Here's Help deciding where to lay your baby's head.
By Jeannette Crenshaw, DNP, RN, IBCLC, NEA-BC, FAAN, LCCE, FACCE, and Linda J. Smith, MPH, IBCLC, LCCE, FACCE
Ask anyone how much sleep you’re likely to get after your baby is born and they’ll all tell you the same thing: “Not much.” But ask where your baby should sleep and you’ll probably get several different answers. Even the professionals can’t agree. The American Academy of Pediatrics (AAP) advises parents not to take their babies with them to sleep at night on the same sleeping surfact (called “bed-sharing”) due to the belief that this increases the risk of sudden infant death syndrome (SIDS). The AAP recommends that babies have a separate but nearby place to sleep, such as a crib or bassinet in the parents’ bedroom for at least the first six months and, optimally, for the first year. No research is available to support the notion that it’s safer for babies to sleep alone, or that those who do become more independent than babies who sleep with their parents.
Skin-to-Skin & Rooming-In
Since the beginning of time, women have needed and wanted their new babies close to them. Today we know that this yearning for closeness is a physiological need shared by both mother and baby. Studies have shown that newborns who are placed skin-to-skin on their mother’s chest right after birth will adjust more easily to life outside the womb, stay warmer, cry less and breastfeed sooner than newborns who are separated from their mothers.
The AAP and Lamaze recommend skin-to-skin care immediately following birth for at least an hour as soon as the mother is medically stable and awake. It’s important that your baby stay as close to you as possible in the days following birth also. Rooming in with your baby on a separate sleeping surface, such as a bassinet or crib, allows you to learn your newborn’s needs, as well as how to best care for, sooth and comfort them. Rooming-in also offers the best start for breastfeeding. The nearer your baby is to you, the sooner you will make more milk and the more likely you are to breastfeed longer and exclusively. (Experts recommend exclusive breast‑feeding – no other foods or liquids – during the first 6 months of life.)
It’s safety that should concern you most. Always put her on her back when you lay her down on a firm surface. This is the best known SIDS prevention tactic. Keep the bedroom at a temperature you find comfortable when lightly clothed, and dress your baby for sleep the same way. Overheating can be dangerous. Her crib, bassinet or cradle should meet current safety standards and be free of soft bedding, crib bumpers, blankets and plush toys, which are suffocation hazards.
The safest place for your baby to sleep? A place near you. What’s most important is that you and your baby are near each other and get some sleep.