Giving Birth with Confidence

"In-Bed Sleepers" Linked to Infant Deaths - What You Need to Know

Cara Terreri

By Sharon Muza, BS, CD/BDT(DONA), LCCE, FACCE, CLE 

October is SIDS Awareness Month. SIDS stands for Sudden Infant Death Syndrome. According to the Centers for Disease Control (CDC), SIDS is “a term used to describe the sudden and unexpected death of a baby less than 1 year old in which the cause was not obvious before investigation. These deaths often happen during sleep or in the baby’s sleep area.” In the USA, (which has the highest rate of SIDS in the world), approximately 3,500 infants die from SIDS each year. It is difficult to track these deaths as investigations and reporting methods are not uniformly applied.

It's important for new parents and experienced parents alike to understand safe sleep environments, the protective factor breastfeeding or chestfeeding a baby offers, and other ways to reduce the risks of SIDS. The Safe to Sleep® campaign from the US National Institute of Child Health and Human Development (NICHD) provides resources for parents and caregivers to learn about safe infant sleep. Resources are available in Spanish and English, as well as additional materials designed for specific communities including African American and Indigenous/Alaska Native populations. Some of these resources include:

2019 has seen a lot of discussion and press about “inclined sleepers,” such as the Fisher-Price "Rock ‘n Play" and "Kids II," which were linked to several dozen infant deaths with the numbers continuing to rise with further investigation. 

Unfortunately, there is a new category of products that create a false sense of security with parents of infants and has been linked to infant deaths. “In-bed sleepers” are being used by parents who want to “safely bed-share” in order to facilitate easier nighttime feedings and comfort for their babies. Examples of popular brands of these products include “DockATot,” “Baby Delight Snuggle Nest Infant Sleeper” and “SwaddleMe By Your Side Sleeper,” which have all been linked to fatalities by the Consumer Product Safety Commission (CPSC). None of these products (in bed or reclined) have been tested for sleep safety or approved for infant sleep.  There are no federal standards that guide the manufacture or use of any of these products for parents to use when making decisions about safe sleep products for their families.

Ben Hoffman, M.D., chairperson of the American Academy of Pediatrics’ Council on Injury, Violence, and Poison Prevention’s executive committee states that "in-bed sleepers" pose “an immediate and constant risk to a child sleeping in one of them.”

There is a proposal on the table to modify the federal safety rules so that all infant sleepers must meet strong safety requirements, but that has not yet been accepted. 13 different types of infant sleep products (over 6.5 million products) have been recalled in the past 20 years, for being linked to infant deaths. Many of these products do not offer a flat sleep surface and the CPSC recommends that any infant sleep product not exceed 10 degrees of incline in order to provide the safest sleep environment.

As a parent or caregiver, you can learn more about the dangers of in-bed sleepers and the reclined infant sleepers in this just published Consumer Reports article. You can also check out this link to the Consumer Product Safety Commission, which provides information on product recalls for infant safety and other safe sleep information for parents, in English and Spanish.

It's important for parents and caregivers to learn about safe sleep environments, including safe bed-sharing. Most exhausted parents will bring their babies into their bed at some point to feed or comfort (or both). For many cultures, this is just the norm.  For others, it is an attempt to get more sleep.  Parents must be informed on how to bed-share safely, and to avoid products like "in-bed sleepers" that provide the appearance of reducing risks but have in fact been shown to increase the risk of their baby becoming a statistic. Unfortunately, some health care providers do not talk about the realities of nighttime parenting with sensitivity, compassion, and offer safe solutions, which can cause parents to feel like they need to “go underground” with their chosen preferences, like moving to a recliner or couch for nighttime feedings, which is more dangerous than they realize.

Below is a list of some of my favorite safe sleep resources:

Sharon Muza, BS, LCCE, FACCE, CD/BDT(DONA), CLE has been an active perinatal professional since 2004, teaching Lamaze classes to thousands of families and doula-ing through her private practice in Seattle, WA. Sharon is also a trainer of new birth doulas and childbirth educators. She blogs professionally on perinatal topics. Sharon enjoys facilitating discussion around best practice, current research and its practical application to maternal infant health and community standards. To learn more about Sharon, you are invited to visit her website, SharonMuza.com.

Tags: Safe sleep , Sleep Safety , Safe Sleep Guidelines