Sids and Other Sleep-related Infant Deaths: Keeping Babies Safe-guided Note Sheet

Ages & Stages

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

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By: Rachel Y. Moon, Medico, FAAP

About three,400 babies in the U.S. die suddenly and unexpectedly every year while sleeping, frequently due to sudden infant decease syndrome (SIDS) or adventitious deaths from suffocation or strangulation.

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

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

Infant sleep safety recommendations

• Until their kickoff 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 probable to die of SIDS than babies who sleep on their stomachs or sides. The trouble with the side position is that the baby tin roll more easily onto the stomach. Some parents worry that babies will choke when on their backs, simply the infant's airway anatomy and the gag reflex will keep that from happening. Fifty-fifty babies with gastroesophageal reflux (GERD) should sleep on their backs.
  

• Newborns should be placed peel-to-skin with their female parent as before long afterwards birth as possible, at to the lowest degree for the first 60 minutes. Afterwards that, or when the female parent needs to sleep or cannot do skin-to-skin, babies should be placed on their backs in the bassinet. While preemies may need to be on their stomachs temporarily while in the NICU due to breathing bug, they should be placed on their backs afterward the problems resolve, so that they tin become used to being on their backs and before going home.

• Some babies will ringlet onto their stomachs. Yous should ever place your baby to sleep on the back, simply if your babe is comfy rolling both means (back to tummy, tummy to dorsum), and then you practice not have to return your babe to the back. Yet, be sure that there are no blankets, pillows, stuffed toys, or bumper pads effectually your baby, so that your infant does not roll into whatsoever of those items, which could cake airflow.

• If your baby falls comatose in a motorcar seat, stroller, swing, infant carrier, or sling, you lot should move him or her to a firm sleep surface on his or her back equally shortly as possible.

• Apply a business firm sleep surface. A crib, bassinet, portable crib, or play yard that meets the safety standards of the Consumer Product Safety Commission (CPSC) is recommended forth with a tight-plumbing equipment, firm mattress and fitted canvass designed for that particular product. Nothing else should be in the crib except for the babe. A firm surface is a hard surface; information technology should non indent when the baby is lying on it. Bedside sleepers that meet CPSC safety standards may be an option, merely there are no published studies that take examined the safety of these products. In addition, some crib mattresses and sleep surfaces are advertised to reduce the risk of SIDS. There is no show that this is true, but parents can use these products if they see CPSC safety standards.

• Only bring your infant into your bed to feed or comfort. Place your baby dorsum in his or her own sleep infinite when you are fix to go to slumber. If there is whatsoever possibility that y'all might fall comatose, make sure there are no pillows, sheets, blankets, or any other items that could cover your baby's face, head, and cervix, or overheat your baby. As soon every bit you wake up, exist sure to move the infant to his or her own bed.

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

• Your baby is younger than 4 months old.

• Your babe was born prematurely or with low nascence weight.

• Yous or any other person in the bed is a smoker (fifty-fifty if you do not fume in bed).

• The mother of the baby smoked during pregnancy.

• You accept taken any medicines or drugs that might make it harder for you to wake up.

• You drank any booze.

• Y'all are not the infant's parent.

• The surface is soft, such every bit a waterbed, old mattress, sofa, couch, or armchair.

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

• Room share—continue baby's sleep expanse in the same room where you sleep for the kickoff half-dozen months or, ideally, for the starting time yr. Identify your babe's crib, bassinet, portable crib, or play grand in your sleeping room, shut to your bed. The AAP recommends room sharing because it can decrease the risk of SIDS by as much every bit 50% and is much safer than bed sharing. In addition, room sharing will make information technology easier for you to feed, condolement, and watch your infant.

• Go along soft objects, loose bedding, or whatever objects that could increase the risk of entrapment, suffocation, or strangulation out of the babe's slumber area. These include pillows, quilts, comforters, sheepskins, blankets, toys, bumper pads or similar products that attach to crib slats or sides. If you are worried about your baby getting common cold, you tin can use babe sleep article of clothing, such every bit a article of clothing blanket. In full general, your baby should be dressed with only one layer more than than you lot are wearing.
  

• Practice non let your child fall asleep on nursing pillows or pillow-similar lounging pads.  The CPSC warns​ that babies may roll over onto their sides or stomachs and plow their heads into the soft material. Or, when propped up on an incline against the pillow or lounger, their heads can fall forward, blocking their airway.
  

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

• Information technology is fine to swaddle your babe. All the same, make sure that the babe is e'er on his or her dorsum when swaddled. The swaddle should not be besides tight or arrive difficult for the baby to exhale or move his or her hips. When your babe looks like he or she is trying to roll over, y'all should end swaddling.

• Try giving a pacifier at nap time and bedtime. This helps reduce the risk of SIDS, even if it falls out after the baby is asleep. If you are breastfeeding, await until breastfeeding is going well before offering a pacifier. This commonly takes ii-3 weeks. If you are not breastfeeding your infant, you tin beginning the pacifier whenever yous like. It's OK if your infant doesn't want a pacifier. Y'all can endeavour offer over again afterwards, but some babies simply don't like them. If the pacifier falls out afterwards your baby falls asleep, you don't have to put information technology dorsum in.

What else parents can practise: recommendations for prenatal & postnatal

• Do non smoke during pregnancy or after your babe is born. Keep your infant away from smokers and places where people fume. If y'all are a smoker or you smoked during pregnancy, it is very important that you exercise non bed share with your babe. Also, keep your automobile and dwelling smoke-gratis. Don't smoke anywhere near your baby, fifty-fifty if you lot are outside.

• Do not utilise booze or illicit drugs during pregnancy or after the baby is built-in. It is very of import non to bed share with your babe if you have been drinking alcohol or taken whatsoever medicines or illicit drugs that can make it harder for yous to wake upwards.

• Breastfed babies accept 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 virtually 6 months. Even after you add together solid foods to your baby'due south diet, go along breastfeeding for at least 12 months, or longer if yous and your infant desire.

• Schedule and go to all well-child visits . Your baby will receive important immunizations at these doctor visits. Recent prove suggests that immunizations may accept a protective outcome confronting SIDS.

• Make sure your baby has tummy time while awake every twenty-four hours. Awake breadbasket time should be supervised by an awake developed. This helps with baby's motor development and prevents apartment head syndrome. Encounter Back to Sleep, Stomach to Play for more data and ways to play with the baby during tummy time.

Use caution when buying products

• Use caution when a product claims to reduce the risk of SIDS. Wedges, positioners, special mattresses and specialized sleep surfaces have non been shown to reduce the run a risk of SIDS, according to the AAP.

• Do non rely on home heart or breathing monitors to reduce the risk of SIDS. If you have questions nigh using these monitors for other health conditions, talk with your pediatrician.

• In that location isn't enough research on bedside or in-bed sleepers. The AAP tin can't recommend for or confronting these products because there have been no studies that have looked at their effect on SIDS or if they increment the chance of injury and expiry from suffocation.

More information

• Inclined Sleepers and Other Baby Registry Items to Avoid
• Can SIDS be Prevented?
  
• Make Infant'south Room Rubber: A Parent Checklist
  

Nigh Dr. Moon:

Rachel Y. Moon, Md, FAAP is a pediatrician and SIDS researcher at the University of Virginia. She is also the Division Caput of General Pediatrics and Professor of Pediatrics at the University of Virginia School of Medicine. Her research centers on SIDS and SIDS risk factors, particularly in high take chances populations, such as African-Americans and infants attending child care. Within the American Academy of Pediatrics (AAP), she is chair of the Job Strength on SIDS and Acquaintance Editor for the periodical Pediatrics. Dr. Moon is likewise the editor of Sleep: What Every Parent Needs to Know.

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Last Updated

6/ane/2021

Source

American Academy of Pediatrics (Copyright © 2016)

The information contained on this Spider web site should not be used as a substitute for the medical care and communication of your pediatrician. There may exist variations in treatment that your pediatrician may recommend based on private 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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