2015 NC Infant Mortality, American Academy of Pediatrics, baby care, infant mortality reduction, News, Safe Sleep

Infant on back in crib in sleepsack with words "This side up"

Every five years the AAP makes new recommendations about infant safe sleep practices based on a full review of the research. The new guidelines reinforce many of the earlier recommendations and add new ones.

Recommendations to Reduce the Risk of SIDS and Other Sleep-Related Infant Deaths

  1. Back to sleep for every sleep
  2. Use a firm sleep surface
  3. Breastfeeding is recommended
  4. It is recommended that infants sleep in the parents’ room, close to the parents’ bed, but on a separate surface designed for infants, ideally for the first year of life, but at least for the first 6 months
  5. Keep soft objects and loose bedding away from the infants’ sleep area to reduce the risk of SIDS, suffocation, entrapment, and strangulation
  6. Consider offering a pacifier at nap time and bedtime
  7. Avoid smoke exposure during pregnancy and after birth
  8. Avoid alcohol and illicit drug use during pregnancy and after birth
  9. Avoid overheating and head covering an infant
  10. Pregnant women should obtain regular prenatal care
  11. Infants should be immunized in accordance with recommendations of the AAP and Centers for Disease Control and Prevention
  12. Avoid the use of commercial devices that are inconsistent with safe sleep recommendations
  13. Do not use home cardiorespiratory monitors as a strategy to reduce the risk of SIDS
  14. Supervised, awake tummy time is recommended to facilitate development and to minimize development of positional plagiocephaly (develops when a baby spends too much time lying on his or her back)
  15. There is no evidence to recommend swaddling as a strategy to reduce the risk of SIDS
  16. Health care professional, staff in newborn nurseries and NICUs and child care providers should endorse and model the SIDS risk-reduction recommendation from birth
  17. Media and manufacturers should follow safe sleep guidelines in their messaging and advertising
  18. Continue the “Safe to Sleep” campaign, focusing on ways to reduce the risk of all sleep-related infant deaths, including SIDS, suffocation and other unintentional deaths. Pediatricians and other primary care providers should actively participate in this campaign
  19. Continue research and surveillance on the risk factors, causes and pathophysiologic mechanisms of SIDS and other sleep-related infant deaths, with the ultimate goal of eliminating these deaths altogether

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