Safe Sleep for Babies and Toddlers

What is safe sleep, and why does it matter?

Safe sleep is about creating an environment where your baby can sleep soundly and, most importantly, safely. Every year, heartbreaking stories emerge about preventable sleep-related accidents. The good news? Following safe sleep guidelines for babies and toddlers significantly reduces the risk of Sudden Infant Death Syndrome (SIDS) and other sleep-related injuries.

Safe sleep practices prioritize your baby’s safety and comfort by addressing key factors such as sleep position, environment, and routines. Whether you’re navigating the early days with a newborn or managing toddler sleep, following these evidence-based guidelines is essential for promoting your little one’s well-being.

The basics of safe sleep for babies

The American Academy of Pediatrics (AAP) has clear, science-backed, safe sleep guidelines that every parent should follow, starting from Day 1. Yes, that means even in the hospital.

Here’s what you need to know to create the safest sleep environment for your baby:

Back to sleep, every time. Always place your baby on their back for naps and nighttime sleep, even if they roll over to their tummy while sleeping. This position greatly reduces the risk of SIDS and suffocation.
No swings or bouncers. While they’re great for playtime, never let your baby sleep in a swing or bouncer, as these positions can make it harder for them to breathe. Make sure to supervise your little one if they do briefly fall asleep in one.
Firm, flat surface. Use a safety-approved crib or bassinet with a firm, flat mattress and a snug-fitting sheet. Soft surfaces, such as soft mattresses or pillows, pose suffocation risks.
Keep the crib bare. The sleep space should be free from blankets, pillows, bumpers, stuffed animals, or any other soft objects. These can interfere with breathing.
Room-sharing, not bed-sharing. The AAP recommends room-sharing with your baby for at least the first six months but not bed-sharing. Bed sharing includes a bassinet that attaches to your bed with one side down. Keeping the crib or bassinet with all four sides up next to your bed ensures you can easily attend to your baby without the risks of sharing the bed.
Check the temperature. Keep the room at a comfortable temperature, ideally between 68–72°F (20–22°C). Avoid overdressing your baby with too many layers, as overheating is another risk factor.
No smoking. Ensure your baby’s sleep environment is smoke-free, both during pregnancy and after birth. Secondhand smoke increases the risk of SIDS and other health problems.

These safe sleep practices for babies aren’t just suggestions, they’re backed by extensive research and real-life stories from parents and healthcare professionals.

The dangers of co-sleeping, even when breastfeeding

We get it, those late-night feeds are exhausting. It’s so tempting to just let your baby drift off next to you in bed. But the risks of co-sleeping are serious and real.

Decreased oxygen level. When babies sleep too close to a parent’s body or soft bedding, their oxygen intake can drop, which can lead to life-threatening situations.
Accidental suffocation. Babies can get trapped under blankets, pillows, or even a parent’s arm, increasing the risk of suffocation.
Falls. Many tragic incidents occur when babies roll off a bed or are left in precarious sleeping positions. Even in hospitals, newborns have been hurt while co-sleeping on adult beds or surfaces.

Staying awake during night feeds

Night feeds are tough, but it’s important to stay awake while feeding your baby to avoid sleep-related risks. Here are some tips to help you stay alert:

Sit up in a chair. Instead of lying down in bed, sit up in a supportive chair to feed your baby, which makes it easier to stay awake.
Use a nursing pillow. A nursing pillow can offer support and comfort during nighttime feedings, making it easier to stay upright and alert.
Keep a dim light on. A dim light helps you stay awake and keeps the environment calm without disturbing your baby’s sleep cycle.
Stay engaged. Scroll through your phone or listen to a podcast or an audiobook. Keeping your mind engaged can help prevent you from falling asleep.
Set alarms. If you’re feeling extra tired, set an alarm to remind yourself to wake up and stay alert, or consider asking your partner for support during night shifts.

And remember: If you’re feeling too sleepy, it’s ok to place your baby back in their crib or bassinet and take a moment to wake yourself up.

Addressing common safe sleep misconceptions

“My baby will be cold without a blanket.”

It might seem cozy, but blankets are a suffocation risk, especially fuzzy ones, which can block your baby’s airway more easily. Use a swaddle or a sleep sack if your baby can roll to keep your baby warm and safe. Want to use a cute blanket for a photo? Go ahead, snap that adorable picture, and then remove the blanket to keep your baby’s sleep space safe and secure.

2. “My baby rolls over during the night so I can put them to sleep on their stomach.”

Even if your baby has mastered rolling, always start them on their back for sleep. This greatly reduces the risk of suffocation and ensures a safer starting position. If they roll over on their own during sleep, no need to worry, just make sure the sleep space is free of hazards.

3. “Bed-sharing helps with bonding.”

Cuddling with your baby is one of the best parts of being a parent, but sharing a sleep space is not worth the risks. Luckily, there are plenty of ways to bond safely. Skin-to-skin cuddles, eye contact during feeds, and interactive playtime are all great options!

4. “My baby was just born, one night in the hospital bed won’t hurt.”

We get it, those first snuggles with your newborn are pure magic, and it’s tempting to keep them close in the hospital bed. But hospital beds are small, and accidents can happen. There’s a real risk of your baby falling off the bed or suffocating, especially if an exhausted partner joins in the snuggle. The safest place for your little one is always in their own crib or bassinet, even in the hospital. Snuggle all you want while they’re awake, and then tuck them into their safe sleep space when it’s time for sleep. It’s all about finding that sweet balance between bonding and safety

Creating a safe sleep environment for toddlers

As your baby grows into a toddler, their sleep needs change, but safe sleep guidelines for toddlers remain a top priority.

Transition to a toddler bed. Once your toddler is able to climb out of their crib or even starts trying to, it’s time to transition to a toddler bed. Make sure the new bed is secure and low to the ground.
Use lightweight bedding. When you make the switch from sleep sacks to blankets, use lightweight blankets, making it easier for toddlers to remove them from their faces to prevent suffocation.
Secure the room. Anchor heavy furniture to the walls, remove sharp objects, and keep hazardous items out of reach. Toddlers are naturally curious, and a safe room can prevent injuries as they explore.

How does safe sleep build healthy sleep habits?

Creating a safe sleep space for your little one isn’t just about keeping them safe; it’s also key to building healthy sleep habits. When babies sleep in a safe, consistent environment, it helps them feel secure and comfortable, which helps them get the restful sleep they need.

Safe sleep practices, such as putting babies to sleep on their backs in a firm crib without soft bedding, support uninterrupted rest, allowing babies to fall into natural sleep cycles. A predictable routine also signals to babies that it’s time to sleep, helping them develop the healthy sleep patterns they need to grow and develop. Plus, a calming routine and secure sleep space make bedtime smoother for both your little one and you!

Give it a try!

Safe sleep for babies and toddlers starts from Day 1 and requires consistency, patience, and awareness. Whether you’re a first-time parent or a seasoned pro, remember that every small step you take toward creating a safe sleep space makes a big difference.

A great resource we recommend from first-hand experience is Taking Cara Babies. Founded by Cara Dumaplin, a neonatal nurse, wife of a pediatrician, and certified pediatric sleep consultant, Cara offers expert guidance on building healthy sleep habits. As a mom of four, she provides practical, gentle solutions that help babies (and parents!) get the rest they need.

If you’re ever unsure or need guidance, don’t hesitate to reach out to your pediatrician or a trusted healthcare professional. Your little one’s safety is worth it, and you’re doing an amazing job!