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Writer's pictureDr. Nilong Vyas

Expert Advice on Preventing SIDS: Safe Sleep Strategies

Updated: Oct 16

Essential Tips for Reducing SIDS Risk: Practical Sleep Safety Guidelines for Parents


Sleep periodical

Volume 4 - Issue 14

SIDS, or Sudden Infant Death Syndrome, refers to the sudden, unexplained passing of a healthy baby under the age of one. While it can't be entirely prevented, there are several measures parents can take to reduce the risk. These include placing your baby on a firm, clutter-free crib mattress and using a safe baby sleeping bag to maintain a consistent temperature.


Although the risk of SIDS is low, it remains a source of anxiety for parents due to its unpredictability and the lack of a clear understanding of its causes. SIDS can occur without any warning signs, which heightens the fear for many. The fact that it can happen during sleep, when parents may be less watchful, adds to their concerns. If you find yourself constantly worrying about SIDS, remember that you're not alone, and following safe sleep guidelines greatly reduces the risk.

Parents of vulnerable infants, like premature babies, often experience heightened anxiety over the possibility of SIDS.


Certain environmental factors, as identified by a BMC Paediatrics study, can increase the risk of SIDS. These include:


Unsafe sleeping position: Always place your baby on their back to sleep, with their feet at the bottom of the crib, to prevent them from slipping under the bedding.

Maternal smoking: Avoid exposing your baby to cigarette smoke during pregnancy and after birth.

Dangerous co-sleeping: Never sleep on a sofa with your baby or share a bed if you’ve been smoking or drinking.

Overheating: Keep the room temperature between 16-20°C and dress your baby appropriately to avoid overheating.

Soft bedding: Ensure your baby’s crib is free of soft items like pillows, blankets, bumpers, or stuffed toys.


"Babies that are at the highest risk of SIDS are those where there is not a designated safe sleep environment. Often, parents don't intend to co-sleep but end up in that situation accidentally. For example, mum falls asleep with the baby while breastfeeding or after a bottle feed."


Sleepless in NOLA has a good tip for parents who worry about falling asleep during feeds: "Set an alarm for 20 minutes at the start of a feeding session. This will help you wake up if you so doze off,  so you can pop your baby back into their bassinet and crib."


Is it ok to use a pacifier?


"Using a pacifier can help prevent SIDS because if a baby is sucking on it, their airway is open and protected." 


Is swaddling safe for my baby?


Swaddling, the practice of snugly wrapping a baby in a blanket, has been identified as a potential risk factor for Sudden Infant Death Syndrome (SIDS), according to research by the Durham Infancy & Sleep Centre, Department of Anthropology. However, swaddling can be done safely by following specific guidelines:


  • Always place your baby on their back to sleep: Swaddled babies are at higher risk of SIDS when placed on their stomach or side.

  • Avoid swaddling if you are co-sleeping: Co-sleeping already has certain risks, and swaddling can increase the chance of accidents.

  • Stop swaddling when your baby starts showing signs of rolling over: Babies typically begin rolling between four and six months, and being swaddled with their arms constrained could prevent them from rolling back, posing a danger.



Here are a few tips to keep in mind when using a pacifier for your baby:


Timing: It’s best to wait until breastfeeding is well established, typically around 4 weeks. This allows your baby to get accustomed to breastfeeding before introducing a pacifier.


Choosing the right dummy: Opt for an orthodontic pacifier designed to fit your baby's mouth shape. These pacifiers promote healthy oral development and are a great choice for growing infants.


Consistency: Incorporate the pacifier into your baby’s sleep routine regularly. Including it in their bedtime ritual helps them get used to it and find comfort during sleep.


Gradual weaning: As your baby grows, aim to gradually reduce and phase out the pacifier around 6 to 12 months of age. This can help prevent dependency on it for sleep.


 

Board-Certified Pediatrician

Expert Parent Sleep Coach

Behavioral Sleep Specialist

Owner/Founder

Sleepless in Nola

Top Consultant in the US

Author

Speaker

Dr. Nilong Vyas


Sleepless in Nola understands the diverse sleep needs of all children. If your children struggle to get sleep, we are here to support you. Make a free consultation appointment.




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