There's no guaranteed way to prevent SIDS, but you can help your baby sleep more safely by following these tips:
Oct. 28, 2016
Back to sleep. Place your baby to sleep resting on his or her back, rather than on the stomach or side. This isn't necessary when your baby's awake or able to roll over both ways without help.
Don't assume that others will place your baby to sleep in the correct position — insist on it. Advise sitters and child care personnel not to use the stomach position to calm an upset baby.
- Keep the crib as bare as possible. Use a firm mattress and avoid placing your baby on thick, fluffy padding, such as lambskin or a thick quilt. Don't leave pillows, fluffy toys or stuffed animals in the crib. These may interfere with breathing if your baby's face presses against them.
Don't overheat baby. To keep your baby warm, try a sleep sack or other sleep clothing that doesn't require additional covers. If you use a blanket, make it lightweight.
Tuck the blanket securely into the foot of the mattress, with just enough length to cover your baby's shoulders. Then place your baby in the crib, near the foot, covered loosely with the blanket. Don't cover your baby's head.
Have baby sleep in parents' room until age 1. Ideally, baby should sleep in the same room as the parents for the first year of life — or at least for the first six months — to decrease the risk of SIDS.
Baby should sleep alone in his or her own crib, bassinet or other surface designed for infants. Adult beds aren't safe for infants. A baby can become trapped and suffocate between the headboard slats, the space between the mattress and the bed frame, or the space between the mattress and the wall.
A baby can also suffocate if a sleeping parent accidentally rolls over and covers the baby's nose and mouth.
- Breast-feed your baby, if possible. Breast-feeding for at least six months lowers the risk of SIDS.
- Don't use baby monitors and other commercial devices that claim to reduce the risk of SIDS. The American Academy of Pediatrics discourages the use of monitors and other devices because of ineffectiveness and safety issues.
Offer a pacifier. Sucking on a pacifier at naptime and bedtime may reduce the risk of SIDS. One caveat — if you're breast-feeding, wait to offer a pacifier until your baby is 3 to 4 weeks old and you've settled into an effective nursing routine.
If your baby's not interested in the pacifier, don't force it. Try again another day. If the pacifier falls out of your baby's mouth while he or she is sleeping, don't pop it back in.
- Sudden infant death syndrome. American Lung Association. http://www.lung.org/lung-disease/sudden-infant-death-syndrome/. Accessed March 14, 2014.
- Task Force on Sudden Infant Death Syndrome. SIDS and other sleep-related infant deaths: Updated 2016 recommendations for a safe infant sleeping environment. Pediatrics. 2016;138:e20162938.
- Corwin MJ. Sudden infant death syndrome. http://www.uptodate.com/home. Accessed March 14, 2014.
- Wong CA, et al. American Indian and Alaska Native infant and pediatric mortality, United States, 1999-2009. American Journal of Public Health. 2014;104:S320.