
It is crucial for newborns to sleep on a flat surface to reduce the risk of sleep-related deaths, such as Sudden Infant Death Syndrome (SIDS) and accidental suffocation. According to the American Academy of Pediatrics (AAP), infants should sleep on their backs on flat, non-inclined surfaces without any soft bedding or other objects that could lead to entrapment or suffocation. This recommendation is based on years of research indicating that babies sleeping on their stomachs or sides are at a higher risk of rebreathing expired gases, potentially resulting in hypoxia, hypercapnia, and overheating. Additionally, car seats, strollers, and sitting devices are not recommended as regular sleep spaces for newborns. Instead, a firm, flat surface, such as a crib, bassinet, or play yard, is ideal for creating a safe sleep environment for newborns.
| Characteristics | Values |
|---|---|
| Safe sleep area | Reduces the risk of SIDS and other sleep-related deaths |
| Safe sleep surface | Firm, flat, and level |
| Safe sleep position | On their back |
| Safe sleep environment | No soft surfaces or items |
| Safe sleep space | Crib, bassinet, or play yard with a firm, flat surface and nothing else in it |
| Safe sleep recommendations | Avoid car seats, strollers, and sitting devices as regular sleep or nap spaces |
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What You'll Learn
- A flat surface is a safe sleep environment and reduces the risk of SIDS
- Soft surfaces, like couches, are not safe for newborns to sleep on
- Sitting devices, like car seats, are not recommended for regular newborn sleep
- Newborns should sleep on their backs on a firm, flat surface
- Bassinets, cribs, and cots are recommended for newborn sleep

A flat surface is a safe sleep environment and reduces the risk of SIDS
A flat, firm surface is the safest sleep environment for newborns and reduces the risk of SIDS. The American Academy of Pediatrics (AAP) recommends that babies sleep on their backs on a flat, non-inclined surface without any soft bedding or other objects. This is because soft surfaces and items in the bed can increase the risk of SIDS and other sleep-related deaths, such as accidental suffocation. For example, couches, sofas, waterbeds, memory foam, and soft bedding can be dangerous for babies.
A flat surface is recommended because it does not increase the risk of choking or aspiration, even if coughing and gagging may sometimes be mistaken for choking. Additionally, sleeping on a flat surface reduces the risk of rebreathing expired gases, which can lead to hypoxia and hypercapnia, as well as overheating. A firm surface that quickly returns to its original shape if pressed on is also recommended.
The AAP guidelines also suggest that babies should be placed on their backs for the first year, even if they can roll onto their stomachs. This is because infants who are able to roll between the supine and prone positions can sleep in whatever position they choose. It is also recommended that babies sleep in a crib, bassinet, or play yard with a firm, flat surface and nothing else in the crib. This means no pillows, sleep positioners, or rolled blankets, as these can pose a risk of entrapment or suffocation.
Overall, a flat surface is a safe sleep environment for newborns and helps to reduce the risk of SIDS and other sleep-related deaths. By following these guidelines, parents can create a safe sleep environment for their babies and reduce the risk of sleep-related accidents.
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Soft surfaces, like couches, are not safe for newborns to sleep on
A baby's sleep surface should be firm (returning to its original shape quickly if pressed on), flat (like a table, not a hammock), and level (not at an angle or inclined). Even though a crib with nothing but a fitted sheet covering the mattress may seem sparse, it is the safest option for a baby. This is because a baby's body can slide down on an inclined surface, and their head can slump forward, causing positional asphyxia.
Babies should never sleep on an adult bed, couch, or armchair by themselves, with others, or with pets. Couches and armchairs are particularly dangerous when an adult falls asleep on them while feeding or comforting a baby. Bed-sharing increases the risk of SIDS and sleep-related death. Room-sharing without bed-sharing is the safest option.
Car seats, strollers, and sitting devices are not recommended as a baby's regular sleep or nap space. If a baby falls asleep in one of these devices, they should be moved to their regular sleep space as soon as possible.
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Sitting devices, like car seats, are not recommended for regular newborn sleep
It is important for newborns to sleep on a flat surface to reduce the risk of sudden infant death syndrome (SIDS) and other sleep-related deaths, such as accidental suffocation. Sitting devices, like car seats, are therefore not recommended for regular newborn sleep.
Firstly, car seats, strollers, and other sitting devices are not designed for sleeping. They do not provide a flat, firm, and level surface for the baby to sleep on, which increases the risk of positional asphyxia. Positional asphyxia can occur when the baby's head is down and the chin is on or near the chest, blocking the airway and causing suffocation.
Secondly, car seats and other sitting devices often have soft surfaces or padding that can increase the risk of SIDS and other sleep-related deaths. Soft surfaces, such as memory foam or pillows, can cause the baby to sink into the material, blocking their airway and restricting their breathing.
Thirdly, when a baby falls asleep in a sitting device, they may be left unattended for prolonged periods, which can be dangerous if they wake up and are unable to alert anyone. It is important to move the baby to their regular sleep space as soon as possible if they fall asleep in a sitting or carrying device.
Lastly, car seats and other sitting devices are not designed to provide adequate ventilation for sleeping babies. A flat, open surface, such as a crib or bassinet, allows for proper air circulation and helps regulate the baby's body temperature, reducing the risk of overheating.
In summary, sitting devices, like car seats, are not recommended for regular newborn sleep because they do not provide a safe and suitable sleeping environment. It is crucial to prioritize the baby's safety and well-being by following recommended safe sleep practices, such as placing the baby on their back on a firm, flat, and level surface without any soft bedding or toys.
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Newborns should sleep on their backs on a firm, flat surface
Newborns should always sleep on their backs on a firm, flat surface. This is the safest position for a baby to sleep in, and it helps to reduce the risk of sleep-related deaths, such as Sudden Infant Death Syndrome (SIDS) and accidental suffocation. Sleeping on a flat surface does not increase the risk of choking or aspiration, and it is important to avoid soft surfaces or items in the sleep environment, such as couches, pillows, or blankets, as these can increase the risk of SIDS and other sleep-related deaths.
The American Academy of Pediatrics (AAP) emphasizes the need for infants to sleep on their backs on flat, non-inclined surfaces without any soft bedding. This is because sleeping prone or on their sides can increase the risk of rebreathing expired gases, potentially leading to hypoxia and hypercapnia, as well as overheating. It is also recommended that infants sleep in a crib, bassinet, or play yard with a firm, flat surface and nothing else in the crib, as this helps to reduce the risk of suffocation or entrapment.
Car seats, strollers, and sitting devices are not recommended as regular sleep spaces for newborns. If a baby falls asleep in one of these devices, they should be moved to their regular sleep space as soon as possible. It is also important to note that the AAP recommends that infants sleep in the same room as their parents or caregivers for the first few months of life, but on a separate sleep surface.
The newborn curl, where newborns naturally curl to their side in a fetal position, is a normal physiological response that typically disappears after several weeks. It is still important to gently roll them onto their back if you find them in this position. Swaddling is safe for newborns and can help them sleep safely on their backs by replicating the feeling of being in the womb.
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Bassinets, cribs, and cots are recommended for newborn sleep
It is recommended that newborns sleep on their backs on a flat, non-inclined, firm surface to reduce the risk of choking, coughing, gagging, suffocation, entrapment, and Sudden Infant Death Syndrome (SIDS). Bassinets, cribs, and cots are recommended for newborn sleep as they provide a flat, firm, and safe sleeping environment.
Bassinets are small beds designed specifically for newborn infants. They are typically placed next to the parents' bed, allowing for close proximity to the infant, which can make nighttime feedings, diaper changes, and care much easier. Bassinets are usually made of lightweight materials such as wicker, wood, or plastic, and they often come with wheels or handles to allow for easy movement from one room to another. They are also more compact and portable than cribs, making them ideal for travel. Additionally, bassinets provide a cozy, enclosed sleeping area that can make newborns feel secure and comfortable. The vibration feature in some bassinets, such as the BassiNest® Luxe Series Vibrating Bassinet, helps babies fall asleep faster, stay asleep longer, and go back to sleep more easily if startled. The vibrations are thought to remind babies of the womb, providing comfort and fostering a strong bond between parents and their newborn.
Cribs are larger than bassinets and are typically used once babies outgrow the bassinet, usually around 4-6 months of age when they start to roll or sit. Cribs offer more storage and convenience than bassinets due to their larger size. They often have attached changing tables or other features that can make it easier for parents to care for their baby's needs. Cribs are also more cost-effective than bassinets in the long run, as they can be used for a longer period of time.
Cots are suitable for newborns up to around 3-4 years of age. They are larger than cribs and provide ample space for the baby to sleep and play. Cots are a good option for parents who want a single sleep solution that can last for several years. However, newborns might look a bit lost in a cot due to the large space around them.
It is important to note that car seats, strollers, and sitting devices are not recommended as regular sleep or nap spaces for babies. If a baby falls asleep in one of these devices, they should be moved to their regular sleep space, such as a bassinet, crib, or cot, as soon as possible.
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Frequently asked questions
Newborns have to sleep on a flat surface because it is the safest position to reduce the risk of sleep-related deaths, including Sudden Infant Death Syndrome (SIDS) and accidental suffocation.
The safest sleep environment for a newborn is a crib, bassinet, or play yard with a firm, flat surface and nothing else in the crib. The American Academy of Pediatrics (AAP) recommends placing babies on their backs on a firm, flat, non-inclined surface without any soft bedding or other objects that could increase the risk of suffocation or entrapment.
Yes, a bassinet or a portable cot that meets the current safety standards can also be used as alternatives to a crib. It is important to transfer the baby to a cot when they show signs of rolling. Car seats, strollers, and sitting devices are not recommended for regular sleep or naps.
The newborn curl is when a newborn naturally curls to their side in the fetal position due to muscle contraction when placed on a flat surface. It is a normal physiological response, and there is no need to anxiously wake up in the night to adjust their position. However, it is recommended to gently roll them onto their back if you notice they are in the newborn curl during sleep.
To reduce the risk of SIDS, follow the AAP's recommendations, including human milk feeding, avoidance of exposure to nicotine, alcohol, marijuana, opioids, and illicit drugs, routine immunization, and the use of a pacifier. Additionally, always place your baby on their back on a firm, flat surface without any soft bedding or sleep positioners.











































