
Sleeping on their stomach is a common preference for many babies, and while it is not recommended for newborns, it is generally considered safe for babies to sleep on their stomachs once they can roll over both ways independently. This is usually around 6 months old, but some babies may start rolling over as early as 3 or 4 months. Sleeping on the back is recommended by healthcare experts for the first 12 months of a baby's life to reduce the risk of sudden infant death syndrome (SIDS) and other health complications.
| Characteristics | Values |
|---|---|
| Recommended sleeping position for babies | On their back |
| Risk of sleeping on the stomach for babies | Sudden Infant Death Syndrome (SIDS) |
| Risk of sleeping on the back for babies | Choking |
| Ear infections | Stuffy noses |
| Fever | Flat spots on the head |
| Muscular development issues | |
| Safe sleeping position for babies under 1 year | On their back |
| Safe sleeping position for babies over 1 year | On their stomach or any other position |
| Safe sleeping environment for babies | Crib or bassinet with a firm, flat surface and no loose blankets, toys, stuffed animals, bumper pads, pillows, quilts, comforters, mattress toppers, non-fitted sheets, or any products that could increase the risk of suffocation |
| Tummy time | Recommended for babies during the day to prevent flat spots on the back of their head |
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What You'll Learn
- Sleeping on their back is the safest position for infants
- Stomach sleeping increases the risk of Sudden Infant Death Syndrome (SIDS)
- Babies should sleep on a firm mattress with no loose bedding
- Tummy time during the day helps babies develop neck strength and prevents flat spots on the back of their head
- If your baby rolls onto their stomach, it's okay to leave them

Sleeping on their back is the safest position for infants
It is recommended that infants sleep on their backs as it is the safest position for them. Sleeping on the back reduces the risk of sudden infant death syndrome (SIDS) and other sleep-related deaths. According to the CDC, in 2020, approximately 1,389 babies died of SIDS.
One of the main concerns with babies sleeping on their stomachs is rebreathing. This occurs when exhaled air, which can get trapped around the baby's face, is inhaled again. This air has lower oxygen levels and higher carbon dioxide levels, which can cause oxygen levels in the blood to drop. Soft mattresses, such as those made of memory foam, can also increase the risk of rebreathing.
Additionally, sleeping on the back improves airflow and reduces the risk of choking. When a baby sleeps on their back, the trachea (windpipe) sits on top of the oesophagus (tube to the stomach). This means that fluids from the stomach have to work against gravity to reach the windpipe, making choking much less likely. Research has shown that there has been no increase in infant deaths from choking since back sleeping was recommended in the 1990s.
It is important to note that babies should sleep on a firm, flat, and solid surface, with no extra bedding or toys. A fitted sheet can be used, but loose bedding, such as blankets or quilts, should be avoided. The room temperature should also be comfortable to prevent overheating, which has been suspected to play a role in SIDS.
While it is recommended that infants sleep on their backs, it is not necessary to reposition them if they turn over during sleep, as long as they are able to roll both ways independently. This is typically achieved around 6 months of age, but some babies may start rolling as early as 3 or 4 months. Practising tummy time during the day can help babies develop the strength to roll over.
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Stomach sleeping increases the risk of Sudden Infant Death Syndrome (SIDS)
Sleeping on the stomach is soothing for babies, and they tend to fall asleep faster in this position. However, this position increases the risk of Sudden Infant Death Syndrome (SIDS). SIDS is the leading cause of death in young infants and is diagnosed when all other possible causes of death have been ruled out.
The risk of SIDS can be greatly reduced by placing babies on their backs to sleep. Studies have shown that putting babies to sleep on their backs has reduced the number of SIDS cases by as much as half. Sleeping on the back has additional health benefits, such as lowered risks for ear infections, stuffy noses, and fever.
Babies should sleep on their backs on a flat and solid surface, with no extra bedding or toys. Once they can roll over independently, they may sleep on their stomachs. The American Academy of Pediatrics (AAP) recommends that infants sleep on their backs for the first year of their lives.
Stomach sleeping increases the risk of SIDS because it may block the airway and increase "rebreathing." Rebreathing is when babies breathe in their own exhaled air, which is lower in oxygen and higher in carbon dioxide. This causes the oxygen levels in the blood to drop, and the brain usually triggers the baby to wake up and cry for more oxygen. If the brain does not pick up on this signal, oxygen levels will continue to drop, and carbon dioxide levels will rise, leading to death.
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Babies should sleep on a firm mattress with no loose bedding
It is recommended that babies sleep on their backs for at least the first year, as this reduces the risk of Sudden Infant Death Syndrome (SIDS). Sleeping on the back can also lower the risk of ear infections, stuffy noses, and fever. It is generally considered safe to let your baby sleep on their stomach once they can roll over independently, which is usually around six months old.
To ensure your baby's safety and comfort, it is important that they sleep on a firm mattress with no loose bedding. A firm, flat surface is essential for your baby's growth and development, as it provides the necessary support for their rapidly growing bodies and developing spines and bones. A soft mattress can increase the risk of suffocation, especially if your baby rolls over onto their stomach during sleep.
Loose bedding, such as blankets, pillows, and toys, can also increase the risk of suffocation, entrapment, or strangulation. Instead of using loose bedding, dress your baby in layers of clothing or use a wearable blanket to keep them warm. The crib or mattress should only be covered with a fitted sheet, and there should be no other padding or soft surfaces added.
Additionally, it is recommended that babies sleep in the same room as their parents for the first six to twelve months. However, they should have their own sleep surface, such as a crib or bassinet, with a flat, firm surface and a tight-fitting sheet. Following these guidelines will help create a safe and comfortable sleep environment for your baby.
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Tummy time during the day helps babies develop neck strength and prevents flat spots on the back of their head
It is recommended that babies are put to sleep on their backs for at least the first year of their life. This is because sleeping on their backs reduces the risk of sudden infant death syndrome (SIDS). However, once a baby can roll over on their own, it is generally considered safe to let them sleep on their stomach if they prefer.
Babies should have about an hour of tummy time per day by the time they are 3 months old. This can be done by placing them on their stomach on a blanket on the floor for 3-5 minutes at a time, several times a day. As they get used to it, they can be placed on their stomach more often and for longer periods. To encourage babies to lift their heads, caregivers can make some noise, shake a rattle, or place a toy in front of them.
In addition to tummy time, it is also important for babies to have "face time", which helps strengthen the muscles at the front of the neck and enables them to move their head while on their back.
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If your baby rolls onto their stomach, it's okay to leave them
It is understandable that parents are constantly worried about their baby rolling onto their stomach while sleeping. The American Academy of Pediatrics (AAP) recommends that babies are always put to sleep on their backs for at least the first six months and ideally until their first birthday. This is because sleeping on their back can reduce the risk of Sudden Infant Death Syndrome (SIDS) and other health issues.
However, if your baby is strong enough to roll over by themselves, it is generally considered safe to leave them in the position they have rolled into. This is because they are likely to have the head and trunk control to roll back if they need to. This usually happens around the six-month mark, but some babies can roll as young as three or four months.
If your baby is rolling in their sleep and is comfortable sleeping on their stomach, you don't need to do anything as long as they are unswaddled on a firm infant mattress with no loose bedding. It is important to note that once a baby can roll, it is no longer safe to swaddle them as this restricts their movement and could cause suffocation.
While it is safe to leave your baby to sleep on their stomach if they have rolled into that position themselves, it is still recommended that you place them on their back to sleep initially. This is because babies who sleep on their stomachs may be at a higher risk of SIDS due to reduced airflow. It is also important to ensure that there are no toys, pillows, or other objects in the crib that could cover the baby's face and further restrict airflow.
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Frequently asked questions
It is generally considered safe for a child to sleep on their stomach once they are 1 year old. Before this, sleeping on the stomach is associated with an increased risk of Sudden Infant Death Syndrome (SIDS).
SIDS, or sudden unexpected infant death, refers to the unexplained death of a baby less than a year old. It is the most common cause of death for infants between 1 month and 1 year old.
To reduce the risk of SIDS, it is recommended that babies are placed on their back to sleep for the first 12 months. Once a baby can roll both ways (from tummy to back and back to tummy), it is generally considered safe to leave them to sleep on their stomach if they roll that way in their sleep. It is also important to ensure the baby is sleeping on a firm, flat surface without any loose bedding or toys that could increase the risk of suffocation.











































