Recommendations for a safe sleep environment include supine positioning, the use of a firm sleep surface, room-sharing without bed-sharing, and the avoidance of soft bedding and overheating.
Additional recommendations for SIDS reduction include the avoidance of exposure to smoke, alcohol, and illicit drugs; breastfeeding; routine immunization; and use of a pacifier.
New evidence is presented for skin-to-skin care for newborn infants, use of bedside and in-bed sleepers, sleeping on couches/armchairs and in sitting devices, and use of soft bedding after 4 months of age.
The recommendations and strength of evidence for each recommendation are included in this policy statement.
Individual medical conditions may warrant that a health care provider recommend otherwise after weighing the relative risks and benefits.
Crib mattresses also have been developed to improve the dispersion of carbon dioxide in the event that the infant ends up in the prone position during sleep.Many of the modifiable and nonmodifiable risk factors for SIDS and other sleep-related infant deaths are strikingly similar.The American Academy of Pediatrics recommends a safe sleep environment that can reduce the risk of all sleep-related infant deaths.The AAP concurs with the US Food and Drug Administration and the CPSC that manufacturers should not claim that a product or device protects against SIDS unless there is scientific evidence to that effect.13.
Do not use home cardiorespiratory monitors as a strategy to reduce the risk of SIDS.Although data do not support the claim of carbon dioxide dispersion unless there is an active dispersal component, there is no harm in using these mattresses if they meet standard safety requirements.