Safe Sleep Guidelines for Infants: Back Sleeping on a Firm Surface

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Infants sleeping in an inclined position, like a rocking chair, can face a higher risk of suffocation. Researchers from the Lullaby Trust, a British charity focused on preventing unexpected infant deaths, emphasize this concern.

The safest sleep position for babies is on their backs, ideally on a solid, flat surface. This setup helps keep the airways clear and reduces the chance of head slumping forward, which can tighten the airway and raise the risk of sudden infant death syndrome.

Experts from the Lullaby Trust also urge caregivers to keep the crib free of loose sheets, blankets, and pillows. Babies who move a lot in their sleep may pull fabric over their faces, increasing the danger of suffocation. For this reason, blankets should stay down to the level of the chest, and the upper edge should not rise above the shoulder line. In addition, keeping the sleep environment uncluttered helps prevent accidental covering of the baby and reduces drowning risk if the child moves toward the bedding.

Historically, this topic has been discussed in various resources, and it has evolved with new guidance over time. The current consensus still centers on back sleeping on a firm, flat surface with minimal sleep accessories to promote safe rest for infants. These recommendations are widely supported by pediatric health organizations and child safety groups, including the Lullaby Trust (Lullaby Trust).

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