SIDS

Your baby’s sleep – SIDS and kids safe sleeping

What is SIDS? 

SIDS is short for ‘Sudden Infant Death Syndrome’, which used to be called ‘cot death’. It means the sudden, unexpected death of a baby from no known cause. SIDS is the most common cause of death in babies between one month and one year of age. Most babies that die of SIDS are between 2 and 4 months old, with more babies dying of SIDS in winter than in summer.

It is still not clear what causes SIDS. Some factors are thought to work together to reduce the risk of SIDS, but they may or may not help prevent SIDS. 

How can you reduce the risk of SIDS? 

There are four main ways to reduce the risk of SIDS

• Put your baby on their back to sleep, from birth
• Sleep baby with face uncovered
• Cigarette smoke is bad for babies
• Ensure that your baby’s sleeping space is safe 

Put baby on the back to sleep, from birth 

Sleeping on the back reduces the risk of SIDS. The chance of babies dying from SIDS is greater if they sleep on their tummies or sides. Put your baby on the back to sleep, from birth, unless your doctor or nurse tells you otherwise. Healthy babies placed to sleep on the back are less likely to choke on vomit than tummy sleeping infants. 

Tummy play is safe and good for babies when they are awake and an adult is present. But remember not to put a baby on its tummy to sleep. 

Baby-sitters and others that care for your baby may not know that tummy or side sleeping increases the risk of SIDS. Explain this to them before you leave your baby in their care. 

Older babies in the cot can turn over and move around. Put them on their back but let them find their own sleeping position. The risk of SIDS in babies over 6 months is extremely low. 

Sleep baby with face uncovered 

Be careful to ensure your baby’s face and head stay uncovered during sleep as this decreases the risk of SIDS. 

A good way to do this is to put baby’s feet at the bottom of the cot, so that baby can’t slip down under the blankets. You might decide not to use blankets at all and instead, use a safe baby sleeping bag: one with fitted neck and arm holes. 

When baby is put to sleep, check that: 

• Your baby is tucked in securely or is in a safe sleeping bag
• Cot bedding is not loose
• There are no quilts, duvets, pillows, or cot bumpers in the cot
• Use a firm, clean mattress that fits snugly in the cot 

Taking baby into an adult bed may be unsafe as baby can: 

• Get caught under adult bedding or pillows
• Become trapped between the wall and the bed
• Fall out of bed
• Be rolled on by someone who sleeps very deeply or who is affected by drugs or alcohol 

Cigarette smoke is bad for babies 

Cigarette smoke harms babies before birth and after. Parents that smoke during pregnancy and after the baby is born, increase the risk of SIDS for their baby. In fact, if mother smokes, the risk of SIDS doubles, and if father smokes too, the risk doubles again. 

There is an increased risk of SIDS if parents are smokers, even if they smoke outside, away from the baby. If mothers who smoke share a bed with their babies; the risk of SIDS is increased. The reasons for this are not clear. However, we do know that being a non-smoker or smoking less will reduce the risk for your baby. 

Try not to let anyone smoke near your baby – not in the house, the car, or anywhere else your baby spends time. 

If you want to quit smoking and you’re not finding it easy, ask for help. Ask your doctor, midwife or healthcare practitioner for information and advice on how to quit. 

Ensure baby’s sleeping space is safe 

Safe cot 

Does the cot meet SABS approval? 

Old or second-hand cots may be dangerous for the following reasons: 

• Wobbly or broken parts that make the cot weak
• Gaps a toddler or baby can get caught in
• Knobs, corner posts or exposed bolts that can hook onto a toddler’s or baby’s clothing around the neck
• Sides that are too low and can be climbed over by active little toddlers
• Sharp catches or holes in the wood that can hurt curious little fingers
• Paint that might contain poisonous lead
• Check that cots meet the SABS Approval before use 

Babies can become trapped in a tilted rocking–cot or cradle. If you have a cradle or cot that rocks and has a locking pin, make sure you secure the locking pin firmly in place whenever you leave your baby, and double check it to make sure the cradle cannot move when you are not there to supervise. 

Note – portable cots aka carry cots 

Use the firm, clean, well-fitting mattress that is supplied with the portable cot. Don’t add additional padding under the mattress as baby can get trapped face down in gaps created between the mattress and the cot wall. 

Remember: 

Always look for the SABS stamp of approval before you buy a cot.

If you are planning to use a secondhand cot, check that it meets safety standards. 

Safe mattress 

Is the cot mattress the right size for the cot, and is it firm and clean? 

A toddler or baby can get stuck in gaps between the mattress and the cot sides. This is especially dangerous if their face is trapped and covered, or their neck is restricted in any way. Make sure there is no more than a 25 mm (2.5 cm) gap between the mattress and the cot sides and its ends. 

• Remove plastic packaging from the mattress
• Always make sure the waterproof mattress protector is strong and a tight fit
• A pillow or cushion is not a safe mattress. They are soft and may cover baby’s face. 

Safe bedding 

Remove pillows, quilts, duvets and lambskins from the cot 

• Soft and puffy bedding in the cot is unnecessary and may cover your baby’s face, making breathing difficult.
• If you firmly wrap or swaddle your baby, it is safer not to cover baby’s head. 

A safe place to sleep 

The following are things to look out for and avoid where your toddler or baby sleeps – both during the night and for any daytime naps.

Remember to look for these things in your own home and anywhere your child is cared for – including day care, childcare centres, and the homes of family and friends: 

1. An unsupervised adult bed is unsafe for babies or toddlers if they: 

• Get caught under the bedding or pillows
• Get trapped between the wall and the bed
• Fall out of bed
• Are rolled on by someone who sleeps very deeply or who is affected by drugs or alcohol. The risk of accident is increased if you leave your baby or toddler alone on an adult bed or bunk bed. 

2. Soft sleeping places where a toddler’s or baby’s face may get covered: 

• If you fall asleep with the baby while on a couch or sofa, there is a very high risk of a sleeping accident.
• Babies don’t need pillows. Pillows, cushions or ri-pillows are too soft and can cover baby’s face.
• Don’t put your baby or toddler on a waterbed or beanbag. They are not safe for babies or toddlers. 

3. Dangling cords or string 

• Keep the cot away from any cords hanging from blinds, curtains or electrical appliances because they could get caught around baby’s neck.
• Keep mobiles out of the reach of curious little hands and mouths. 

4. Heaters and electrical appliances 

• Keep heaters or any electrical appliances well away from the cot to avoid the risk of overheating, burns and electrocution.
• Don’t use electric blankets, hot water bottles or wheat-bags for babies or young children.
• Remember that your toddler or baby cannot escape from a bed or cot to cool down and does not know how to remove bedclothes. A baby that becomes too hot is at an increased risk of SIDS. 

5. Prams, strollers and bouncers where restraints are not done up 

• Always do up the restraints when baby is in a pram, stroller, bouncer or any other baby/toddler equipment.
• It can be dangerous if baby becomes tangled in loose restraints.
• Also, restraints will not be the safety measure they should be if they are not done up the way they are supposed to be.
• Make sure the footrest on the stroller is strong and secure.
• A weak footrest may give way and cause baby to become trapped. 

5 ways to sleep baby safely and reduce the risk of sudden unexpected death in infancy: 

1. Sleep baby on the back from birth, not on the tummy or side.
2. Sleep baby with head and face uncovered.
3. Keep baby smoke-free before and after birth.
4. Provide a safe sleeping environment night and day.
5. Sleep baby in their own safe sleeping place in the same room as an adult care-giver for the first 6 to 12 months. 

The information above has been provided as an overview of safe sleeping practices that you should follow.