Baby Sleeping on Softer Surface After 6 Months

Ages & Stages

How to Go on Your Sleeping Baby Safe: AAP Policy Explained

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Past: Rachel Y. Moon, Medico, FAAP

About 3,400 babies in the U.S. die suddenly and unexpectedly every yr while sleeping, often due to sudden infant death syndrome (SIDS) or adventitious deaths from suffocation or strangulation.

In an effort to reduce the hazard of all slumber-related infant deaths, the American University of Pediatrics' (AAP) updated policy statement and technical written report includes new evidence that supports pare-to-skin care for newborn infants; addresses the use of bedside and in-bed sleepers; and adds to recommendations on how to create a rubber sleep environment.

Note: All of these recommendations, unless mentioned otherwise, are for babies up to 1 year of historic period. Talk with your pediatrician if you have questions about any of the recommendations listed.

Infant sleep safety recommendations

• Until their first birthday, babies should sleep on their backs for all sleep times—for naps and at night. We know babies who sleep on their backs are much less likely to die of SIDS than babies who sleep on their stomachs or sides. The problem with the side position is that the baby can curlicue more hands onto the tum. Some parents worry that babies will asphyxiate when on their backs, but the baby's airway anatomy and the gag reflex volition keep that from happening. Even babies with gastroesophageal reflux (GERD) should sleep on their backs.
  

• Newborns should be placed peel-to-skin with their mother as soon afterward birth as possible, at least for the commencement hour. After that, or when the mother needs to slumber or cannot do skin-to-skin, babies should be placed on their backs in the bassinet. While preemies may demand to be on their stomachs temporarily while in the NICU due to breathing problems, they should exist placed on their backs after the bug resolve, so that they tin can get used to being on their backs and before going home.

• Some babies will scroll onto their stomachs. Yous should ever place your infant to sleep on the dorsum, but if your babe is comfy rolling both ways (back to tummy, tummy to dorsum), and so you do not have to render your baby to the back. All the same, exist sure that there are no blankets, pillows, stuffed toys, or bumper pads around your infant, so that your babe does non roll into whatever of those items, which could cake airflow.

• If your baby falls asleep in a car seat, stroller, swing, infant carrier, or sling, you should motility him or her to a firm slumber surface on his or her back as presently every bit possible.

• Use a house sleep surface. A crib, bassinet, portable crib, or play yard that meets the safety standards of the Consumer Product Condom Commission (CPSC) is recommended along with a tight-fitting, firm mattress and fitted canvas designed for that detail product. Nothing else should be in the crib except for the baby. A firm surface is a hard surface; it should not indent when the infant is lying on information technology. Bedside sleepers that meet CPSC condom standards may be an option, but there are no published studies that have examined the safe of these products. In addition, some crib mattresses and slumber surfaces are advertised to reduce the risk of SIDS. There is no prove that this is true, but parents tin apply these products if they meet CPSC condom standards.

• Only bring your baby into your bed to feed or comfort. Place your baby dorsum in his or her ain sleep space when you are set up to get to slumber. If there is any possibility that you might fall asleep, make sure at that place are no pillows, sheets, blankets, or any other items that could embrace your baby's confront, head, and neck, or overheat your baby. As soon as you wake upward, be sure to move the baby to his or her own bed.

• Bed-sharing is non recommended for whatsoever babies. However, certain situations make bed-sharing even more dangerous. Therefore, yous should not bed share with your baby if:

• Your infant is younger than 4 months old.

• Your infant was born prematurely or with low birth weight.

• You or any other person in the bed is a smoker (even if yous exercise non smoke in bed).

• The mother of the baby smoked during pregnancy.

• Yous have taken any medicines or drugs that might brand information technology harder for you to wake upwardly.

• You lot drank whatever alcohol.

• Yous are not the baby's parent.

• The surface is soft, such equally a waterbed, former mattress, sofa, burrow, or armchair.

• There is soft bedding like pillows or blankets on the bed.

• Room share—keep baby's sleep surface area in the same room where you sleep for the get-go 6 months or, ideally, for the first year. Identify your baby's crib, bassinet, portable crib, or play yard in your bedroom, close to your bed. The AAP recommends room sharing considering it tin decrease the risk of SIDS by as much every bit 50% and is much safer than bed sharing. In addition, room sharing will make it easier for you to feed, comfort, and watch your baby.

• Keep soft objects, loose bedding, or any objects that could increment the adventure of entrapment, suffocation, or strangulation out of the baby'south slumber area. These include pillows, quilts, comforters, sheepskins, blankets, toys, bumper pads or like products that adhere to crib slats or sides. If you lot are worried most your babe getting cold, yous can use infant sleep clothing, such as a wearable blanket. In general, your baby should be dressed with only i layer more than than yous are wearing.
  

• Do not permit your kid fall comatose on nursing pillows or pillow-like lounging pads.  The CPSC warns​ that babies may gyre over onto their sides or stomachs and turn their heads into the soft fabric. Or, when propped up on an incline confronting the pillow or lounger, their heads can fall forward, blocking their airway.
  

• Never identify your baby to slumber on a couch, sofa, or armchair. This is an extremely dangerous identify for your baby to sleep.

• It is fine to swaddle your infant. All the same, make sure that the baby is always on his or her back when swaddled. The swaddle should non exist too tight or make it difficult for the babe to exhale or move his or her hips. When your baby looks like he or she is trying to coil over, y'all should finish swaddling.

• Try giving a pacifier at nap fourth dimension and bedtime. This helps reduce the risk of SIDS, even if it falls out after the baby is asleep. If you lot are breastfeeding, wait until breastfeeding is going well before offering a pacifier. This ordinarily takes 2-3 weeks. If you are not breastfeeding your baby, you lot tin can get-go the pacifier whenever you lot like. It'southward OK if your baby doesn't desire a pacifier. You can try offering over again later, only some babies but don't like them. If the pacifier falls out after your babe falls asleep, you don't have to put it back in.

What else parents can practice: recommendations for prenatal & postnatal

• Do not smoke during pregnancy or afterwards your baby is born. Keep your baby abroad from smokers and places where people fume. If you are a smoker or yous smoked during pregnancy, information technology is very important that yous do not bed share with your babe. Besides, continue your car and home smoke-gratuitous. Don't smoke anywhere near your baby, even if you are outside.

• Practice not employ alcohol or illicit drugs during pregnancy or subsequently the infant is born. It is very of import not to bed share with your babe if yous have been drinking alcohol or taken any medicines or illicit drugs that can get in harder for you lot to wake upward.

• Breastfed babies have a lower risk of SIDS. Breastfeed or feed your baby expressed breast milk. The AAP recommends breastfeeding as the sole source of nutrition for your baby for nigh half dozen months. Even after you add solid foods to your baby'southward diet, proceed breastfeeding for at least 12 months, or longer if y'all and your baby desire.

• Schedule and go to all well-child visits . Your baby volition receive important immunizations at these dr. visits. Recent evidence suggests that immunizations may have a protective upshot confronting SIDS.

• Make sure your baby has tum fourth dimension while awake every day. Awake tummy time should be supervised by an awake adult. This helps with babe's motor evolution and prevents flat head syndrome. Come across Back to Sleep, Tummy to Play for more information and ways to play with the baby during tum time.

Use caution when buying products

• Use circumspection when a product claims to reduce the adventure of SIDS. Wedges, positioners, special mattresses and specialized sleep surfaces have not been shown to reduce the risk of SIDS, according to the AAP.

• Do not rely on home centre or animate monitors to reduce the run a risk of SIDS. If y'all have questions about using these monitors for other health conditions, talk with your pediatrician.

• There isn't enough research on bedside or in-bed sleepers. The AAP can't recommend for or confronting these products because there have been no studies that have looked at their result on SIDS or if they increase the risk of injury and death from suffocation.

More data

• Inclined Sleepers and Other Baby Registry Items to Avert
• Can SIDS be Prevented?
  
• Make Baby's Room Condom: A Parent Checklist
  

About Dr. Moon:

Rachel Y. Moon, MD, FAAP is a pediatrician and SIDS researcher at the University of Virginia. She is also the Division Head of Full general Pediatrics and Professor of Pediatrics at the Academy of Virginia School of Medicine. Her research centers on SIDS and SIDS take a chance factors, specially in high adventure populations, such every bit African-Americans and infants attention child care. Within the American Academy of Pediatrics (AAP), she is chair of the Chore Forcefulness on SIDS and Associate Editor for the journal Pediatrics. Dr. Moon is likewise the editor of Sleep: What Every Parent Needs to Know.

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Final Updated

6/1/2021

Source

American Academy of Pediatrics (Copyright © 2016)

The data independent on this Web site should not exist used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.

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Source: https://www.healthychildren.org/English/ages-stages/baby/sleep/Pages/A-Parents-Guide-to-Safe-Sleep.aspx

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