Worldwide statistics show a high rate of sleep-related infant mortality during the first six months of a baby’s life. In the USA, for example, approximately 3,500 infants die annually from sleep-related incidents, including sudden infant death syndrome (SIDS), suffocation, or strangulation in bed.
In order to prevent such tragic accidents from occurring, I’d like to provide parents and caregivers with some tips on appropriate sleep positions and bedding for infants.
- Firstly, when it comes to sleep positioning, throughout the first year of their lives, babies should not be placed on their stomach or side but should always be placed on their back for all sleep times—naps and at night—in accordance with the longstanding “Back to Sleep” guidelines.
- Second, the baby’s mattress should be firm, not soft or movable, and should have fitted sheets and covers that are smooth and tight, and that will not easily come loose or obstruct the baby’s nose or mouth. No toys, pillows, or other soft or loose objects should be allowed in an infant’s bed or sleep area, and you should absolutely never allow a baby to sleep on a sofa or armchair with a cushioned backrest, as there is risk the baby can slide down and become wedged between the backrest and seat cushions.
- Third, babies should have their own separate bed or sleep surface, but should be in the same room as an adult at least until the age of 6 months to 1 year old. After this age, a separate bedroom can be considered.
- Fourth, no matter how tired you may be, infants should not sleep in the same bed as parents or caregivers, as accidents are frequently reported in which an adult falls asleep and rolls over onto the child, causing entrapment or suffocation.
In addition to the above, it has also been found that breastfeeding reduces the risk of SIDS, while smoking, alcohol, and other forms of substance abuse in the home can increase the risk of SIDS.

