Ashwin Lewis
Newborns sleep a lot, both during the day and at night. While co-sleeping or bed-sharing with your newborn can help you bond, it is not recommended by doctors as it increases the risk of SIDS and other sleep-related deaths. Instead, room-sharing without bed-sharing is recommended for at least the first 6 months, or until the baby's first birthday. This means placing your baby's crib, portable crib, play yard, or bassinet in your own bedroom. This keeps your baby nearby and helps with feeding, comforting, and monitoring them at night.
| Characteristics | Values |
|---|---|
| How much sleep do newborns need? | Newborns sleep for longer stretches and wake up repeatedly during the night for the first few months. They need 14-17 hours of sleep over a 24-hour period. |
| How often should newborns be fed? | Newborns should be awakened to feed every 3-4 hours until they show good weight gain, which usually happens within the first few weeks. |
| How to create a safe sleep environment? | Use a firm, flat sleep surface with a snugly-fitted sheet. Keep soft objects, loose bedding, and items with cords away from the baby's sleep area. Avoid hanging objects within the baby's reach. Do not use products claiming to reduce the risk of SIDS. |
| Should newborns sleep with their parents? | The American Academy of Pediatrics (AAP) recommends room-sharing without bed-sharing for at least the first 6 months to reduce the risk of SIDS. Bed-sharing is common in many cultures, but it increases the risk of SIDS and other sleep-related deaths. |
| How to establish healthy sleep habits? | Create a calm and quiet environment during nighttime feedings and diaper changes. Keep the lights low and avoid playing or talking with the baby. Establish a bedtime routine with soothing activities like bathing, reading, and singing. Put the baby in a crib while drowsy but still awake to encourage self-soothing. |
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What You'll Learn
- Bed-sharing is a tradition in many cultures, but doctors say it puts an infant at risk of sleep-related death
- Room-sharing without bed-sharing is recommended by the American Academy of Pediatrics for at least the first 6 months
- Creating a safe sleep environment can help reduce the risk of SIDS and other sleep-related deaths
- Newborns should be awakened to feed every 3-4 hours until they show good weight gain
- Soothing techniques like bathing, reading, and singing can signal an end to the day and help your newborn sleep
Bed-sharing is a tradition in many cultures, but doctors say it puts an infant at risk of sleep-related death
Bed-sharing with a newborn is a tradition in many cultures, with anthropologist Mel Konner stating that it has been practised for over 200,000 years. In modern times, however, doctors have expressed concern over this practice, citing risks associated with sleep-related death.
The primary concern with bed-sharing is the increased risk of Sudden Infant Death Syndrome (SIDS) and other sleep-related deaths. The American Academy of Pediatrics (AAP) recommends room-sharing without bed-sharing for the first six months, or ideally, until the baby's first birthday. This is because the risk of SIDS is at its highest during this period. While room-sharing is considered safe, placing a baby in an adult bed is not. Bed-sharing can expose newborns to hazards such as rolling onto them, accidental suffocation, and strangulation.
Additionally, adult beds may contain soft materials that can increase the risk of SIDS. These include plush toys, pillows, blankets, quilts, and bumper pads, which can obstruct an infant's airway. Secondhand smoke is another significant risk factor for SIDS, and bed-sharing in a room with smokers can be dangerous.
To create a safe sleep environment, it is recommended to use a firm, flat sleep surface with a snugly fitting sheet. The sleep area should be free of any items with cords, ties, or ribbons that could pose a strangulation hazard, as well as objects with sharp edges or corners. It is also crucial to ensure that the baby does not get too hot or too cold, as this can disturb their sleep.
While bed-sharing may be a traditional practice in many cultures, modern medical advice cautions against it due to the potential risks to the infant's safety. It is essential to prioritise creating a safe sleep environment to reduce the risk of sleep-related death.
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Room-sharing without bed-sharing is recommended by the American Academy of Pediatrics for at least the first 6 months
The American Academy of Pediatrics (AAP) recommends room-sharing without bed-sharing for at least the first six months of a newborn's life. This means that your baby should sleep in the same room as you, but on a separate surface designed for infants. This arrangement is recommended ideally for the first year of life but should be followed for at least the first six months.
There are several reasons for this recommendation. Firstly, it helps to reduce the risk of Sudden Infant Death Syndrome (SIDS) and other sleep-related deaths. The rates of SIDS and sleep-related deaths are highest in the first six months of a baby's life, and sleeping in the same room as your baby can decrease the risk of SIDS by up to 50%. Additionally, room-sharing without bed-sharing helps to prevent suffocation, strangulation, and entrapment that may occur if the infant sleeps in the adult bed.
To create a safe sleep environment for your newborn, the AAP recommends using a firm sleep surface, such as a safety-approved crib, bassinet, portable crib, or play yard. The sleep surface should meet the safety standards of the Consumer Product Safety Commission (CPSC) and include a tight-fitting, firm mattress and fitted sheet. Nothing else should be in the crib except for the baby, and the sleeping environment should be free of hazards such as dangling cords, electric wires, toys, or other soft objects that could pose a risk of strangulation or suffocation.
It is important to note that bed-sharing is not recommended for any babies, especially those under four months old, born prematurely, or with low birth weight. Bed-sharing can be dangerous, especially if the baby is sleeping on a soft surface or if there are soft bedding, pillows, or blankets on the bed. Additionally, you should not bed-share if anyone in the bed is a smoker, if the mother smoked during pregnancy, or if any medications or drugs have been consumed that may impair your ability to wake up.
Remember that each baby has a unique sleep pattern, and it may take a few weeks for your newborn's brain to distinguish between night and day. During the day, keep the environment stimulating with natural light and everyday noises, and at night, keep things quiet and calm to reinforce the difference between day and night.
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Creating a safe sleep environment can help reduce the risk of SIDS and other sleep-related deaths
Creating a safe sleep environment is crucial in reducing the risk of SIDS (Sudden Infant Death Syndrome) and other sleep-related deaths. Here are some essential guidelines to ensure your newborn's sleep environment is as safe as possible:
Room-sharing without bed-sharing: It is recommended that for at least the first six months, your baby sleeps in the same room as you but on a separate sleep surface, such as a crib or bassinet. This arrangement reduces the risk of SIDS by up to 50% compared to sharing an adult bed or sleeping in a separate room. It also makes feeding, comforting, and monitoring your baby easier.
Safe sleep surface: The sleep surface for your baby should be firm, flat, and level. Avoid using soft mattresses, quilts, blankets, pillows, or sheepskins, as they can increase the risk of suffocation and SIDS. The sleep surface should be free from any hanging mobiles, wall hangings, pictures, draperies, or blind cords that could be hazardous. Ensure that all sleep products meet federal safety standards and are approved by the U.S. Consumer Product Safety Commission (CPSC).
Sleep position: Always place your baby on their back to sleep. This position is recommended for all sleep times and significantly reduces the risk of SIDS. Avoid using wedges, positioners, or other products that claim to keep babies in one position, as they may not meet safety guidelines and can be dangerous.
Temperature regulation: Overheating is a risk factor for SIDS. Dress your baby appropriately for the temperature of the room, avoiding excessive layers or bedding that can cause overheating. Be cautious about using hats indoors, and watch for signs of overheating, such as sweating, flushed skin, or a hot chest. A wearable blanket or extra layer of clothing can help keep your baby warm without overheating.
Breastfeeding and pacifiers: Breastfeeding is associated with a reduced risk of SIDS. Offer your baby breastmilk and, if you are comfortable, consider using a pacifier during nap and bedtime.
Avoid hazardous items: Do not use products that claim to reduce the risk of SIDS, such as sleep positioners or monitors that detect heart rate and breathing patterns. These products are not effective, and no product can prevent SIDS. Additionally, avoid weighted blankets, sleepers, or swaddles, and always place your baby on their back on a separate sleep surface.
Creating a safe sleep environment for your newborn is essential to reducing the risk of SIDS and other sleep-related deaths. By following these guidelines, you can help ensure your baby's safety and well-being during sleep.
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Newborns should be awakened to feed every 3-4 hours until they show good weight gain
Newborns have small stomachs, so they get full quickly and need to be fed frequently. It is recommended that newborns are fed eight to twelve times in a 24-hour period to ensure steady weight gain and to establish your milk supply. This can be done by feeding your baby every 2-4 hours, depending on their weight gain and growth curve. For example, a 3-week-old should be fed after 4 hours from the start of their last feeding, while a 6-week-old can go for a maximum of 7 hours. This can be continued until the baby shows good weight gain, which usually happens within the first couple of weeks. After that, it is okay to let your baby sleep for longer periods at night, and you can stop waking them to nurse and let them set their own pattern.
Breastfed newborns need to be fed more frequently than formula-fed babies as breast milk is digested faster. A breastfeeding newborn needs to be fed every 2-3 hours, while a formula-fed baby can go 3-4 hours between feedings during the first month. Not feeding often enough can slow down your milk production if you are breastfeeding. Therefore, it is important to gently rouse your sleeping baby when they are overdue for a feeding.
If your newborn always seems to be drifting off during daytime feedings, you may need to correct their reverse cycling and target full feedings during the day. You can do this by offering a dream feed, which is a rousing feed just before you go to bed. Additionally, keeping things quiet and calm during middle-of-the-night feedings and diaper changes can help your baby learn that nighttime is for sleeping.
If you are concerned about your baby's weight gain or overall intake, or if they seem lethargic and hard to wake, please consult your pediatrician. They can advise you on whether your baby's weight gain is on track and offer guidance on sleep strategies if needed.
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Soothing techniques like bathing, reading, and singing can signal an end to the day and help your newborn sleep
Establishing a soothing bedtime routine for your newborn is a great way to signal the end of the day and help them fall asleep. Routines and environments play a significant role in helping newborns fall asleep. A simple and soothing bedtime routine can also be a wonderful opportunity for one-on-one bonding with your baby.
Bathing
Bathing is a great way to soothe your baby and signal that it is time for bed. A warm bath can help your newborn relax and prepare for sleep. Make sure the room is warm and free from drafts before you start. Speak to your baby in a soft, calming voice as you gently wash them. You can also use this time to give your baby a gentle massage, which can be very soothing and help them relax.
Reading
Reading to your newborn is another effective way to calm them and prepare them for sleep. Reading in a soft, gentle voice will help your baby associate your voice with comfort and security. Reading is also a great way to develop your baby's language skills and introduce them to the wonderful world of books and stories. Keep the lighting soft and dim to create a calm atmosphere.
Singing
Singing lullabies to your baby is a classic way to soothe them and encourage sleep. Singing in a soft, gentle voice will help your baby relax and feel secure. You can also play gentle, soothing music to create a calm atmosphere. Singing and music are excellent tools to signal to your baby that it is time for sleep.
Other techniques to help your newborn sleep include swaddling or wrapping them in a light blanket. This can make them feel secure and comfortable. You can also try using gentle shushing noises, white noise, or settling music. It is important to keep the room dark or dimly lit and quiet to encourage sleep.
Remember, every baby is unique, and it may take some time to figure out what works best for your newborn. Be patient and responsive to your baby's needs, and don't be afraid to try different techniques to find what works for both of you.
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Frequently asked questions
While bed-sharing with your newborn is a personal choice, it is not recommended by many doctors and health organizations, as it increases the risk of SIDS (Sudden Infant Death Syndrome) and other sleep-related deaths. Instead, room-sharing without bed-sharing is advised, where your baby sleeps in a crib or bassinet in the same room as you.
Bed-sharing can expose your newborn to hazards such as accidental suffocation, strangulation, and SIDS. It is important to avoid sleeping with your baby on a sofa, and never share a bed with your baby if you are under the influence of drugs, alcohol, or smoke.
To create a safe sleep environment for your newborn, use a firm, flat sleep surface with a snugly fitting sheet. Keep soft objects, such as plush toys, pillows, and blankets, away from the baby's sleep area. Additionally, ensure that hanging items like mobiles and blind cords are out of the baby's reach to prevent any accidents.
