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Safe Sleep for Babies: Back to Sleep, a Bare Crib and Room-Sharing (AAP)

Back to sleep, a bare crib and room-sharing, for every sleep in the first year — from AAP safe-sleep guidance.

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TLDRThe short version, if you only have a minute

  • For every sleep in the first year: alone, on the back, in a crib, bassinet or play yard with a firm, flat mattress and a fitted sheet only.
  • No pillows, blankets, bumpers or soft toys. An ordinary sleep sack is fine; weighted ones aren't recommended.
  • Share a room, not a bed, ideally for at least the first 6 months.

The basics, for every sleep (naps and nights) in the first year

  • Alone, on the Back, in a Crib (the "ABCs"): the baby sleeps on their back, on a firm, flat surface (crib, bassinet or play yard that meets safety standards), with a fitted sheet only.
  • Nothing else in the sleep space: no pillows, blankets, bumpers, or soft toys. A wearable blanket or sleep sack is fine if warmth is needed — but use an ordinary, unweighted one. Weighted sleep sacks, swaddles and blankets are not recommended by the AAP.
  • Room-sharing without bed-sharing is recommended, ideally for at least the first 6 months.
  • Avoid inclined sleepers, car seats, swings or couches for routine sleep. If a baby falls asleep in a car seat or swing, move them to a flat, safe surface when practical. Falling asleep with a baby on a sofa or armchair is especially dangerous.
  • Avoid overheating and smoke exposure. Offering a pacifier at sleep time is associated with lower risk.
  • Once a baby can roll both ways on their own, they don't need to be repositioned onto their back.

Why firm guidance here

Sleep-related infant deaths are rare but devastating, and these steps are well supported by evidence. This is an area where "every family is different" does not apply to the basics.

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Grounded in: American Academy of Pediatrics (AAP) safe-sleep recommendations, as also presented in the What to Expect series. This is one of the few areas with firm, non-negotiable guidance.

General information, not medical advice. If something feels wrong, trust that and call your pediatrician or provider. See Sources.

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