On the back
is the baby sleeping position that best protects your baby from SIDS
(Sudden Infant Death
Syndrome, also called cot or crib death).
Back to Sleep
Worldwide Back
to Sleep campaigns in the late 80s-early 90s made
a huge effort to advise parents to put their babies to sleep on their
backs. They were very successful; the
number of SIDS cases has decreased tremendously since then.[1]
Before that, it was believed that putting babies to sleep on
their stomach was safer as it could lead to aspiration problems. No
evidence was found for this though.
When a baby is sleeping on her stomach, her breathing can easily be
obstructed.
Not all babies have the strength or reflex to lift
their head when necessary which can be life-threatening. Also sleeping
on the side must be avoided.
On the back is the one recommended baby sleeping position.
Some situations require extra caution:
When two or more risk factors are
combined the odds get worse. A
premature or light-weight baby that does not sleep on her back is at
extra risk.
A baby that is used to always be on
the back and then
is put on the stomach have a very high risk of SIDS.
Putting baby on the side
to sleep is not
recommended either. She can
easily roll onto her stomach. Any wedges or other fixing systems to
keep her on
the side can be dangerous. Baby can get stuck or suffocate.
There are specific, medical, conditions that will require baby to be on
her stomach when sleeping. Evidently you will then follow professional
medical advice.
How
to keep baby on her back
Especially in the first months, when you see that your baby has turned
over,
gently turn her back. However, constantly keeping yourself awake at
night to check and roll her over, is not necessary.
Once your baby has the strength to roll over and back
actively,
you can leave her on her stomach even when she rolled over herself.
A sleeping bag
or wearable blanket is a great help
to keep your baby on her back. It makes it more difficult for her to
roll over. A sleeping bag also keeps baby covered without the risk of
sliding under it with her head.
When using a blanket
or sheet,
tightly tuck it in and arrange it so that baby is toe to feet: with
her feet at the foot end of the bed. So there is no room to slide under
the covers.
How to keep baby asleep when sleeping on her back
Many parents notice that their baby
is easily awakened when she sleeps
on her back. Her sleep seems light most of the time. Many
babies often wave their arms in their sleep and wake themselves up like
that.
This easy arousal
is actually part of why the back position helps with SIDS risk reduction.
They have more ability to wake up when necessary.
It is true that babies
usually sleep better
when on their stomach.
The reason is that they often go into a deeper sleep (which again is
why the SIDS risk increases).
So, as much as we want quiet and long naps and nights, it's safety
first ...
As their baby grows and becomes stronger (beyond 6 months), parents do
report placing their babies on their stomach for better sleep.
To be on the safest side, I don't recommend this. Definitely avoid it
if your baby has any of the higher risk
factors and make sure you are around to check on your baby
very regularly. Always consult your doctor when in doubt.
What about tummy
time?
Tummy time, or having your baby spend time on her stomach,
is the standard method to help develop motor skills
for your baby.
Research has suggested that certain motor skills develop later since
the recommended baby sleeping position is on the back.
The skills do develop, only a bit later. The choice between putting
baby's
life at risk or develop motor skills earlier is easily made.
It is a good idea to have baby
play on her tummy when she is awake to practice those
muscles often!