
There are several reasons why newborns should not sleep with their parents. The most important one is the risk of sudden infant death syndrome (SIDS) and fatal sleep accidents. Other risks include suffocation, strangulation, and positional asphyxiation. However, co-sleeping can have benefits such as aiding breastfeeding and promoting bonding. To mitigate the risks associated with co-sleeping, parents can take certain precautions, such as ensuring a clear sleep space, placing the baby on their back, and avoiding the use of blankets, pillows, and crib bumpers.
| Characteristics | Values |
|---|---|
| Risk of sleep-related death | Sudden infant death syndrome (SIDS), fatal sleep accidents, suffocation, strangulation |
| Risk of injury | Dropping or smothering the baby, falling off the bed, getting trapped between the bed and wall |
| Parent lifestyle choices | Drinking, smoking, taking drugs |
| Baby's health | Premature birth, underweight, respiratory problems |
| Baby's sleep environment | Firm, flat, level mattress, no pillows, sheets, blankets, toys, or other hazards |
| Baby's sleep position | On their back, not on their side or tummy |
| Baby's sleep schedule | Wake every 3-4 hours to feed until showing good weight gain, no need to keep the baby up during the day |
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What You'll Learn
- Co-sleeping increases the risk of sudden unexpected death in infancy (SUDI)
- Suffocation hazards, such as pillows, blankets, and soft mattresses
- Parents who drink, smoke, or do drugs are at higher risk of rolling over onto their child
- Babies born premature or underweight are at greater risk of SIDS
- Cribs and bassinets are safer than adult beds, which can trap or asphyxiate newborns

Co-sleeping increases the risk of sudden unexpected death in infancy (SUDI)
Co-sleeping, or bed-sharing, is when babies sleep on the same surface as another person, such as a parent or sibling. While co-sleeping can have benefits such as aiding breastfeeding and promoting bonding, it is also associated with an increased risk of sudden unexpected death in infancy (SUDI). This includes sudden infant death syndrome (SIDS) and fatal sleep accidents.
The risk of SUDI is heightened by certain factors, such as the presence of pillows, sheets, blankets, and other bedding items that could cover the baby's head and face, leading to suffocation. Additionally, parents who drink, smoke, or take drugs should avoid co-sleeping as they may accidentally roll over onto their child. Babies born prematurely, underweight, or with respiratory issues are also at higher risk of SUDI when co-sleeping.
To reduce the risk of SUDI, it is recommended to create a safe sleep environment. This includes placing the baby on their back, away from the edge of the bed, and next to only one parent. The mattress should be firm, flat, and level, and the sleep space should be free of hazards such as pillows, blankets, and toys. It is also crucial to maintain a smoke-free environment, as exposure to second-hand and third-hand smoke increases the risk of SUDI.
While co-sleeping can have benefits, it is essential to prioritize the baby's safety. By following safe sleep practices and creating a hazard-free environment, parents can help reduce the risk of SUDI and promote healthy sleep habits for their newborns.
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Suffocation hazards, such as pillows, blankets, and soft mattresses
Co-sleeping with a newborn in the same bed as their parents is associated with an increased risk of sudden unexpected death, including sudden infant death syndrome (SIDS) and fatal sleep accidents. Suffocation hazards, such as pillows, blankets, and soft mattresses, can contribute to these risks.
Pillows, blankets, and soft mattresses can obstruct an infant's airway, leading to suffocation and SIDS. This risk is heightened in a modern bed with thick mattresses, plush pillows, and soft bedding. To create a safe sleep environment for a newborn, it is crucial to remove all suffocation hazards from the sleep space. This includes eliminating pillows, blankets, sheets, and soft toys from the baby's immediate surroundings.
A safe alternative to co-sleeping in the same bed is to use a separate bassinet or crib placed alongside the parental bed. This allows for proximity and easy access for breastfeeding and comforting the baby while reducing the risks associated with sharing a bed. The American Academy of Pediatrics (AAP) emphasizes the importance of creating a safe sleep environment to lower the risk of all sleep-related infant deaths, including SIDS and accidental suffocation.
To minimize the risk of suffocation, parents can follow these guidelines: keep the baby's sleep space clear and free from any soft objects or loose bedding that could obstruct their airway; use a firm, flat, and level mattress; and place the baby on their back to sleep, which is the recommended sleeping position to reduce the risk of SIDS. Additionally, it is important to avoid co-sleeping on couches or armchairs, as the risk of dropping or smothering the baby is significantly higher in these environments.
While co-sleeping can have benefits, such as facilitating breastfeeding and bonding, it is essential to prioritize the safety of the newborn. By taking the necessary precautions and creating a safe sleep environment, parents can reduce the risks associated with co-sleeping and provide a more secure sleeping arrangement for their newborn.
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Parents who drink, smoke, or do drugs are at higher risk of rolling over onto their child
Co-sleeping with a newborn can be associated with an increased risk of sudden unexpected death in infancy (SUDI), including sudden infant death syndrome (SIDS) and fatal sleep accidents. This is especially true for parents who drink, smoke, or do drugs, as they are at a higher risk of rolling over onto their child.
Alcohol consumption is a significant risk factor for SUDI. Studies have shown a clinically important increase in the risk of SUDI when co-sleeping with an adult who has consumed more than two units of alcohol. This risk is present for children under 98 days old and those who are older. Thus, parents who drink are advised not to co-sleep with their newborns.
Smoking is another critical risk factor for SUDI. Exposure to second-hand and third-hand smoke is harmful to babies, and adult smoking increases the risk of SUDI. Therefore, it is crucial to maintain a completely smoke-free environment for newborns.
Drug use is also a concern when co-sleeping with a newborn. The use of drugs can impair a parent's judgment and motor skills, increasing the risk of rolling over onto the child. Additionally, certain drugs may affect a parent's breathing, further elevating the risk of SUDI.
It is important to note that other factors, such as low birth weight and preterm birth, are also associated with an increased risk of SUDI. It is recommended to follow safer sleeping practices, such as placing the baby on its back on a firm and flat mattress, keeping the sleep environment clear of pillows, blankets, and other items that could obstruct breathing, and ensuring the baby can breathe easily with open airways.
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Babies born premature or underweight are at greater risk of SIDS
Co-sleeping is when babies sleep on the same surface as another person, such as a parent or sibling. While co-sleeping can be beneficial for bonding and breastfeeding, it is associated with an increased risk of sudden unexpected death in infancy (SUDI), including sudden infant death syndrome (SIDS) and fatal sleep accidents.
Babies born prematurely or underweight are at a greater risk of SIDS. A study by Rutgers University found that infants born between 24 to 27 weeks had a more than three times higher chance of dying before their first birthday compared to babies born at full term. The risk of SIDS and other sleep-related causes of death in the first year was highest for those born between 24 and 27 weeks, and while the level of risk decreased for premature infants born closer to full term, they were still significantly higher than full-term infants.
Another study, published in PubMed, analysed the United States' Birth Cohort Linked Birth/Infant Death Certificate tapes and found that the SIDS rate for infants born between 24 to 28 weeks was 3.52 deaths per 1,000 live births, compared to 1.06 deaths per 1,000 live births for infants born at 37 or more weeks. The study concluded that preterm infants are at a higher risk for SIDS than term infants.
The reasons for the increased risk of SIDS in premature and underweight babies are not fully understood, but researchers have suggested that it may be due to a combination of factors, including unsafe sleep practices, smoking, poor prenatal care, and poverty.
To reduce the risk of SIDS, parents should follow safe sleep practices, such as always placing the baby on their back to sleep, keeping the baby's sleep space clear of pillows, blankets, and other items that could block their breathing, and ensuring a smoke-free environment.
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Cribs and bassinets are safer than adult beds, which can trap or asphyxiate newborns
While co-sleeping can be beneficial for breastfeeding and bonding with babies, it is associated with an increased risk of sudden unexpected death in infancy (SUDI), including sudden infant death syndrome (SIDS) and fatal sleep accidents. Cribs and bassinets are safer than adult beds, which can trap or asphyxiate newborns.
Cribs and bassinets provide a safer sleep environment for newborns, reducing the risk of accidental suffocation and strangulation. In adult beds, there is a risk of parents rolling over onto their child, especially if they drink or take drugs, which can lead to tragic consequences. Additionally, babies can get trapped between the bed and the wall or other objects in the bed, such as pillows and sheets, leading to asphyxiation.
To ensure a safe sleep environment for newborns, it is crucial to follow guidelines such as placing babies on their backs, using a firm and flat mattress, and keeping the sleep space clear of any objects that could create a strangulation risk. It is also important to avoid co-sleeping on couches or armchairs, as it increases the risk of dropping or smothering the baby.
By using cribs and bassinets, parents can reduce the risk of SUDI and create a safer environment for their newborns. It is essential for parents to be well-informed about safe sleep practices and to prioritize their baby's safety, even if it means sacrificing some convenience and comfort.
While it is understandable that parents may unintentionally fall asleep with their babies in adult beds, it is crucial to prioritize the safety of newborns. By following safe sleep practices and utilizing cribs or bassinets, parents can significantly reduce the risk of sleep-related accidents and provide a safer environment for their little ones.
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Frequently asked questions
Co-sleeping with a newborn can be dangerous due to the risk of suffocation, strangulation, or SIDS (Sudden Infant Death Syndrome). It is recommended that parents do not sleep with their babies if they drink, smoke, or do drugs, as this increases the risk of suffocation.
If you choose to co-sleep, it is important to create a safe sleep environment. This includes removing pillows, sheets, blankets, toys, and other items that could cause strangulation or suffocation. It is also recommended to place the baby on their back, away from the edge of the bed, and next to only one parent.
Instead of co-sleeping, you can try to let your baby fall asleep in a crib. This will help them learn that it is the place for sleep. You can also try to keep the lights low at night and avoid playing or talking to your baby, which will signal that nighttime is for sleeping.
Newborns can be soothed by rocking, cuddling, and singing. Swaddling, or wrapping the baby in a light blanket, can also help to calm a crying baby. However, it is important to stop swaddling once the baby starts trying to roll over.
Some common mistakes to avoid include letting your baby sleep in a car seat, feeding pillow, or infant lounger, as these can cause positional asphyxiation. It is also important to avoid using products that claim to lower the risk of SIDS, such as sleep positioners or monitors, as there are no known products that can actually do this.











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