Even if desire makes it day very quickly, sometimes the same in full mourning, the visit of a new child is a serious decision, difficult to take. Because it is a question of making a child of substitution, nor of being unaware that in the joy of the pregnancy will mingle the anxiety, and in the happiness of first months, concern.

From a medical point of view, the subsequent pregnancies do not pose particular problem and take place most often normally: they require a regular monitoring and as many as possible one or several consultations p diatriques ant natales (the parents will then be able to ask again the questions which they wish in comparison with the died child, and the reception of this new child will be envisaged).

At this moment, if the assistance of professionals is absolutely necessary, the experience of parents who  so passed there  is precious, to help the parents to rebuild a new life. Network  to Be born and Food  can then help them.
Birth and followed of or by following children:

They know now that the medical, objective risk, of a repetition of MSN in the same family is exceptional. The role of the doctor is to spot rare situations where risk is possibly a bit augmented, so as to offer a catch in load and an adapted monitoring

For all other families, the role of the professionals will be to help the parents to consider this newborn baby to be a child without particular problem. The medical monitoring can be replaced in a habitual context of general paediatrics, with however, in some situations, a balance sheet, in order to treat possible favorisantes pathologies.

The medical indications of this balance sheet are not systematic. They are to discuss according to the diagnosis carried for the died child, of the request of the parents, and especially the possible symptomatology of the newborn baby.

When a balance sheet is offered, habitually around the age of month, it is most often about the screening of a gastro-oesophagien low tide and about a hyperr flectivit vagale. In case of anomaly, an adapted treatment will be instituted.

In general, the following child is considered to be a newborn baby without particular risk, but concern, anxiety of the parents, some legitimate months having lived such drama, must be taken into account by the professionals, without making it weigh as many as possible consequences to the child.

During many years, many teams offered siblings to the children, of surveillance by cardio-respiratory monitoring at home. It has been never possible to prove that this surveillance made regress the figures of cot death.

Some reference centres, only authorised to issue these apparatus, offer it possibly in tit le " anxiolytique   .

In that case, the appeal in these apparatus must be supervised by a medical and especially psychological monitoring of the parents.

A very particular help is necessary for its bet under way and for its stopping.

In the majority of the families, such surveillance is not currently necessary, the parents succeeding most often in overcoming their personal concern by agreeing to trust in the life of these children.

Councils of prevention for the following children:

As during the birth of every newborn baby, one will remind of carrying advice on the environment of sleeping arrangements and the back position of sleep. And it, even when the died child had been found in a dangerous position. Indeed, the guilt of the parents is major in these situations, but him preferable that they could express it at the time of pregnancy or of birth, and the recall of this advice will be able to give them with it occasion.

The following children are not currently considered any more to be a population at risk of the simple fact of this antecedent in their family.

Nevertheless, as for every child, alertness is obvious: any small episode of feeling of faintness, any symptom which worries the parents will have to be signalled. The child will then be examined so as to be able to take this symptomatology into account and reassure the parents. in term of prevention, the parents have not to be taken in by commercial tries offering not adapted means of surveillance and which lead to a wrong security, such mattresses anti-apnea. These apparatus risk reinforcing the concern of the parents and are accompanied with no medical advice and with no monitoring.

In most families who lost a child suddenly, another child will be born, new impetus of life and of hope, for the biggest happiness of the parents and of the elder.