A firm sleep surface helps reduce the risk of SIDS and suffocation. However, soft surfaces can increase the risk of sleep-related death. Some parents and caretakers might feel they should place their baby on a soft surface to help the be more comfortable while sleeping. Use a firm, flat (not at an angle or inclined) sleep surface, such as a mattress in a safety-approved crib covered only by a fitted sheet.Babies who sleep on their backs are much less likely to die of SIDS than babies who sleep on their sides or stomachs. Even if a baby spits up during sleep, babies’ anatomy and gag reflex help prevent them from choking while sleeping on their backs. Place your baby on his or her back for all sleep times-naps and at night.The AAP is a partner with the Eunice Kennedy Shriver National Institute of Child Health and Human Development on its Safe to Sleep Campaign, formerly known as Back to Sleep, which provides resources for healthcare professionals. These resources are informed by interviews and focus groups with members of these communities. Breastfeed if possible, and avoid smoking.īecause some communities experience higher rates of infant sleep-related deaths, the AAP has collaborated with a health communications firm to develop resources that speak directly to African American and American Indian/Alaska Native families.Keep loose blankets, pillows, stuffed toys, bumpers, and other soft items out of the sleep space.Use a crib, bassinet, or portable play yard with a firm, flat mattress and a fitted sheet. Avoid sleep on a couch or armchair or in a seating device, like a swing or car safety seat (except while riding in the car).Place infants on their backs for sleep in their own sleep space with no other people.The rate of sleep-related infant death declined significantly in the 1990s after the AAP and others recommended that babies be placed on their backs to sleep, but rates have since plateaued, and SIDS remains the leading cause of postneonatal mortality. Black and Native American/Alaska Native infants die at rates more than double that of white babies. Pediatricians should support all families in implementing recommendations that reduce the risk of sleep-related infant death: Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment (Policy Statement)Įvidence Base for 2022 Updated Recommendations for a Safe Infant Sleep Environment to Reduce the Risk of Sleep-Related Infant Deaths (Technical Report) The AAP provides evidence-based recommendations to prevent infant sleep deaths in the policy statement “Sleep-Related Infant Deaths: Updated 2022 Recommendations for Reducing Infant Deaths in the Sleep Environment.” The evidence supporting those recommendations is outlined in an accompanying technical report. Help the families in your practice learn how their babies can sleep safely so parents can sleep soundly. Sleep is a big challenge for families with babies, but following safe sleep recommendations can prevent many SUID fatalities. Sudden Unexpected Infant Death (SUID), which includes Sudden Infant Death Syndrome (SIDS), is the leading cause of injury death in infancy.
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