Skip to navigation menu Skip to content
Jump to:  A   |   B   |   C   |   D   |   E   |   F   |   G   |   H   |   I   |   J   |   K   |   L   |   M   |   N   |   O   |   P   |   Q   |   R   |   S   |   T   |   U   |   V   |   W   |   X   |   Y

Updated Infant Sleep Guidelines: No Inclined Products, Bed-Sharing

Updated Infant Sleep Guidelines: No Inclined Products, Bed-Sharing

TUESDAY, June 21, 2022 (HealthDay News) -- New infant sleep guidelines from the American Academy of Pediatrics (AAP) stress that parents make sure their infants sleep alone on their back on a flat surface and not in bed with mom or dad.

In addition, the recommendations urge mothers to breastfeed and not to rely on special baby monitors to prevent sudden infant death syndrome (SIDS).

"We've made great strides in learning what keeps infants safe during sleep, but much work still needs to be done," said report author Dr. Rachel Moon, a professor of pediatrics at the University of Virginia School of Medicine, in Charlottesville.

"A baby's death is tragic, heartbreaking and often preventable. If we've learned anything, it's that simple is best: babies should always sleep alone in a crib or bassinet, on their back, without soft toys, pillows, blankets or other bedding," Moon added in an AAP news release on the new guidelines.

The policy statement was published online June 21 in the journal Pediatrics.

A nonprofit that works to reduce SIDS cases welcomed the new guidelines.

"From our decades of work with care providers and families, we recognize the real-world challenges confronting parents as they care for their babies," First Candle CEO Alison Jacobson, who lost her son to SIDS in 1997, said in a statement. "We also realize the revised guidelines are appropriately drafted for members of the AAP and not necessarily written for families and caregivers. We support the guidelines and want to be sure that parents, caregivers and community members understand them as well as how to use infant products safely and as intended."

Some 3,500 infants die from sleep-related infant deaths each year in the United States, according to the AAP. These deaths can occur when an infant who is vulnerable to SIDS is placed in an unsafe sleep environment. The number of deaths has remained about the same since 2000, following a decline in deaths in the 1990s as a result of a national campaign to put babies on their backs to sleep.

Yet, racial and ethnic disparities persist, the AAP said. In fact, the rate of sudden unexpected infant deaths (SUIDs) among Black and American Indian/Alaska Native babies was more than double and almost triple, respectively, that of white infants (85 per 100,000 live births) between 2010 and 2013.

"It's essential for families and pediatricians to partner with each other, to build trust and have thoughtful conversations about how to keep children safe by lowering risks," said report co-author Dr. Rebecca Carlin, a pediatric hospitalist at NewYork-Presbyterian Hospital in New York City.

"We know that many parents choose to share a bed with a child, for instance, perhaps to help with breastfeeding or because of a cultural preference or a belief that it is safe. The evidence is clear that this significantly raises the risk of a baby's injury or death, however, and for that reason, AAP cannot support bed-sharing under any circumstances," Carlin said.

The risk of infant death is up to 67 times higher when sleeping with someone on a couch or soft armchair or cushion, and 10 times higher when sleeping with someone tired or using sleeping pills or alcohol or illegal drugs or who smokes, the researchers said.

Also, risks related to sleeping with someone else increase five to 10 times when a baby is less than 4 months old, the experts warn.

Jacobson pointed out that "parents are exhausted and while they may know the guidelines are against adult bed sharing, it happens, often for practicality while the mother is breastfeeding, and she may fall asleep. For others it's due to socioeconomic factors, cultural beliefs, traditions, or personal choice."

To reduce the risk of sleep-related infant death, the AAP recommends:

  • The baby should sleep on a firm, flat surface that adheres to the federal rules governing cribs, bassinets, play yards and bedside sleepers.

  • Devices such as car seats, strollers, swings, infant carriers and infant slings should not be used as routine places to sleep, particularly for infants younger than 4 months.

  • Breastfeeding reduces the risk of sleep-related infant deaths.

  • Avoid infant exposure to nicotine, alcohol, marijuana, opioids and illicit drugs.

  • Make sure the baby gets routine immunizations.

  • Using a pacifier is associated with reducing risk.

  • Don't use commercial devices touted to reduce the risk of SIDS — there is no evidence that they work.

  • Awake tummy time is recommended to promote infant development and minimize flat head syndrome.

  • There is no evidence that swaddling reduces the risk of SIDS.

"Parents might think that their infant is waking up too much during the night and fear that something is wrong," Moon said. "But babies, by their nature, wake up frequently during the night. Although this can be understandably frustrating for parents who are exhausted and losing out on their own sleep, babies have to wake to feed every 2 to 3 hours, so this is normal and healthy, and should be expected. When parents have questions about their infant's sleep, they should always ask their pediatrician for guidance."

More information

For more on preventing SIDS, head to the American Academy of Pediatrics.

SOURCES: American Academy of Pediatrics, news release, June 21, 2022; First Candle, statement, June 21, 2022

Reviewed Date: --

Find a pediatrician
Sleep Medicine
Dr. Michael Strunc
Health Tips
Abuse of Prescription ADHD Medicines Rising on College Campuses
Guidelines for Raising Smoke-Free Kids
Help Your Babysitter Prepare for Anything
Helping Kids Get Over their Fears
Parenting Déjà vu: Raising Your Grandchildren
Parents-to-Be Must Communicate
Reading to Kids Helps Their Development
Talking With Your Kids About Drugs, Alcohol, and Tobacco
Talking with Your Teen About Sex
When Can a Child Wear Contact Lenses
Sleep: Test Your Knowledge
Diseases & Conditions
Anatomy of a Child's Brain
Anatomy of the Endocrine System in Children
Anxiety Disorders in Children
Asthma in Children Index
Becker Muscular Dystrophy (BMD) in Children
Bone Marrow Transplant for Children
Brain Tumors in Children
Chemotherapy for Children: Side Effects
Choosing Childcare for Your Breastfed Baby
Ewing Sarcoma in Children
Hepatitis B Virus (HBV) in Children
Inflammatory and Infectious Musculoskeletal Disorders
Inflammatory and Infectious Neurological Disorders
Inguinal Hernia in Children
Insect Bites and Children
Kidney Transplantation in Children
Meningitis in Children
Mood Disorders in Children and Adolescents
Myasthenia Gravis (MG) in Children
Osteosarcoma (Osteogenic Sarcoma) in Children
Pediatric Blood Disorders
Posttraumatic Stress Disorder (PTSD) in Children
Preparing the School-Aged Child for Surgery
Schizophrenia in Children
School-Aged Child Nutrition
Sports Safety for Children
Sudden Infant Death Syndrome (SIDS)
Superficial Injuries of the Face and Head- Overview
Television and Children
The Growing Child: 2-Year-Olds
The Heart
The Kidneys
Transient Tachypnea of the Newborn
Your Child's Asthma
Your Child's Asthma: Flare-ups

Disclaimer: This information is not intended to substitute or replace the professional medical advice you receive from your child's physician. The content provided on this page is for informational purposes only, and was not designed to diagnose or treat a health problem or disease. Please consult your child's physician with any questions or concerns you may have regarding a medical condition.