Pediatricians give new advice to keep sleeping babies safe

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In its first update since 2016, the American Academy of Pediatrics (AAP) outlined recommendations to reduce risk of infant mortality associated with sleep. According to a recent press release, in a new policy statement, the AAP highlights the need for babies to sleep on their backs, for parents to keep their sleeping environment “naked” and under no circumstances to share a bed.

“The death of an infant is tragic, heartbreaking and often preventable. If we’ve learned anything, it’s best to keep it simple: Babies should always sleep in a crib or basin, on their backs, with no stuffed animals, pillows, blankets or other bedding, said lead author Dr. Rachel Moon is professor of pediatrics at the University of Virginia School of Medicine.

Recommendations apply to children up to a year.

Approximately 3,500 babies die each year due to sleep-related deaths in the United States, but the annual number of deaths since 2000 has been similar after a “substantial” decline in mortality in the 1990s due to national back-sleeping infant training. says in a press release.

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Sleeping newborn. In its first update since 2016, the American Academy of Pediatrics (AAP) outlined recommendations to reduce the risk of infant mortality associated with sleep in a policy statement emphasizing the need for babies to sleep on their backs. According to a recent press release, parents should keep the sleeping environment “naked” and avoid co-sleeping under any circumstances.
(iStock)

SLEEP BETTER NIGHT WITH 10 SMART PRODUCTS

But even though the total number of deaths has fallen, the rate of sudden unexpected infant deaths (SUID) has more than doubled among black babies and tripled among American Indian/Alaska Native babies compared to white babies in 2010-2013.

Besides, infants are 67 times more likely sleep-related death when sleeping with someone on a couch, easy chair, or pillow, the risk is 10 times higher if sleeping with someone who is debilitated due to fatigue, sedatives, or substance abuse, and 5 times -10 times higher risk when sleeping on the same surface with someone else when they are less than four months old.

“We know that many parents choose to share a bed with their baby, perhaps to help with breastfeeding, or because of cultural preferences or a belief that it is safe to do so,” the doctor said. Rebecca Carlin, co-author of the statement and accompanying technical report. “However, it is clear that this greatly increases the risk of injury or death to the child, and for this reason, AAP cannot support co-sleeping under any circumstances.”

Close-up of unrecognizable cute baby shaking legs while lying in bed.  The AAP recommends that children sleep on a flat, firm, and non-sloping surface, and the sleep product meets the Consumer Product Safety Commission safety standards for cribs, cradles, play areas, and bedside berths effective this week.  CNN.

Close-up of unrecognizable cute baby shaking legs while lying in bed. The AAP recommends that children sleep on a flat, firm, and non-sloping surface, and the sleep product meets the Consumer Product Safety Commission safety standards for cribs, cradles, play areas, and bedside berths effective this week. CNN.
(iStock)

The AAP recommends that children sleep on a flat, firm, and non-sloping surface, and the sleep product meets the Consumer Product Safety Commission safety standards for cribs, cradles, play areas, and bedside berths effective this week. CNN.

“A great way to check if the surface is too soft is to press down with your hand and then lift it up. If your hand leaves a dent, it is too soft,” says First Candle, a non-profit organization dedicated to eliminating or eliminating SIDS.

The AAP press release also announces the passage of the Safe Sleep for Babies Act, which will ban the sale of unsafe crib rails and reclining beds by mid-2022.

The policy statement reminded parents to avoid objects, especially soft objects such as pillow-like toys, mattress pads, fur materials, loose bedding or crib rails, as they could suffocate them.

“Place babies on a firm, level, [non-inclined] a sleeping surface (such as a tight-fitting mattress in a safety crib) covered by a sheet with no other bedding or soft objects. Sleeping surfaces with an inclination of more than 10 degrees not safe for baby sleep“, the policy said in a statement.

Crib rails, which are designed to protect the baby from crib slats, have been linked to more than 100 infant deaths over the past 30 years, according to healthchildren.org, a website recommended by the AAP for more resources on sleep safety for babies.

The Pediatric Association has recommended that parents sleep in the same room as their babies, but not in the same bed, for at least the first six months.

The Pediatric Association has recommended that parents sleep in the same room as their babies, but not in the same bed, for at least the first six months.
(FOX5DC)

The Pediatric Association has recommended that parents sleep in the same room as their babies, but not in the same bed, for at least the first six months.

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The release notes that pacifier use is also associated with reduced sleep-related mortality, but recommends “controlled tummy time” for infant development and to prevent a flat spot at the back of the head or side of their head due to their sleeping position. known as positional plagiocephaly, according to the statement.

Parents are encouraged place the infant on the tummy while awake and under supervision for short periods of time, beginning shortly after hospital discharge, gradually increasing to at least 15-30 minutes per day by 7 weeks of age.

And when an infant shows signs of trying to reach the rollover milestone, which often occurs around three to four months of age, swaddling is discouraged on the statement because the swaddled infant may roll over into a prone position and suffocate.

Breastfeeding reduces the risk of infant sleep-related death, the statement notes: “2 months of feeding at least partial breast milk has been demonstrated to significantly reduce the risk of sleep-related death.”

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“Parents may think their baby is waking up too much at night and fear something is wrong,” the doctor says. Moon said.

“But children, by nature, often wake up at night. While this can understandably be frustrating for parents who are exhausted and lose their own sleep, children have to wake up to eat every 2-3 hours, so this is normal and healthy and should be expected. When parents have questions about their baby’s sleep, they should always seek the advice of a pediatrician.”