Safe sleep guidelines is a topic that I never tire of sharing, and it’s important to follow the American Academy of Pediatrics (AAP) research-backed suggestions. The AAP recently revised their safe sleep guidelines, and I thought it would be great to take a moment to share those with you, as well as to take a look at how those guidelines have changed over the years.
Back is best
In 1992, the AAP instructed parents to lie their infants on their backs to sleep, which resulted in an overall decrease in the occurrences of Sudden Infant Death Syndrome (SIDS) across the country. But while SIDS deaths decreased, infant death by suffocation, entrapment and asphyxia rose, prompting the AAP to revisit and further explain their safe sleep guidelines.
What is a safe sleep environment?
The American Academy of Pediatrics again changed their safe sleep guidelines in 2011, this time with an emphasis on the explanation and demonstration of safe sleep environments for infants. The AAP made three additional safe sleep recommendations, to reduce the overall occurrence of infant deaths, including SIDS related deaths. Those recommendations included:
- Breastfeeding is recommended and is associated with a reduced risk of SIDS.
- Infants should be immunized. Evidence suggests that immunization reduces the risk of SIDS by 50 percent.
- Bumper pads should not be used in cribs. There is no evidence that bumper pads prevent injuries, and there is a potential risk of suffocation, strangulation or entrapment.
Further recommendations included:
- Always place your baby on his or her back for every sleep time.
- Always use a firm sleep surface. Car seats and other sitting devices are not recommended for routine sleep.
- The baby should sleep in the same room as the parents, but not in the same bed (room-sharing without bed-sharing).
- Keep soft objects or loose bedding out of the crib. This includes pillows, blankets, and bumper pads.
- Wedges and positioners should not be used.
- Pregnant woman should receive regular prenatal care.
- Don’t smoke during pregnancy or after birth.
- Breastfeeding is recommended.
- Offer a pacifier at nap time and bedtime.
- Avoid covering the infant’s head or overheating.
- Do not use home monitors or commercial devices marketed to reduce the risk of SIDS.
- Infants should receive all recommended vaccinations.
- Supervised, awake tummy time is recommended daily to facilitate development and minimize the occurrence of positional plagiocephaly (flat heads).
So, what’s different between 2011’s AAP safe sleep guidelines and those recently released? The AAP now recommends that infants share the same bedroom as their parents, or room share, for at least the first six months of an infant’s life, and ideally, the first year. This comes as a result of new research findings, showing a decrease in sleep-related infant deaths in those infants room-sharing with their parents. The AAP also included the recommendation of immediate skin-to-skin time after birth, regardless of feeding or birth type, for a minimum of one hour, as soon as the mother is “medically stable and awake.”
Breastfeeding is still recommended, and the AAP urges parents to move babies to their [separate] sleep space as soon as feeding is completed, to further reduce the risk of accidental death [should a mother or father fall asleep while holding the baby].
While these recommendations are not hugely different from what they have been, they do further explain ideal safe sleep conditions, back by research showing a reduced rate of infant mortality. In addition, AAP is urging doctors to have more in-depth conversations about infant sleep environments with new and expecting parents, in an effort to communicate ideal safe sleep environments and field any questions parents may have.
If you have any questions about your baby’s sleep environment, I am available to review and make recommendations for the safest sleep environment for your little one.