Back to Sleep

Since the American Academy of Pediatrics (AAP) recommended all babies should be placed on their backs to sleep in 1992, deaths from Sudden Infant Death Syndrome have declined dramatically. But sleep related deaths from other causes have increased.  The AAP recently updated their policy statement, giving advice on creating a safe sleep environment. More information can be found here

Some of the key points:

  • Breastfeeding is recommended and is associated with a reduced risk of SIDS. 
  • Infants should be immunized. Evidence suggests that immunization reduces the risk of SIDS by 50 percent. 
  • Bumper pads should not be used in cribs. There is no evidence that bumper pads prevent injuries, and there is a potential risk of suffocation, strangulation or entrapment. 
  • Always place your baby on his or her back for every sleep time. 
  • Always use a firm sleep surface. Car seats and other sitting devices are not recommended for routine sleep.  
  • The baby should sleep in the same room as the parents, but not in the same bed (room-sharing without bed-sharing). 
  • Keep soft objects or loose bedding out of the crib. This includes pillows, blankets, and bumper pads. 
  • Wedges and positioners should not be used. 
  • Pregnant woman should receive regular prenatal care. 
  • Don’t smoke during pregnancy or after birth. 
  • Breastfeeding is recommended. 
  • Offer a pacifier at nap time and bedtime. 
  • Avoid covering the infant’s head or overheating. 
  • Do not use home monitors or commercial devices marketed to reduce the risk of SIDS. 
  • Supervised, awake tummy time is recommended daily to facilitate development and minimize the occurrence of positional plagiocephaly (flat heads)

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