
Creating a safe sleep environment for newborns is crucial to prevent sudden infant death syndrome (SIDS) and other sleep-related dangers such as accidental suffocation. While sleeping positions and surfaces are essential considerations, the question arises whether elevating a newborn's sleep surface is safe. Understanding the potential risks associated with elevated sleep positions is necessary to ensure the well-being of newborns.
| Characteristics | Values |
|---|---|
| Safest sleeping position for newborns | On their back on a flat, firm, and waterproof mattress |
| Sleeping position to avoid | On their front or side, which increases the risk of SIDS |
| Room-sharing | Reduces the risk of SIDS by 50% compared to sharing an adult bed with the baby or sleeping in a separate room |
| Bed-sharing | Very risky for the baby; room-sharing without bed-sharing is the safest option |
| Safe sleep surface | Firm, flat, and level |
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What You'll Learn
- The safest position for newborns to sleep is on their back
- Sleeping on a flat surface reduces the risk of positional asphyxia
- Newborns should sleep in the same room as their parents for the first six months
- Bed-sharing is not recommended as it increases the risk of SIDS
- Soft surfaces are not safe for babies to sleep on due to the risk of accidental suffocation

The safest position for newborns to sleep is on their back
The safest position for a newborn to sleep in is on their back, on a flat, firm, and waterproof mattress. This position significantly reduces the risk of sudden infant death syndrome (SIDS) and other sleep-related deaths, such as accidental suffocation. Research has shown that placing a baby on their back at the beginning of every sleep, day or night, lowers the risk of SIDS. Sleeping a baby on their front or side increases the risk of SIDS.
It is important to make this a routine and place your baby on their back for every sleep, day or night. Once your baby can move themselves from their back to their front and back again, they will be able to find their own sleeping position. Until then, consistently placing them on their back to sleep is one of the best ways to ensure they are sleeping as safely as possible.
To create a safe sleep environment, it is recommended that babies sleep in the same room as their parents for the first six months. This reduces the risk of SIDS and other sleep-related deaths, such as suffocation, strangulation, and entrapment, which can occur when a baby sleeps in an adult bed. Room-sharing also makes feeding, comforting, and monitoring the baby easier.
It is important to keep the baby's sleep surface clear of items such as toys that could cover their face and obstruct their airways. The sleep surface should be firm, flat, and level. Sleep surfaces with one end higher than the other or those that elevate both the baby's head and feet are not safe for babies to sleep on as they can cause positional asphyxia.
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Sleeping on a flat surface reduces the risk of positional asphyxia
It is crucial to ensure that newborns sleep on a flat surface to reduce the risk of positional asphyxia. Positional asphyxia occurs when a baby's body position obstructs their breathing. Sleeping surfaces that are not flat, such as those with one end higher than the other or those that elevate both the baby's head and feet, can cause the baby's body to slide down and their head to slump forward, blocking their airway.
To prevent positional asphyxia, it is recommended to always place your baby on their back to sleep, on a flat, firm, and waterproof mattress. This is known as the supine position and is the safest sleeping position for babies. Sleeping a baby on their front or side increases the risk of sudden infant death syndrome (SIDS) and other sleep-related deaths, such as accidental suffocation. Research has shown that babies who usually sleep on their backs but are sometimes placed on their fronts or sides have a higher risk of SIDS.
It is also important to keep the baby's cot clear of items such as toys and soft surfaces, which could cover their face and obstruct their airways. Soft surfaces, such as couches, sofas, waterbeds, memory foam, and adult mattresses, are not safe for babies to sleep on. Additionally, room-sharing without bed-sharing is recommended as it reduces the risk of suffocation, strangulation, and entrapment.
By following these guidelines and creating a safe sleep environment, parents can help reduce the risk of positional asphyxia and other sleep-related hazards for their newborns. A safe sleep environment lowers the risk of all sleep-related infant deaths, including SIDS and accidental suffocation.
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Newborns should sleep in the same room as their parents for the first six months
New parents often wonder about the best sleeping arrangements for their newborn. While there is no one-size-fits-all answer, there are some important guidelines and recommendations to consider. One of the most widely accepted guidelines is that newborns should sleep in the same room as their parents for the first six months, ideally extending up to a year. This recommendation comes from reputable organizations like the American Academy of Pediatrics (AAP) and is based on reducing the risk of Sudden Infant Death Syndrome (SIDS).
Room sharing without bed sharing is the safest option for newborns. Sleeping in the same room allows parents to monitor their baby closely, making it easier to feed, comfort, and respond to their needs. It also reduces the risk of SIDS by as much as 50% compared to sharing a bed or sleeping in separate rooms. Additionally, keeping the baby's sleep surface flat, firm, and free from toys or loose items helps ensure clear airways and a reduced risk of accidental suffocation.
However, room-sharing beyond four months can have its challenges. Some studies suggest that infants who sleep in their parents' room after four months old tend to get less sleep at night and sleep for shorter stretches. Additionally, room-sharing for an extended period may lead to an increase in unsafe sleep practices, such as pulling the baby into the parents' bed or having loose bedding and other unsafe items within the baby's sleep area, which can increase the risk of SIDS.
Ultimately, the decision to transition a baby to their own room depends on what works best for each baby and family. It is important to prioritize safe sleep practices and be mindful of the potential risks associated with bed-sharing and inadequate sleep for both parents and infants. Consulting with healthcare professionals can provide personalized advice and recommendations to ensure the safest and most practical sleeping arrangements for your newborn.
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Bed-sharing is not recommended as it increases the risk of SIDS
Bed-sharing with a newborn is not recommended, as it increases the risk of SIDS and other sleep-related deaths. According to the Safe to Sleep® guidelines, bed-sharing refers to when a baby shares a sleep surface with an adult, another child, or a pet. This includes sharing an adult mattress, couch, or armchair, which should be avoided due to safety concerns. Research has consistently shown that bed-sharing increases the risk of SIDS and accidental suffocation or strangulation, especially in certain hazardous situations.
The Consumer Product Safety Commission and the American Academy of Pediatrics (AAP) emphasize the importance of creating a safe sleep environment for newborns. They recommend room-sharing without bed-sharing as the safest option. This means that the baby should sleep in the same room as the parents but in their own crib or bassinet, following safe sleep practices. This arrangement reduces the risk of SIDS and other sleep-related hazards.
While breastfeeding is associated with a lower risk of SIDS, bed-sharing while breastfeeding does not eliminate the potential dangers. Studies have shown that bed-sharing can increase the risk of SIDS, even in the absence of known hazards, and the AAP has recommended against bed-sharing under any circumstances. However, not all experts agree, and some authorities in countries like Spain, the UK, and Norway no longer advise against bed-sharing when no hazards are present.
It is important to note that room-sharing can have its challenges, including a potential negative impact on sleep quality for both babies and parents. Babies who share a room with their parents are more likely to end up in their parents' bed during the night, increasing the risk of accidental suffocation or strangulation. Additionally, room-sharing may disrupt the consistency of bedtime routines, which can affect the quality of sleep for both babies and parents. However, the benefits of room-sharing in terms of reduced SIDS risk and facilitated breastfeeding are significant, and it is recommended as the safest option for newborns.
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Soft surfaces are not safe for babies to sleep on due to the risk of accidental suffocation
The safest way to put your baby to sleep is on their back on a flat, firm, and waterproof mattress. Soft surfaces are not safe for babies to sleep on due to the risk of accidental suffocation. Surfaces such as couches, sofas, waterbeds, memory foam, air or pillow-top adult mattresses, quilts, blankets, and sheepskins are not suitable for babies. Sleep surfaces with one end higher than the other are also unsafe for babies. This is because the baby's body can slide down, and their head can slump forward, causing positional asphyxia. Positional asphyxia occurs when a baby's body position gets in the way of their breathing. Similarly, sleep surfaces that elevate both the baby's head and feet, such as a hammock, also increase the risk of positional asphyxia. Sitting with the head down and the chin on or near the chest could block the baby's airway and cause suffocation.
To prevent suffocation, it is recommended that babies sleep on a firm surface that quickly returns to its original shape when pressed on. A flat and level surface, such as a table, is preferable to a hammock, which is angled and inclined. Even though a crib with nothing in it except a fitted sheet covering the mattress may seem bare, it is the safest option for a baby. It is also important to keep the baby's cot clear of items such as toys, which could cover their face and obstruct their airways.
For the first six months, it is recommended that babies sleep in the same room as their parents to reduce the risk of SIDS by as much as 50% compared to sharing a bed with an adult or sleeping in a separate room. Room-sharing without bed-sharing also reduces the risk of suffocation, strangulation, and entrapment, which can occur when a baby sleeps in an adult bed. It is important to note that bed-sharing can be very risky for babies in certain situations. If you fall asleep while feeding or comforting your baby in your bed, it is recommended to put them back into their own sleep area, such as a bassinet, next to your bed as soon as you wake up.
The safest sleeping position for a baby is on their back, known as the supine position. Research has shown that placing a baby on their back at the beginning of every sleep or nap, day or night, lowers the risk of sudden infant death syndrome (SIDS). Sleeping a baby on their front or side greatly increases the risk of SIDS. Once a baby can move themselves from their back to their front and back again, they will be able to find their own sleeping position.
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Frequently asked questions
No, newborns should not sleep on a surface that is elevated. Sleep surfaces with one end higher than the other are not safe for babies as their body can slide down and their head can slump forward, causing positional asphyxia. Surfaces that elevate the head and feet can also increase the risk of positional asphyxia.
The safest way for a newborn to sleep is on their back on a flat, firm, and waterproof mattress. This position should be maintained from day one for every sleep, day and night.
Sleeping a baby on their front or side increases the risk of sudden infant death syndrome (SIDS). Babies who are usually slept on their backs but are sometimes slept on their fronts or sides have a higher risk of SIDS.
It is recommended that babies sleep in the same room as their parents for the first six months. However, they should not share a bed with their parents as this increases the risk of suffocation, strangulation, and entrapment. The baby's sleep surface should be firm, flat, and level, and the crib should be clear of items such as toys that could cover their face.











































