Every year, there are preventable infant deaths that occur due to accidental suffocation and strangulation. Along with those numbers, some infants may pass due to Sudden Infant Death Syndrome (SIDS), however, there are many ways to reduce the risk of SIDS, as well as prevent accidental deaths.

The American Academy of Pediatrics (AAP) has provided comprehensive guidelines to help parents create a safe sleep environment and reduce the risk of SIDS. Let’s dig into these essential safe sleep practices.

Understanding SIDS vs Suffocation

SIDS is the sudden, unexplained death of a baby younger than one year old, usually occurring during sleep. While the exact cause remains unknown, research has identified several risk factors and preventive measures that can significantly reduce the likelihood of SIDS. Accidental suffocation, which occurs when the airway is fully or partially obstructed leading to oxygen deprivation and increased carbon dioxide, is categorized as an accidental death.

SIDS is most common between 1 and 4 months old, with 90% of cases happening in the first 6 months. While it's less common after 8 months, it's still important for parents and caregivers to follow safe sleep practices until the baby's first birthday to help reduce the risk of SIDS and other sleep-related issues.

The First Step In Risk Reduction Is A Safe Sleep Environment

1. Back to Sleep for Every Sleep:

   - Always place your baby on their back to sleep, for naps and at night. This position reduces the risk of SIDS. This is critical for the first 12 months of an infant’s life.

2. Use a Firm and Flat Sleep Surface:

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• Choose a firm infant mattress covered by a fitted sheet in a safety-approved crib, bassinet, or travel crib. An adult mattress does not have the correct support and increases the risk of suffocation.
  
  
• Avoid placing your baby to sleep on couches, infant loungers, swings, carriers, car seats, or other soft / inclined surfaces.
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• Make sure the sleep surface is level and not inclined at any degree as this leads to an increased risk of an infant’s head shifting forward and closing off the airway.

3. Room Share Without Bed Sharing:

Have your baby sleep in the same room as you, but not in the same bed. Keep the baby's sleep area close to your bed for easy access and monitoring.

Bed-sharing increases the risk of suffocation and other sleep-related deaths.

4. Keep the Sleep Area Free of Hazards:

Keep soft objects, toys, and loose bedding away from the baby's sleep area. 

Do not use pillows, blankets, stuffed toys or bumpers, as they can increase the risk of suffocation. Use a swaddle or wearable blanket like the Sleep of Mind Baby Sleep Sack to keep your child warm. Do not use a hat, nothing should cover the baby’s head.

Do not use “breathable” mesh crib liners as they increase the risk of strangulation and entrapment.

Here are some excellent points to consider as well when it comes to keeping your baby safe, especially during sleep.

1. Breastfeeding:

Breastfeeding is associated with a reduced risk of SIDS. Try to breastfeed your baby exclusively for the first six months, if possible. It boosts the immune system, supports brain growth, reduces reflux, and has many other benefits. Just make sure to stay awake while nursing, like sitting up or setting an alarm.

2. Offer a Pacifier:

Offering a pacifier at nap time and bedtime can reduce the risk of SIDS. If your baby is breastfed, wait until breastfeeding is well established (usually around 3-4 weeks) before introducing a pacifier.

3. Avoid Overheating:

Babies are sensitive to extreme temperatures and can't regulate their body heat well. Studies show that dressing them in multiple layers or heavy clothing, using heavy blankets, and keeping the room too warm can increase the risk of SIDS. If a baby is at risk of overheating, they'll feel hot to the touch. Major changes in sleep patterns, body temperature regulation, and heart function happen around the age when SIDS risk is highest, making them more vulnerable during this stage of development.

Check out the Sleep of Mind temperature guide to get an idea of how to dress your baby for the room temperature. All Sleep of Mind sleepwear helps to avoid overheating by using naturally breathable and lightweight fabrics. 

4. Avoid Exposure to Smoke, Alcohol, and Illicit Drugs:

Ensure your baby has a smoke-free environment. Exposure to tobacco smoke increases the risk of SIDS.

Avoid alcohol and illicit drug use during pregnancy and after birth.

5. Regular Prenatal and Postnatal Care:

Regular healthcare check-ups during pregnancy and after birth are crucial for the baby's health and development.

6. Offer Tummy Time:

Tummy time is for when your baby is awake and under supervision. It's essential for building strong muscles. Engage and play with your baby while they are on their tummy for 3 to 5 minutes, 2 to 3 times each day. You can begin this practice as soon as your baby comes home from the hospital.

7.  Immunizations

Infants should be immunized in accordance with recommendations of the AAP and the Centers for Disease Control and Prevention. Recent evidence suggests that immunization might have a protective effect against SIDS.

Consistency is key to creating a safe sleep environment. Establish a bedtime routine that includes placing your baby on their back to sleep in their crib or bassinet. Make sure everyone who cares for your baby knows and follows these safe sleep practices, including babysitters, grandparents, and other family members.

Do Cardiorespiratory Monitors Help Prevent SIDS?

The American Academy of Pediatrics (AAP) does not recommend the use of cardiorespiratory monitors, or other commercial devices for preventing sudden infant death syndrome (SIDS). Despite their popularity, there is no evidence that these devices reduce the risk of SIDS. Breathing monitors can create a false sense of security, leading parents to believe their child is safe when, in fact, the device may not prevent SIDS. These monitors can also cause unnecessary anxiety due to false alarms, which can disrupt both the infant’s and parents’ sleep. Moreover, relying on a monitor may lead parents to neglect proven safe sleep practices, such as placing infants on their backs to sleep, using a firm sleep surface, and keeping soft bedding out of the crib. 

Additionally, the commercial nature of breathing monitors can be problematic, as manufacturers may not provide sufficient information about their limitations. Parents are encouraged to focus on creating a safe sleep environment rather than relying on technological solutions that lack scientific support. The AAP’s stance is based on extensive research and aims to ensure the safety and well-being of infants.

Being Informed Saves Lives

By following these guidelines from the American Academy of Pediatrics, you can significantly reduce the risk of SIDS and ensure your newborn has a safe sleep environment. Remember, your vigilance and commitment to safe sleep practices are crucial in protecting your baby's health and well-being. If you have any concerns or questions, do not hesitate to reach out to your healthcare provider for guidance and support.

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This article provides an overview of the AAP's safe sleep practices, aiming to empower first-time parents with the knowledge needed to create a safe sleep environment for their newborn. By adhering to these recommendations, you can help ensure your baby's safety and reduce the risk of SIDS.

This article was provide by Sleep Of Mind. It is intended solely for informational purposes. Always consult your doctor or a healthcare professional before making any changes to your health routines.