
Chest-sleeping with a newborn can be a beautiful way to bond and provide comfort for both the baby and the parent. However, this practice also raises safety concerns that parents should be aware of. The risks of Sudden Infant Death Syndrome (SIDS) increase significantly if a newborn is put to sleep on their stomach. This is because babies sleeping on their stomachs breathe in less air, increasing the risk of SIDS. It is recommended that babies are always put to sleep on their backs for the first 12 months. However, if a baby can roll both ways (from tummy to back and back to tummy), it is okay to leave them on their stomach if they roll that way in their sleep.
| Characteristics | Values |
|---|---|
| Safety | Sleeping on the chest is considered safe as long as the parent is awake and alert. Sleeping on the stomach unsupervised increases the risk of SIDS. |
| Comfort | Newborns find it comforting to sleep on their parent's chest due to the warmth, familiar heartbeat, and the feeling of being in the womb. |
| Sleep Quality | Sleeping on the stomach can lead to deeper sleep, which can be dangerous in a crib but safer on a parent's chest due to the parent's movements and sounds. |
| Sleep Position | Pediatricians recommend that babies sleep on their backs until they are 1 year old. |
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What You'll Learn

Sleeping on the stomach increases the risk of SIDS
Sleeping on the stomach is thought to increase the risk of Sudden Infant Death Syndrome (SIDS) for babies. SIDS is the leading cause of death among infants between one month and one year old. While the precise cause of SIDS is unknown, researchers have found that stomach sleeping may block the airway, increasing the risk of "rebreathing". This is when a baby breathes in their own exhaled air, leading to a drop in oxygen levels and a rise in carbon dioxide levels in the body.
Some parents worry that babies put to sleep on their backs may choke on spit-up or vomit. However, there is no increased risk of choking for healthy infants or most babies with gastroesophageal reflux (GER) who sleep on their backs. Doctors may recommend that babies with certain rare airway problems sleep on their stomachs.
Research has shown that babies who never sleep on their stomachs do not learn behaviours that may reduce their risk of SIDS. Babies who are inexperienced with tummy sleeping spend more time fully face down and are less likely to turn their heads to the side to increase their supply of oxygen-rich air. On the other hand, babies with experience sleeping on their stomachs are better able to avoid conditions that may trigger SIDS.
To reduce the risk of SIDS, it is recommended that babies sleep on their backs on a firm, flat mattress with no soft objects or loose bedding nearby. It is also important to ensure that infants sleep in their parents' room, but on a separate surface such as a bassinet or crib, until the child's first birthday or for at least the first six months when the risk of SIDS is highest.
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Sleeping on the chest is safer than on a crib
Sleeping on the chest is considered safer than on a crib by some parents, as they believe that their little movements and sounds keep the baby alert and prevent them from falling into too deep a sleep, which is a risk factor for Sudden Infant Death Syndrome (SIDS). The baby's nose should be uncovered to prevent rebreathing—inhaling air that is low in oxygen and high in carbon dioxide, which can be fatal.
However, it is important to note that sleeping on the chest is only considered safe if the parent is awake and alert, as there is a risk of the baby rolling off or being unable to breathe if the parent falls asleep. If there is any risk of the parent falling asleep, the baby should be moved to a safe place, such as a crib or bassinet.
The American Academy of Pediatrics (AAP) recommends that babies sleep on their backs on a flat and solid surface with no extra bedding or toys for at least the first year of life to reduce the risk of SIDS. This recommendation is supported by the NHS, which advises that the safest place for a baby to sleep for the first 6 months is in a cot, lying on their back, in the same room as the parent.
To ensure safe sleeping conditions and reduce the risk of SIDS, it is important to follow these guidelines and create a safe sleep environment for your baby.
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The parent must be awake and alert
It is crucial to emphasise that allowing a newborn to sleep on their stomach, even on a parent's chest, carries significant risks and is generally not recommended. The American Academy of Pediatrics (AAP) recommends that infants sleep on their backs for at least the first year of life. This recommendation is based on extensive research that has consistently linked stomach sleeping with an increased risk of Sudden Infant Death Syndrome (SIDS).
However, if a parent chooses to have their newborn sleep on their chest, it is of utmost importance that the parent remains awake and alert at all times. The risk of SIDS is closely associated with the depth of the baby's sleep. When a newborn sleeps on their stomach, they tend to sleep more deeply, which can increase the risk of SIDS. By staying awake and alert, the parent can help prevent the baby from falling into too deep of a sleep. Even slight movements and sounds from the parent can keep the baby's brain more alert, reducing the likelihood of SIDS.
To ensure the safety of the newborn, the parent must remain vigilant and avoid any distractions that could compromise their ability to supervise the baby. It is essential to create a safe sleeping environment, including a flat and solid surface with no extra bedding, toys, or other soft objects that could obstruct the baby's breathing. Additionally, the baby's nose and head should remain uncovered at all times.
While the parent's chest may provide a sense of comfort and security for the newborn, it is crucial to recognise that any lapse in supervision, such as the parent falling asleep, could pose serious risks to the baby's safety. Therefore, if there is any possibility that the parent might fall asleep, it is recommended to place the baby in a safe sleeping environment, such as a bassinet or crib, on their back.
In summary, while it may be tempting to enjoy the closeness of a newborn sleeping on your chest, the priority must always be the safety and well-being of the baby. Staying awake and alert is a critical component of ensuring the baby's safety. If you feel yourself becoming drowsy, it is essential to transition the baby to a safe sleeping environment as soon as possible.
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Babies should sleep on their back until they're 1 year old
It is recommended that babies sleep on their back until they are 1 year old. Sleeping on the back is considered the safest sleep position for babies, including those born preterm and those with reflux. This is because sleeping on the stomach can increase the risk of Sudden Infant Death Syndrome (SIDS) by 45 times. When a baby sleeps on their stomach, the risk of rebreathing also increases. This happens when the air exhaled by the baby gets trapped around their face and is inhaled again. This air, lower in oxygen and higher in carbon dioxide, can cause the oxygen levels in the blood to drop.
However, it is fine for babies to sleep on their stomach if they have rolled into that position themselves. Pediatricians recommend that babies be put down to sleep on their backs until their first birthdays. At this stage, they are usually able to sit without support and roll from their back to their front. This indicates that the baby has good head and trunk control and is strong enough to roll back if needed.
Some parents may also allow their babies to nap on their chests. While this may not be inherently harmful if the parent is awake and alert, there is a risk of the parent falling asleep and the baby not being able to breathe. Additionally, the baby could roll off the parent in an unexpected second.
Overall, it is important to prioritize creating safe sleep conditions for babies to reduce the risk of SIDS and other sleep-related issues.
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Benefits of sleeping on the chest include the parent's warmth and heartbeat
The benefits of a newborn sleeping on their parent's chest include the parent's warmth and heartbeat, which can be soothing for the baby. The parent's movements and sounds can also help keep the baby's brain alert, which may reduce the risk of Sudden Infant Death Syndrome (SIDS).
Sleeping on the chest can also provide a sense of security and comfort for the baby, as they are in close contact with their parent. This can help the baby feel relaxed and calm, especially if they are used to sleeping on their stomach.
However, it is important to note that sleeping on the chest is only considered safe if the parent is awake and alert. If there is any risk of the parent falling asleep, it is recommended to place the baby in a safe sleeping environment, such as on their back on a flat and solid surface with no extra bedding or toys.
Additionally, while sleeping on the chest may provide some benefits, it is not a substitute for safe sleep practices recommended by pediatricians and healthcare experts. These practices include placing babies on their backs to sleep until they are at least 1 year old and creating a safe sleep environment to reduce the risk of SIDS.
Overall, while the parent's warmth and heartbeat can be soothing for a newborn, it is important to prioritize safe sleep practices to ensure the baby's health and safety.
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Frequently asked questions
It is generally considered safe for a newborn to sleep on your chest as long as you are awake and alert, and there is no risk of you falling asleep. If you do fall asleep, your baby could roll off you, and there is also a risk of your baby rebreathing air that is lower in oxygen and higher in carbon dioxide, which increases the risk of sudden infant death syndrome (SIDS).
Rebreathing is when a baby inhales their own exhaled breath, which is lower in oxygen and higher in carbon dioxide. This can cause the oxygen levels in their blood to drop and increase the risk of SIDS.
The best way to reduce the risk of SIDS is to place your baby on their back to sleep for at least the first year. You can also use a pacifier, which, when paired with back sleeping, can further reduce the risk of SIDS.











































