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Safe Sleep

Child care has been a risk factor in sleep-related infant deaths and outreach to child care sites to ensure that all babies are sleeping in a safe environment has been ongoing.  Here are some resources.


The AAP Policy Statement "SIDS and Other Sleep-Related Infant Deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment ," and Technical Report, draws on new research and serves as the first update to Academy policy since 2011. Parents may find it helpful to read: How to Keep Your Sleeping Baby Safe: AAP Policy Explained.

​Additional helpful resources include:

Safe Sleep for Babies - 
Video - American Academy of Pediatrics (AAP) video on safe sleep environments for babies. 

Back to Sleep, Tummy to Play - 
American Academy of Pediatrics (AAP) discusses safe sleep and tummy to play practices for babies. 


Reducing the Risk of SIDS and SUID in Early Education and Child Care
The AAP provides a free online learning module for early education and child care providers regarding safe sleep. You can learn more about this free course here

Research Articles

Infant Sleep Environments Depicted in Magazines Targeted to Women of Childbearing Age   
The authors of this study evaluated pictures in magazines widely read by women of childbearing age, for adherence to AAP guidelines for safe infant sleep practices. Results showed that more than one third of pictures of sleeping infants in magazines geared toward childbearing women demonstrated infants in an inappropriate sleep position, and two thirds of pictures of infant sleep environments were not consistent with AAP recommendations. Messages in the media that are inconsistent with health care messages create confusion and misinformation about infant sleep safety and may lead inadvertently to unsafe practices.

Reducing the Risk of Sudden Infant Death Syndrome in Child Care and Changing Provider Practices: Lessons Learned From a Demonstration Project
From September 2004 through September 2007, the AAP coordinated a project to evaluate the use of the AAP Speakers' Kit combined with a training and evaluation effort that incorporated direct observation of child care provider practices. The purpose of this study was to evaluate the effectiveness of the curriculum and train-the-trainer model in changing knowledge, attitudes, and behaviors (reported and observed) in child care providers with regards to sleep position and other elements of a safe sleep environment for infants. A secondary objective was to assess challenges and barriers to implementing safe infant sleep guidelines in child care settings.

State Child Care Regulations Regarding Infant Sleep Environment Since the Healthy Child Care America Back to Sleep Campaign 
Rachel Moon, MD, FAAP, and colleagues reviewed the state child care regulations that have been enhanced or initiated since the inception of the Healthy Child Care America Back to Sleep Campaign in 2003. This article states that the campaign has been successful in promoting safe infant sleep regulations. The AAP helped launch the campaign in 2003 to address the fact that the sudden infant death syndrome (SIDS) rates in child care settings had remained constant despite the decrease in SIDS deaths overall. Since then, 60 of the 101 related state child care regulations have been revised, with more than half requiring that babies be put to sleep on their backs and soft bedding not be used in cribs.

Additional Reources