. Christopher O'Callaghan of the University of Leicester, UK, and colleagues explain in the journal Archives of Diseases of Childhood.

The researchers used acoustic rhinometry, a technique that measures nasal patency, to see whether the nasoaxillary reflex is present in 11 healthy term newborns.

Acoustic rhinometry emits wide band noise into the nose and analyzes the reflected sound in order to measure cross sectional area/distance mapping of the nasal cavity. The measurements were made while the infants were lying on their back (the supine position) and on their side (the lateral position).

The investigators were unable to show a protective nasoaxillary reflex in the infants.

The absence of the reflex in infants is not all that surprising. Actually babies lack a lot of the reflexes that mature adults have, and have a couple that adults don't have -- like reflexively grabbing your finger when you put it in their hand. This is not because they lack pathways that develop later in life. Actually, they have the pathways already. Rather, the pathways haven't myelinated yet. Myelination actually proceeds throughout life, and numerous developmental and cognitive milestones can be related to the onset of myelination in a particular brain area.

Anyway, if this explains part of why SIDS deaths occurs, it would be certainly good to know. We already know that putting babies on their sides slightly increases SIDS, so this is just one more reason to put babies on their backs.

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