Safe Sleeping

Safe sleeping environment: Joint statement (CPS/CFSIDS/CICH/HC/PHAC) | 2016 task force on SIDS (AAP)

• Sleep position, bed sharing, and SIDS: Healthy infants should be positioned on their backs on a firm surface for every sleep. Counsel parents on the dangers of other contributory causes of SIDS such as bed sharing, overheating, maternal smoking, 2nd hand smoke, alcohol, or illicit or sedating drug use
• Positional plagiocephaly: While supine for sleep, the orientation of the infant’s head should be varied to prevent positional plagiocephaly. Sleep positioners should not be used. After umbilical cord stump has detached, infants should have supervised tummy time while awake. Positional plagiocephaly (PCH)
• Crib safety/Room sharing: Infants should sleep in a crib, cradle, or bassinette that meets Health Canada regulations, is located in parents’ room for the first 6 months of life, and is without soft objects, loose bedding, or similar items inside.
• Swaddling: Proper swaddling of the infant may promote longer sleep periods but could be associated with adverse events (hyperthermia, SIDS, or development of hip dysplasia) if misapplied. A swaddled infant must always be placed supine with free movement of hips and legs, and the head uncovered. Swaddling is contraindicated once baby shows signs of attempting to roll. Risks and Benefits of Swaddling (AJMCN)