
When it comes to newborn sleep, safety is the top priority. The American Academy of Pediatrics (AAP) and the Department of Health and Human Services recommend that all infants sleep on their backs for the first year of life to reduce the risk of sudden infant death syndrome (SIDS). This recommendation applies to both full-term and premature babies. While some parents may worry about choking or spit-up, research shows that back sleeping does not increase the risk of choking and is still the safest position for newborns. Creating a safe sleep environment is crucial, ensuring the sleeping area is free from hazards such as loose bedding, pillows, and cords that could cause suffocation or entrapment. Swaddling can help newborns feel secure and warm, but it should be discontinued once they can roll over. Following these guidelines and recommendations can help reduce the risk of SIDS and give caregivers peace of mind.
| Characteristics | Values |
|---|---|
| Safest sleep position | On their back |
| Other safe positions | None |
| Risk of sleeping on their side | Increased risk of SIDS |
| Risk of sleeping on their front | Increased risk of SIDS |
| Recommended sleep position for the first year | On their back |
| Recommended sleep position after the first year | No restriction |
| Recommended sleep position for premature babies | On their back |
| Recommended sleep position for babies with reflux | On their back |
| Safe sleep environment | Flat and firm surface, free from cords, toys, pillows, and other items that could cause harm |
| Safe clothing for sleep | Sleep sack or another one-piece outfit |
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What You'll Learn
- The supine position is the best and safest way for a newborn to sleep
- Side sleeping is not recommended as it increases the risk of SIDS
- Tummy sleeping is not recommended as it greatly increases the risk of SIDS
- A newborn's sleeping environment should be safe, with no suffocation or strangulation hazards
- Swaddling a newborn can help them feel safe and secure, but it should be stopped once they can roll over

The supine position is the best and safest way for a newborn to sleep
The supine position, or sleeping on the back, is the best and safest way for a newborn to sleep. Research has shown that placing a baby to sleep in this position lowers the risk of sudden infant death syndrome (SIDS). Sleeping a baby on their front or side increases the risk of SIDS. Thus, it is recommended to place your baby on their back for every sleep, day or night, to make sure they are sleeping as safely as possible.
It is important to make this a routine, as babies who are normally slept on their backs but sometimes slept on their fronts are at a high risk of SIDS. Once your baby can move themselves from their back to their front and back again by themselves, they will be able to find their own sleeping position. The first few times they roll onto their tummy, you might like to gently turn them back, but you don't need to get up all night to check on them. While they're awake, give them some time to play on their tummy as this helps their development, but keep an eye on them while they do.
Babies may find it hard to adjust from a sleeping position they have been used to, so do speak to your paediatrician if you're worried. Only continue front-sleeping if your paediatrician advises you to for medical reasons. No research has found that babies sleeping on their back are more likely to choke on their sick. In fact, we now know that babies are far safer sleeping on their backs.
Along with the supine sleep position, it is essential to provide supervised prone playtime as well as other position changes during the day to avoid gross motor milestone delays, head moulding, shoulder retraction, and torticollis. Infants who sleep supine may not initially like prone positioning, but even as little as 15 minutes a day may make a difference in motor milestone acquisition.
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Side sleeping is not recommended as it increases the risk of SIDS
The safest sleep position for a baby is on their back, not on their side or front. Sleeping a baby on their side or stomach increases the risk of sudden infant death syndrome (SIDS). This is because babies who sleep on their front or side enter deeper sleep for longer and may be more difficult to awaken. They may not wake up if they cannot breathe or need to move.
Side sleeping is not recommended for babies as it increases the risk of SIDS. When a baby is too young to support their head, they may fall onto their stomach, with their face becoming stuck against the mattress, making it hard to breathe. This is especially true if the baby is younger than 4 months, as they are often too small to change positions or even lift their heads.
Additionally, side sleeping can cause torticollis, or "wry neck", in newborns. This condition causes the baby's head to tilt to one side while turning the face to the opposite side. It can be hard to miss, as babies do not yet move their necks very much. If your baby has torticollis, you should take them to a medical facility for examination and instruction on neck-stretching exercises to do at home.
To help babies sleep safely on their backs, parents and caregivers can try nursing them to sleep before bed, gently rubbing their belly, singing to them, or rocking them. It is also important to ensure that the baby's sleeping area has nothing that could cause suffocation or entrapment, such as loose bedding, pillows, or toys. The sleeping surface should be flat and firm, and the baby should be placed in a crib, bassinet, or portable crib.
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Tummy sleeping is not recommended as it greatly increases the risk of SIDS
Tummy sleeping is not recommended for babies as it greatly increases the risk of Sudden Infant Death Syndrome (SIDS). SIDS is one of the leading causes of death for babies in their first year of life, with approximately 1,389 babies in the US dying from SIDS in 2020.
When a baby sleeps on their stomach, they are at risk of "rebreathing", which is when they breathe in the air they have exhaled. This lowers the oxygen levels in their body and increases carbon dioxide levels. Additionally, tummy sleeping can cause sudden drops in blood pressure and heart rate control. Tummy sleeping can also lead to accidental suffocation if the baby's nose and mouth become blocked, or if loose bedding or other items cover their face.
To reduce the risk of SIDS, it is recommended that babies always sleep on their back for the first 12 months of their life. This is known as the supine position and is the safest way for a baby to sleep. The American Academy of Pediatrics (AAP) and the Department of Health and Human Services recommend back sleeping for the first year of life. Research has shown that babies who sleep on their backs have a lower risk of SIDS. In fact, following the Back to Sleep campaign launched in 1994, the number of SIDS-related deaths dropped significantly.
It is important to note that once a baby can roll over and move themselves from their back to their front and back again, they will be able to find their own sleeping position. At this stage, it is generally considered safe to let them sleep in the position they prefer. However, it is still recommended to put them down on their back initially and let them roll over if they choose to.
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A newborn's sleeping environment should be safe, with no suffocation or strangulation hazards
Room and Bed-Sharing
It is recommended that for at least the first six months, your baby should sleep in the same room as you, as they are safest when you are close by. However, this does not mean that you should share a bed with your baby, as this increases the risk of suffocation. Instead, place their bassinet or crib in your room, ensuring easy access to them during the night.
Sleep Position
The safest sleep position for a newborn is on their back, which is known as the supine position. This position significantly reduces the risk of sudden infant death syndrome (SIDS). Always place your baby on their back to sleep, day or night, unless advised otherwise by a healthcare professional. It is important to make this a routine, as babies who occasionally sleep on their fronts or sides have a higher risk of SIDS. Once your baby can independently move from their back to their front and back again, they will be able to find their own sleeping position.
Bedding and Clothing
Avoid using loose bedding, blankets, pillows, soft mattresses, or other items like bumper pads, stuffed animals, and comforters in your baby's sleeping area, as these can pose a risk of suffocation or entrapment. Instead, use a fitted sheet to cover the mattress, and opt for sleep clothing like a sleep sack or another one-piece outfit to keep your baby warm. Make sure to stop swaddling once your baby can roll over.
Other Considerations
Ensure that the sleeping surface is flat and firm, and use a safety-approved crib, bassinet, or portable crib. Remove any cords or other hanging items nearby that could cause harm. Supervised tummy time when the baby is awake is encouraged, as it helps their development. Additionally, offer a clean, dry pacifier if the baby wants one.
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Swaddling a newborn can help them feel safe and secure, but it should be stopped once they can roll over
Swaddling is an ancient method of wrapping newborns in a thin blanket or cloth. It helps babies feel safe and secure by mimicking the snugness of the womb. This sense of comfort can help calm babies, soothe pain, and promote longer stretches of sleep. Research has shown that swaddling can also support a newborn's development.
When swaddling, it is important to ensure that the baby is dressed appropriately to avoid overheating. It is recommended to use swaddles with Velcro or zip closures instead of swaddle blankets as they are safer and easier to use. The swaddle should be snug around the chest, allowing the baby to breathe easily and move their legs.
However, swaddling is not mandatory, and if it does not work for you or your baby, it is not necessary to force it. It is crucial to stop swaddling once the baby can roll over to avoid the risk of suffocation. 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.
The safest baby sleep position is on their back, known as the supine position. Sleeping on their back lowers the risk of sudden infant death syndrome (SIDS) and is recommended by the American Academy of Pediatrics and the Department of Health and Human Services. It is important to place babies on their back for every sleep, day or night, to establish a routine and reduce the risk of SIDS.
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Frequently asked questions
The safest sleep position for a newborn is on their back. This position significantly lowers the risk of sudden infant death syndrome (SIDS).
Newborns sleep around the clock and generally get 14 to 17 hours of sleep over a 24-hour period. They wake up every couple of hours to eat and should be fed every 2-4 hours until they show good weight gain.
Developing a nighttime routine will help your newborn learn healthy sleeping habits. You can also rock, cuddle, and sing to your baby as they settle down. Swaddling can also help to soothe a crying baby.











































