physical and emotional well-being. An important part of
establishing good sleeping habits is the sleep environment –
where your child sleeps, the kind of crib or
baby bed,
the type of mattress, and so on.
Creating a safe sleep environment will also reduce the
risk of sudden infant death syndrome (SIDS), which is when a
baby younger than one year of age dies unexpectedly while
sleeping. Putting your baby to sleep on his back reduces the
risk of SIDS.
The Canadian Paediatric Society recommends that babies
under one year of age sleep on their backs in cribs that meet
Canadian Government safety standards. Babies should not sleep
in their parents’ bed, which is called bedsharing. Adult
beds are not safe for babies. Many large-scale studies have
shown that bedsharing can put babies at greater risk for
entrapment and suffocation.
If you want your baby to be near you during the night,
you can put a crib in your room, next to your bed. This is
called cosleeping. Many mothers find that this makes night-
time breastfeeding easier. This type of sleeping arrangement
may also further reduce the risk of SIDS.
Whatever you choose, here are some things you should know
to help you and your baby get a good and safe night's
sleep.
General guidelines
For the first year of your baby’s life, the
safest place to sleep is in the child’s own
baby
crib, on her back.
When your baby can turn over on his own, there’s
no need to force your baby into the back sleep position. Foam
wedges or towel rolls to keep babies on their side should not
be used.
Infants should never sleep on pillows, air
mattresses, waterbeds, cushions, soft materials or loose
bedding. Even when you are travelling, your baby must have a
safe place to sleep. Car seats and infant carriers are not to
be used to replace the crib for your baby’s sleep.
A baby should sleep in a room that is quiet, dark
and at a slightly cool temperature.
Consider dressing your baby in sleepers so that
you don’t need a blanket to cover her.
Keep your baby away from cigarette smoke. Babies
whose mothers smoked during pregnancy, and babies who
continue to be exposed to smoke after birth are at an
increased risk of SIDS.
Never nap or sleep with your baby or let your
baby sleep alone on a couch, sofa or armchair. This increases
the risk of suffocation.
Babies under one year of age should sleep on their backs
in their own cribs
Be sure your
baby
cot meets government safety standards.
Place your baby to sleep on his back on a firm,
flat surface. Do not use eiderdowns (a comforter filled with
a type of down), comforters, bulky blankets, bumper pads or
pillow-like items in your baby’s bed.
Do not leave a bottle of milk or juice in your baby
’s bed.
Establish a calming bedtime routine that is
consistent and predictable.
Try to keep nap times and bedtime the same every
day, even on weekends.
Set aside 10 min to 30 min to do something special
with your baby before bed. Depending on your baby’s age,
this could be a quiet talk, quiet play or reading.
Allow infants to fall asleep on their own so that
they can learn to comfort themselves.
The practical benefits of bed sharing are obvious. Not
only are parents close by to respond to the baby if something
goes wrong, but co-sleeping makes it easier for
the breastfeeding mom to nurse throughout the
night. Then, of course, there's the irresistible sweet
intimacy of it. "There is an instinctive need for the
mother to be close to her baby," says Cynthia Epps,
M.S., a certified lactation educator at the Pump Station in
Santa Monica, Calif. Working women who don't get to see
their babies all day may be especially attracted to co-
sleeping to make up for the missed contact. "Keeping the
baby close, with skin-to-skin contact, calms the
baby," says Epps. "And it can cement the emotional
bond between mother and child."
What about sharing a bed with older children, for
whom co-sleeping poses no significant health risks? Samantha
Gadsden, a birth doula in Caerphilly, Wales, shares a
bed with her three children, even though the U.K.'s
National Health Service shares the AAP's stance against
co-sleeping. When other risk factors are not present,
official discouraging of co-sleeping is "coercion and
scare-mongering, and treating women like they are not
intelligent," Gadsden told BBC News in November 2018.
"It's biologically normal to co-sleep," she
said, adding that parents should be informed of the pros, as
wells as the cons, of bed-sharing, including the potential
benefit of helping babies to regulate their breathing and
temperature.
How Much Sleep Do Babies Need?
Sleep patterns will change over the first
year of a baby’s life, including the number of hours of
sleep needed and the duration of sleep periods throughout the
day and night.
0 to 3 months: It’s normal for newborns
to spend 14 to 17 hours1 asleep in a 24-hour day,
broken into shorter periods to accommodate feeding, diaper
changes, and interaction with their family. Breastfed infants
usually need to eat more frequently than bottle-fed
infants2, about every 2 hours versus every 3 hours.
The American Academy of Sleep Medicine3 advises
parents not to worry if their newborn’s sleep pattern doesn
’t match the projections, as these amounts can vary before
the first 4 months.
3 to 6 months: Starting at around 3
months of age, an infant’s daily sleep needs drop to 12 to
15 hours. Around this time, sleep also starts consolidating
into longer periods4 as babies are able to go
longer without feeding. Sometime during this period is when
most babies start to sleep through the night, though
there are exceptions to the rule.
6 to 12 months: From 6 months onward,
babies do the bulk of their sleeping at night. However, other
issues such as teething, growth spurts, illnesses, or sleep
regressions may start leading to nighttime awakenings.
Parents may opt to use more specific sleep-training
strategies if babies aren’t sleeping through the night
at this stage.
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