Glossary

Term · Baby Basics

safe sleep

Also: safe sleep practices, ABCs of safe sleep

Practices that the AAP links to a lower risk of sudden infant death. They include back sleeping and a firm, flat, clear sleep surface.

In plain words

Safe sleep describes the sleep setup that pediatric groups link with a lower risk of sudden infant death. The AAP describes a baby , alone, on a firm, flat surface, without soft bedding, pillows, bumpers, or loose blankets. It also covers without for at least six months, and avoiding sleep positioners and products not designed for sleep. Breastfeeding is linked with lower risk, and smoke exposure is linked with higher risk. Grandparents and can learn these points too. If a baby seems unusually sleepy, floppy, or hard to wake, call your pediatrician right away. A baby who is not breathing or is limp needs 911.

The deeper version

The AAP's 2022 policy statement (Moon and colleagues, Pediatrics 2022) is the principal US guidance for infant sleep. It recommends supine positioning for every sleep, a separate firm, flat sleep surface, room-sharing without bedsharing for at least six months, no soft bedding, and avoidance of sleep products not designed for sleep. It also addresses breastfeeding, and avoidance of smoke, alcohol, and drug exposure. is multifactorial, and its risk factors have been characterized mostly through case-control and epidemiologic studies. The association of supine positioning and firm surfaces with lower risk is among the most consistent findings in pediatric epidemiology. Controversy persists about how to counsel families who bedshare despite advice, and how to balance advice against harm-reduction messaging.

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Sources

  • Moon RY, Task Force on Sudden Infant Death Syndrome — SIDS and Other Sleep-Related Infant Deaths: Updated 2022 Recommendations for a Safe Infant Sleeping Environment. Pediatrics (2022)

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