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Aim  Despite its declining incidence, sudden infant death syndrome ( SIDS ) is still an important cause of death in infancy. This study investigated the environmental circumstances associated with  SIDS , by analysing data from all sudden unexpected deaths in infancy ( SUDI ) in Sweden from 2005 to 2011.    Methods  All Swedish infants forensically autopsied up to the age of 365 days from 2005 to 2011 were included. Medical records were obtained from the hospitals and supplementary data from the Swedish Medical Birth Register.    Results  Of the 261 infants, 136 were defined as  SIDS  and 125 as explained  SUDI . The documentation in the medical records was poor when it came to issues such as bed sharing, sleep position, smoking, breastfeeding and pacifier use. The main findings were a significantly higher prevalence of bed sharing in  SIDS  than in explained deaths (odds ratio 7.77, 95% confidence interval 2.36–25.57) and that prone sleeping was still overrepresented. Bronchopneumonia, other infections and congenital anomalies were the most common causes of explained  SUDI .    Conclusion  Bed sharing and prone sleeping were more common in  SIDS  than in explained  SUDI . Sparse data in medical records were a problem, and the authors are now working with the National Board of Health and Welfare on a project to establish new routines.

Bed sharing is more common in sudden infant death syndrome than in explained sudden unexpected deaths in infancy