Publishing date:
August 20, 2024

Can Newborns Sleep on Their Side? A Pediatrician's Guide

5 minutes

Summary: In this article, you'll learn about safe sleep positions for newborns, why back sleeping is recommended, and the risks associated with side and stomach sleeping. You'll also discover essential tips for creating a safe sleep environment, helping ensure your baby's well-being and reducing the risk of sleep-related incidents like SIDS.

Can Newborns Sleep on Their Side? A Pediatrician's Guide

The sleep habits of newborns spark a myriad of questions among new parents, one of the most pressing being: Can newborns sleep on their side? Understanding safe sleeping positions is crucial as it directly impacts your baby's sleep safety and overall health. This article seeks to unravel the complexities surrounding newborn sleep positions, providing insightful guidance backed by pediatric expertise.

Understanding Newborn Sleep Patterns

Newborns typically sleep a lot—around 14 to 17 hours a day—divided into short periods. Their sleep cycles differ from those of adults, consisting of active sleep (REM) and quiet sleep phases. Babies can fall asleep almost anywhere, and it’s common for them to sleep in various positions throughout the day and night. However, sleep safety remains a priority, particularly in the earliest stages of life.

Recommended Sleep Positions for Newborns

The Back Sleep Position

The American Academy of Pediatrics (AAP) recommends that infants be placed on their backs to sleep as the safest sleeping position. This guideline is designed to minimize the risk of Sudden Infant Death Syndrome (SIDS), a sleep-related infant death occurring without warning. Placing your baby on their back ensures that their airways remain clear, which is crucial for preventing sleep-related risks. Most babies instinctively sleep in this position, making it the easiest and safest choice for parents.

Side Sleep Position and Its Risks

While it’s common for many parents to wonder about side sleeping, research suggests significant risks associated with this position. When babies are placed on their sides to sleep, there’s an increased chance for them to roll onto their stomachs, which poses a higher risk of SIDS. The firm crib mattress recommended for babies ensures that they aren't sinking into soft surfaces, significantly reducing the potential hazards that come with improper sleeping positions.

The Stomach Sleep Position

When discussing the sleeping position, stomach sleeping is often mentioned as well. It is crucial to highlight that babies should never be placed on their stomachs to sleep, especially until they are older and can roll over consistently. While many parents worry about their baby rolling onto their stomach during sleep, introducing side sleeping only increases this risk. Babies should be placed on their backs and always supervised if they demonstrate the ability to roll over in their sleep.

The Importance of a Safe Sleep Environment

Creating a safe infant sleeping environment is vital for reducing risks associated with sleep-related infant deaths. Here are essential tips for ensuring your baby's sleep space is as safe as possible:

  • Firm Crib Mattress: Use a firm mattress that fits snugly in the crib. This prevents gaps where a baby could get trapped, which can lead to suffocation.
  • Flat Sleeping Surface: Ensure that the crib or bassinet and mattress are designed specifically for infant sleep and are free from any wedges or elevated positions.
  • Minimal Bedding: Keep the sleep area free of soft objects, such as stuffed animals, pillows, and blankets. Loose bedding poses risks for suffocation or entrapment.
  • Same Room, Different Sleep Spaces: The AAP recommends sharing the same room with your baby but not the same bed. This arrangement makes it easier for you to keep an eye on your little one while still providing a safe sleep environment.

Consider using a bassinet or co-sleeper that attaches to the side of your bed for added convenience.

  • Avoid Overheating: Keep the room at a comfortable temperature and dress your baby in light, breathable clothing. This helps prevent overheating, which is linked to an increased risk of SIDS.
  • No Smoking: Avoid smoking in the house or around your baby. Secondhand smoke has been linked to an increased risk of SIDS.
  • Breastfeeding: If possible, breastfeed your baby as it has been shown to reduce the risk of SIDS significantly.
  • Back to Sleep: Always place your baby on their back for sleep. This position has been proven to be the safest and helps reduce the risk of SIDS.

There may be some instances where a baby needs to sleep on their stomach, such as for medical reasons. In these cases, always follow the advice of your pediatrician.

While following these tips can greatly reduce the risk of sleep-related infant deaths, it is important to note that there is no completely foolproof way to prevent them. It is crucial for parents and caregivers to stay informed about safe sleep practices and create a safe environment for their baby's restful slumber

Safe Sleep Practices

Aside from creating a safe sleep environment, there are also practices that parents can follow

Monitoring Baby's Rolling Abilities

As babies grow, they develop new motor skills, including the ability to roll. Typically, most babies begin to roll over from tummy to back and vice versa between 4-6 months of age. Until your baby demonstrates consistent rolling abilities, placing them on their back to sleep remains essential.

Once your baby can roll independently, they may find their preferred sleep position naturally. Research indicates that when a baby rolls to their stomach or side during sleep after being placed on their back, it is generally considered safe. Nevertheless, it’s recommended that parents continue to place them in the back sleeping position initially, allowing the child’s natural progression to sleep comfortably without restriction.

Bed Sharing: A Risky Choice

While bed-sharing may seem appealing to some parents for convenience and bonding, it is essential to recognize that it presents increased risks for sleep-related incidents. Babies sleeping in the same bed as their parents are more vulnerable to suffocation, falls, and accidental overlay. Instead, consider sharing the same room, allowing you to respond quickly to your baby's needs while ensuring their sleep space remains safe.

Common Concerns

What If My Baby Falls Asleep on Their Side or Stomach?

It's normal for babies to shift positions throughout their sleep, but it's crucial to always place them on their back initially. If your baby happens to fall asleep on their side or stomach, gently repositioning them onto their back is advisable. Staying attentive to their sleep patterns is essential for ensuring safety throughout the night.

Addressing Parental Anxiety

Many parents experience anxiety over their baby's sleep safety, particularly regarding SIDS and other sleep-related concerns. Education is key; awareness of safe sleeping practices goes a long way in alleviating those worries. Consulting with your pediatrician can also provide reassurance and additional guidance tailored to your baby's specific needs.

The Role of Stuffed Toys and Sleeping Aids

While it’s common for infants to develop attachments to comfort items, it is vital to keep stuffed toys and blankets out of the crib for the first year. These items pose suffocation hazards and should be kept for supervised playtime instead.

Questions About Sleeping

If you have any lingering questions about your baby's sleep practices or safety, you can chat with a Blueberry Pediatrician in minutes as a member. Their expertise can help address your specific concerns and provide tailored recommendations. Join now using the following link: Connect with a Blueberry Pediatrician. As a special perk, you will also receive a discount on medical services!

Final Thoughts on Newborn Sleep Safety

In conclusion, ensuring your newborn can sleep safely involves understanding sleep positions and creating a safe sleep environment. The answer to whether newborns can sleep on their side is relatively straightforward—it's not recommended due to increased risks associated with SIDS. Instead, opting for back sleeping on a firm crib mattress in a safe sleep space is the best practice for promoting a healthy sleep routine. As your baby grows and rolls, they will find their comfortable sleep position, all while relying on the foundation of safe sleeping practices instilled by their parents. By following these guidelines, you can foster a safe and comforting sleeping environment that allows your baby to thrive.

Written by
Blueberry Editorial Team
Linkedin icon for doctor pediatric
Medically reviewed by
Dr. Jonathan Jassey
Dr. Jonathan Jassey graduated from the New York College of Osteopathic Medicine and has been a private pediatrician since 2007. He is the co-author of "The Newborn Sleep Book," based on his tremendous success with his methods. Dr. Jassey has received the Patients’ Choice Award for three consecutive years, which is given to practitioners who have gotten near-perfect scores by votes from patients, as well as the Compassionate Doctor Recognition Award. He is board-certified by the American Academy of Pediatrics.
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Ask a pediatrician about your child's sleep.
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