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Safe Sleep for Infants
SAFE SLEEP SLEEP
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What new parents should know about recommended measures for sleeping infants
RACHEL Y. MOON | American Academy of Pediatrics
Every year, about 3,500 babies in the United States die suddenly and unexpectedly while they’re sleeping. Most of these tragic deaths are due to sudden infant death syndrome (SIDS) or accidental deaths from suffocation or strangulation.
The American Academy of Pediatrics recently revised its policy statement and technical report on safe sleep, which provides tips to reduce the risk of all sleep-related infant deaths. Unless mentioned otherwise, all these recommendations are for babies up to 1 year of age. Talk with your pediatrician if you have questions about any of the recommendations.
Although there’s no guaranteed way to prevent SIDS, research tells us that a safe sleep environment can help reduce your baby’s risk of SIDS as well as unintentional suffocation and strangulation in bed. Here are some important tips for safe infant sleep.
Your baby’s sleep area should consist of only a fi rm, fl at surface and fi tted sheet — no other blankets, pillows or toys. BABIES SHOULD BE PLACED TO SLEEP ON THEIR BACKS
Babies who sleep on their backs are much less likely to die unexpectedly than babies who sleep on their stomachs or sides. On their side, your baby can roll more easily onto their stomach.
Some parents worry that babies will choke when they’re on their backs, but your baby’s airway anatomy and their gag re ex will keep that from happening. Even babies with gastroesophageal re ux disease, or GERD, should sleep at on their backs.
Some babies will roll onto their stomachs. You should always place your baby to sleep on their back, but if they’re comfortable rolling both ways (back to tummy, tummy to back), then you don’t need to keep turning your baby on their back.
USE A FIRM, FLAT SLEEPING SURFACE
A rm surface shouldn’t indent when your baby is lying on it. Any surface that inclines more than 10 degrees isn’t safe for your baby to sleep on. Place your baby in a crib, bassinet, portable crib or play yard that meets the safety standards of the Consumer Product Safety Commission (CPSC). Check the CPSC website to make sure your crib hasn’t been recalled, especially if it’s not new. Don’t use a crib that is missing hardware or broken.
Make sure your crib mattress is designed for your speci c crib and that it ts tightly. Use a tted sheet only; nothing else should be in the crib with your baby. Soft objects and loose bedding pose risks of entrapment, suffocation or strangulation. This includes pillows, toys, blankets, mattress toppers, top sheets, bumper pads or related products.
BABIES SHOULD SLEEP NEAR YOU IN A SAFE AREA
Instead of bed sharing, try room sharing. This means keeping your baby’s sleep area in If you need the same room that you fi nancial help, sleep for at least the there are organizations rst six months. Place throughout the United your baby’s sleep
States that provide low- area close to your cost or free sleep surfaces. bed.
Check with your local Alternative social services sleep surfaces are agency. considered safe only if they comply with the June 2021 CPSC rule that all infant sleep products must meet the existing federal safety standards for cribs, bassinets, portable cribs or play yards. This includes inclined sleep products, hammocks, baby boxes, in-bed sleepers, baby nests and pods, compact bassinets, travel bassinets and baby tents. If a product doesn’t meet federal safety standards, avoid it. And don’t use products for sleep that aren’t speci cally marketed for that use . Babies should never sleep on couches, sofas or stuffed armchairs, either by themselves or with others. If your baby falls asleep in a car seat, stroller, swing, infant carrier or sling, you should move them to a rm sleep surface on their back as soon as possible. In an emergency, you can temporarily put your baby to sleep in a box, basket, dresser drawer or something similar. It should have thin, rm padding. As soon as you can get a CPSC-approved sleep surface, move your baby to that instead.
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