
Newborns sleep a lot, and it's common for parents to wonder about safe sleep habits during their first few months of life. While it's normal for babies to roll onto their sides during sleep, the safest position for younger babies is flat on their backs. Side sleeping may cause babies to roll onto their stomachs, increasing the risk of Sudden Infant Death Syndrome (SIDS) and choking.
| Characteristics | Values |
|---|---|
| Safest position for newborns to sleep | On their back |
| Side sleeping risk | Increase the risk of SIDS |
| Choking risk | Increase the choking risk |
| Newborn curl | Safe position |
| Swaddling | Safe and secure |
| Crib position | Change to prevent flat head |
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What You'll Learn

The newborn curl is a safe position for newborns
Newborns can be very active in their sleep, and it is normal for them to wiggle into various positions for comfort as they adjust to sleeping outside the womb. One such position is the newborn curl, also known as the fetal position, which is a natural resting position for newborns. While this position is safe for newborns, it is important to ensure that they are lying on their back and not their side or stomach.
The newborn curl is characterized by bent arms, legs pulled in towards the belly, and hands curled into fists. This position is developed in the womb and is a result of the muscle tone that forms later in pregnancy. Full-term infants typically exhibit this tight, flexed position, while premature babies may not as they have not yet developed the muscle strength to maintain it.
While the newborn curl is safe, it is important to place newborns on their back to sleep to reduce the risk of Sudden Infant Death Syndrome (SIDS). Side sleeping can increase the risk of SIDS as babies may roll onto their stomachs, and it can also increase the risk of choking if they spit up. Therefore, it is recommended to always place babies under 12 months on their backs for sleep and to gently reposition them if they roll onto their side.
Once babies have mastered rolling both ways (from tummy to back and back to tummy), typically between 4 and 7 months old, it is generally considered safe to leave them on their side if they roll that way during sleep. At this stage, parents can stop moving them back to their back every time it happens. However, it is still recommended to place babies on their back until they reach 12 months old to ensure their safety.
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Babies should sleep on their backs to reduce choking risk
It is important to place newborns on their backs when they sleep to reduce the risk of choking and sudden infant death syndrome (SIDS). While it is normal for babies to roll onto their sides during sleep, the safest position for younger babies is flat on their backs.
The tube that leads to a baby's stomach sits above the tube leading to their lungs. Due to gravity, this causes any fluids coming up from the stomach to gather at the entrance of the lung tube, increasing the likelihood of choking. Therefore, placing a baby on their back to sleep significantly reduces the risk of choking and SIDS.
The American Academy of Pediatrics (AAP) recommends always placing babies under 12 months onto their backs for sleep. Side sleeping may cause babies to roll onto their stomachs, which puts them at a higher risk of SIDS. Even supervised side sleeping is not considered safe for newborns.
If your baby is able to roll both ways (from tummy to back and back to tummy), it is generally okay to leave them on their side if they roll that way while sleeping. However, you should still always place them on their back until they are one year old.
Swaddling your newborn can help them feel safe and secure, in addition to keeping them warm. However, it is important to stop swaddling by the time your baby is able to roll over and opt for a sleep sack instead.
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Side sleeping may increase the risk of SIDS
It is important to note that side sleeping may increase the risk of SIDS (Sudden Infant Death Syndrome). SIDS is the leading cause of death among infants 1 month to 1 year old. While it is normal for babies to roll onto their sides during sleep, the safest position for babies under 12 months is flat on their backs. The American Academy of Pediatrics (AAP) recommends always placing babies under 12 months on their backs for sleep. Side sleeping may cause babies to roll onto their stomachs, which puts them at a higher risk of SIDS.
The tube that leads to a baby's stomach sits above the tube leading to their lungs. Due to gravity, this causes any fluids coming up from the stomach to gather at the entrance of the lung tube, increasing the likelihood of choking. By following the AAP's safe sleep guidelines, parents can significantly reduce the risk of SIDS. These guidelines include always placing your baby to sleep on their back and keeping their sleep space free of suffocation hazards like pillows and blankets.
It is important to note that babies should be placed on their backs until they are consistently able to roll over from front to back and back to front. Only at this stage is it fine for them to be in the sleep position they choose. Parents can help their babies develop the ability to roll by providing tummy time, which helps build their baby's core, neck, and arm strength.
To reduce the risk of SIDS, it is recommended that infants sleep in their parents' room but on a separate surface, such as a bassinet or crib next to the bed, for the first year of life or at least the first six months when the risk of SIDS is highest. Additionally, breastfeeding has been shown to reduce the risk of SIDS. It is also important to offer a pacifier to your baby at sleep time and avoid overheating by dressing them according to the room temperature.
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Swaddling helps babies sleep safely on their backs
While it is normal for babies to roll onto their sides during sleep, the safest position for babies under 12 months old is flat on their backs. The American Academy of Pediatrics (AAP) recommends always placing babies under 12 months onto their backs for sleep. Side sleeping may cause babies to roll onto their stomachs, which puts them at a higher risk of Sudden Infant Death Syndrome (SIDS) and choking.
Swaddling can help newborns sleep soundly and safely on their backs. Swaddling can reduce the risk of SIDS and suffocation by preventing babies from rolling onto their stomachs. It also provides the comforting and familiar feeling of being in the womb, which improves sleep. However, swaddling is not without risk. The AAP recommends monitoring swaddled babies and ensuring their sleep space is free of loose bedding and soft items like pillows or stuffed animals. Additionally, it is important to stop swaddling as soon as your baby starts trying to roll, as the risk of suffocation increases if a swaddled baby rolls over onto their stomach.
To swaddle your baby safely, follow these steps:
- Use a standard rectangular or square baby blanket, wrapping it securely but not too tight, and ensure your baby's legs have room to move.
- Avoid weighted swaddles, as they are not recommended by the AAP.
- Opt for a transitional swaddle if your baby is starting to roll and needs to transition out of the swaddle for safety reasons but still startles easily or sleeps better swaddled.
- Be mindful of your baby's size and ensure the swaddle is snug and comfortable.
By following these guidelines, you can help your baby sleep safely and soundly on their back, reducing the risk of SIDS and creating a comfortable and secure environment.
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Tummy time helps build core, neck, and arm strength
While it is normal for babies to roll onto their sides during sleep, the safest position for younger babies is flat on their backs. This is because side sleeping may cause babies to roll onto their stomachs, increasing the risk of Sudden Infant Death Syndrome (SIDS) due to choking.
Tummy time is an important tool in building your baby's core, neck, and arm strength. It helps them develop the ability to roll from tummy to back and back to tummy. When babies are on their tummies, they are challenged to use their neck extensors, which help them to hold their heads up and look around. Tummy time also helps babies develop the muscles they need to roll over, sit up, crawl, and walk.
To start tummy time, place newborns belly-down on your chest or across your lap for a few minutes at a time, two to three times a day. As your baby gets used to it, you can gradually increase the duration and frequency of tummy time. By the time they are 3 months old, babies should work up to about 1 hour of tummy time a day.
- Make some noises or shake a rattle to get your baby to look up and push up
- Place a favorite toy in front of your baby to encourage reaching and forward movement
- Lay your baby on your lap for tummy time, with their head turned away from you. Then, talk or sing to them and encourage them to turn and face you
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Frequently asked questions
No, side sleeping can increase the risk of SIDS and choking for newborns. The safest position for babies under 12 months old is on their backs.
The newborn scrunch is when a baby curls onto their side after being placed on their back. It is an involuntary reflex during the first two months and is not a sign of rolling.
You can use rolled-up towels or a small wedge to keep your newborn on their back. You can also swaddle your newborn, which replicates the feeling of being in the womb and helps them sleep safely on their back.
Once newborns can comfortably roll both ways (from tummy to back and back to tummy), it is okay to let them sleep on their side.











































