Back to Sleep Campaign Messages
Based on the AAP's recommendations, NICHD has modified
its BTS risk reduction
- Always place your baby on his or her back to sleep,
for naps and at night. The
back sleep position is the safest, and every sleep time counts.
your baby on a firm sleep surface, such as on a safety-approved
mattress, covered by a fitted sheet. Never place your baby
to sleep on pillows,
quilts, sheepskins, and other soft surfaces.
- Keep soft objects,
toys and loose bedding out of your baby's sleep area. Don't
use pillows, blankets, quilts, sheepskins, and pillow-like
crib bumpers in your
baby's sleep area, and keep all items away from your
- Do not allow smoking around your baby. Don't
smoke before or after the birth of
your baby, and don't let others smoke around your baby.
your baby's sleep area close to, but separate from, where
others sleep. Your baby should not sleep in a bed or on a
couch or armchair with
adults or other children, but he or she can sleep in the
same room as you. If you
bring your baby in bed with you to breastfeed, put him or
her back in a separate
sleep area, such as a bassinet, crib, cradle, or a bedside
cosleeper (infant bed that
attaches to an adult bed) when finished.
- Think about using a
clean, dry pacifier when placing the infant down to sleep,
but don't force the baby to take it. If you are breastfeeding
your baby, wait until
your child is one month old or is used to breastfeeding before
using a pacifier.
- Do not let your baby overheat during sleep.
Dress your baby in light sleep
clothing, and keep the room at a temperature that is comfortable
for an adult.
- Avoid products that claim to reduce the risk of
SIDS because most have not
been tested for effectiveness or safety.
- Do not use home monitors
to reduce the risk of SIDS. If you have questions
about using monitors for other conditions talk to your health
- Reduce the chance that flat spots will develop
on your baby's head: Provide
"Tummy Time" when your baby is awake and someone
is watching; change the
direction that your baby lies in the crib from one week to
the next; and avoid too
much time in car seats, carriers and bouncers.