Sleep Safety for Babies & Infants (New Guidance)

Sadly, SIDS and other sleep-related issues are responsible for nearly 200 infant deaths in the UK & 3,500 every year in the U.S.June 2022 has seen the release of a new set of recommendations that outline ways to reduce the likelihood of sleep-related deaths amongst babies and infants up to the age of 1. This includes, but is not limited to, deaths related to Sudden Infant Death Syndrome (SIDS). Sadly, SIDS and other sleep-related issues are responsible for nearly 200 infant deaths in the UK each year and up to a staggering 3,500 every year in the United States. Perhaps even more surprisingly, that last number has not reduced at all in the last 30 or so years. This new set of recommendations from experts in the U.S. aims to change that and is something that all parents need to take a look at if they have a baby or infant. Let’s take a look at the new guidance …

“…simple is best: babies should always sleep in a crib or bassinet [static cradle], on their back, without soft toys, pillows, blankets or other bedding.”

According to the new 2022 report, parents and carers of babies/infants should follow the following guidelines:

Things to Avoid:

Avoid smoking, drinking alcohol, opioids and the taking of illicit drugs during and after pregnancy.
Avoid allowing infants to sleep on their side and never let them sleep face-down. Some parents may have concerns about their child choking when placed (rightly) on their backs when sleeping, particularly if they suffer from gastroesophageal reflux (GER). However, the latest guidance explains how the child’s anatomy protects against choking and this is best explained in a short video.
Avoid sharing your bed with a baby or infant. Statistically, infants are at significantly greater risk of SIDS or injury in a shared bed. The AAP, authors of the new guidance, even go as far as saying that they do not support the practice under any circumstances.
Co-bedding (bed sharing) by twins, triplets, etc. is not recommended and the new guidance says that any perceived benefit of siblings co-bedding is simply outweighed by the risks.
Avoid the use of crib ‘bumpers’ because infants can roll against these, get into breathing difficulties and even die from lack of oxygen (as has sadly happened).

“Loungers and pillow-like products are not safe for infant sleep, due to the risk of suffocation,” (CPSC)

For exactly the same reason, avoid the use of blankets and any kind of pillow, including those not intended for sleep. Indeed, some ‘Boppy’ pillows and ‘loungers’ have been recalled after being linked to the death of several infants, according to USA Today(∞). The Consumer Product Safety Commission (CPSC) has also issued warnings about Podster, Podster Plush, Bummzie, and Podster Playtime infant loungers.(∞)
In regard to soft bedding, avoid putting weighted blankets, sleepers, swaddles or anything else that’s weighted in or near to a sleeping infant.
Avoid the use of inclined ‘sleepers’ and rockers for sleeping infants — or anything that puts the infant into an inclined or scrunched-up position. An incline may cause the child to roll and then get into breathing difficulties. That could potentially prove fatal due to suffocation. The U.S. Consumer Product Safety Commission (CPSC) and latest guidance advises that you should never allow a baby to sleep on an incline of more than 10 degrees.

“Keep soft objects, such as pillows, pillow-like toys, quilts, comforters, mattress toppers, fur-like materials, and loose bedding, such as blankets and non-fitted sheets, away from the infant’s sleep area to reduce the risk of SIDS, suffocation, entrapment/wedging, and strangulation.”

Also avoid allowing infants to sleep routinely in car seats, strollers, infant carriers or slings and similar and certainly never leave them unattended in them.
The new guidance also states that couches and armchairs are particularly dangerous places for infants to sleep, so should be avoided. Data suggests that the risks to infants are anywhere from 22 to 67 times greater when they’re allowed to play or sleep in such places.
Avoid putting hats on your infant indoors as it could cause overheating. Exceptions, however, include possible use during the first few hours of life (under close supervision) or if deemed necessary by medical professionals, e.g. for new born intensive care.
The new guidance also suggests that parents should not rely on heart rate and pulse oximetry monitors as marketed to consumers. These, they say, may not meet the same standards as their professional, medical counterparts. Moreover, possible complacency stemming from use of such monitors in place of following the other proactive guidelines may ironically — and potentially tragically — turn out to be more detrimental to their infant’s wellbeing.

Things to Do:

Ensure the baby/infant sleeps on a flat, firm, non-inclined surface, lying in the ‘supine’ position (on their backs). Sleeping flat, on their backs allows optimum intake of oxygen and is also the best sleeping position for development of spine and hips. A completely flat surface also makes it less easy for a child to raise/flex their trunk and lift their head, which may otherwise make it easier for them to roll onto their side or back, each of which would represent a higher risk to their wellbeing.
Ensure bedside sleepers, cribs, bassinets (static cribs) and suchlike are suitably sized and adhere to your country’s safety guidelines. They should also have a tightly fitting crib mattress (so the baby cannot get trapped in a gap), covered by a secure, fitted sheet with no other bedding or objects around.
Instead of using quilts, swaddles, sheets or blankets to keep your baby or infant warm when sleeping (such things are potentially dangerous to them), dress them in appropriate clothing layers when sleeping or use ‘wearable blankets’ that fit in place around their bodies — but which, critically, cannot rise over their heads/faces or otherwise entrap or strangle them.
The new guidance also recommends that infants sleep in the same room as parents, on a separate (flat) surface that’s designed for infants, close to their bed. This should be for a minimum of 6 months ideally and evidence suggests that this alone could reduce the risk of SIDS by as much as 50%.
Offering the baby/infant a pacifier encourages the tongue to move to a forward position, which reduces obstruction in breathing. Pacifiers also encourage babies to remain sleeping on their backs. It is indeed a measure that’s associated with reduced instance of SIDS, although the new guidance recommends that pacifiers are not offered until breastfeeding has been “firmly established”.
Where possible, human breast milk is recommended in preference to formula and is indeed associated with lower rates of SIDS. Furthermore, even better protection is achieved when infants are breast fed for a longer term. The new guidance recommends feeding human milk exclusively for the first 6 months when possible.
Other common sense precautions should be made, such as ensuring that there are no other hazards near the sleeping infant, for example, pull cords, window blind cords, electric wires, etc.
Regular ‘tummy time’ is also recommended each day to help babies/infants develop stronger upper bodies and enhance motor skills. These will be useful to the infant if they do manage to turn themselves over or onto their sides etc. Learn more about the benefits of tummy time and how much infants require here.

Tummy Time is just one way to help infants stay stronger and safer, even when it comes to sleep.PLEASE NOTE: we have summarised key points from the new guidance in good faith but advise parents/carers of babies and infants to do their own research. More information and greater detail can be read in the full AAP publication here. If you have any concerns about your child’s sleep, health or wellbeing, please seek the advice of a doctor or health professional. You can also explore the importance of sleep for babies, toddlers and preschoolers in our guide, here.

Looking for the Best Nursery or Pre-school in Streatham, Tooting or Balham?

Little Cedars Nursery and pre-school offers the highest quality childcare. Based in Streatham, it’s also convenient for weekday childcare near Furzedown, Tooting, Balham, Norbury & Colliers Wood.

Little Cedars is a nursery & pre-school offering high quality childcare in Streatham, near Tooting, Tooting Bec, Tooting Common, Tooting Broadway, Furzedown, Balham, Norbury and Colliers Wood.Are you looking for the best childcare nursery or pre-school in Streatham, close to Streatham Hill, Streatham Park, Streatham Common or Furzedown? Little Cedars offers a wonderful childcare service in Streatham and is also conveniently near to Tooting, Tooting Bec, Tooting Broadway, Tooting Common, Balham, Norbury and Colliers Wood. To arrange a tour of the setting, to apply for a nursery place, or simply to ask any questions, please get in touch and we’ll be delighted to help:

20 Amazing Baby Facts

When preparing articles for this website, we often spot interesting baby facts that may surprise people. So, today, we thought we’d share 20 or so of our most surprising discoveries with you.  Many are a reminder of just how amazing babies really are!

1. Twenty Babies Born A Minute

Did you know, one baby is born every three seconds. That’s 20 every minute, 1200 every hour and nearly 29,000 every single day.

2. Rapidly Expanding Brains

A baby’s brain will more than double in size in their first year. By the time they’re five, it will have tripled in size compared to its size at birth. The brain will not finish fully developing, however, until the individual reaches their twenties. The brain of newborn boys may also grow faster in the first 3 months than that of newborn girls. It’s something that’s keenly debated amongst experts, though.

Babies are born with 50% more bones than adults.3. Almost 50% More Bones Than Adults

Babies are born with more bones than adults. In time, some will harden and fuse together into just a single bone. Babies’ heads have soft spots when newly born, but which don’t last. That’s because various, separate, bones form their skull at birth. Initially these are connected by something called ‘noggin’, but later the separate skull bones fuse together. Babies are born with around 300 bones. By the time they’re adult’s they will have just 206.

4. But No Kneecaps

Babies do not have kneecaps when they’re born! Had you ever noticed? These finish appearing only once the baby reaches at least 6 months of age.

5. Amazing Taste

Babies have about 30,000 taste buds when they’re born. This is three times as many as adults. This is accounted for by the baby having taste buds not only on their tongue, but also on the sides and roof of their mouths as well as on the tonsils and back of the throat. Despite this, they apparently can’t taste salt until they’re about 4 months old.

Newborn babies are short sighted, only being able to properly focus on an area 8 to 14 inches in front of them6. Not So Hot on Eye Sight

Newborn babies are short sighted, only being able to properly focus on an area 8 to 14 inches in front of them — that’s perfect for seeing mum when being breastfed when you think about it. This area of focus will increase with time, of course, and babies also use their peripheral vision to make up for the lack of deeper focus.

7. Fur, Gills & a Tail — Yes, Really!

According to the experts, foetuses have gills, fur and even a tail during development. All three end up disappearing either before birth or, often in the case of fur, within the first few weeks after being born. The tail will have become the coccyx and the ‘gills’, which are temporary slits (pharyngeal arches) in the neck, will have developed into jaw and ear bones by the time the babies have been born.

8. No Tears for Weeks

Babies don’t cry tears until they’re about a month old. Until then, it’s rather like ‘dry’ crying.

Newborns hold their breath underwater and even adapt their heart rate and peripheral blood vessels while submerged.9. Natural Born Swimmers (… Kind of)

Newborns hold their breath underwater automatically and even adapt their heart rate and peripheral blood vessels when doing so. We strongly advise against you testing this, of course, but apparently it’s true. This natural ability does not last past the age of six months, however.

10. Baby Time in the Womb

Some interesting statistics suggest that, on average, female babies remain in the womb a day longer than males, white babies remain there 5 days longer than black babies and Indian babies remain there 6 days longer than white babies. If true and not simply a momentary glitch, the reasons for this are a bit of a mystery.

11. No Memory Before Three

People’s long-term memories go back no earlier, in general, than the age of three. This is believed to be because either memory function hasn’t developed sufficiently until then or because memory may be tied to the ability to understand language.

12. Recognising Day & Night

It can take up to 12 weeks before a baby will recognise the difference between day and night. Hence, the irregular sleep pattern that can last until they’re 5 or so months of age.

13. Eyes to the Right

85% of newborn babies prefer to face to the right when lying on their back. The preference only lasts a few months, but may also be an indicator of whether they’ll turn out to be right-handed or left-handed.

Breastfeeding babies for at least 2 months halves the risk of Sudden Infant Death Syndrome (SIDS)14. Is Breast Really is Best?

As well as protecting against diseases, breastfeeding babies for at least 2 months halves the risk of Sudden Infant Death Syndrome (SIDS) — that’s incredible when you think about it. It also gives greater protection from SIDS the longer you continue.

15. And Breast Milk Adapts Like Magic

Expressed breast milk for a baby should never exceed 4oz per bottle no matter what age they are. While formula-fed infants have bigger bottles as they grow older, babies fed via bottles containing expressed breast milk should stick to 4oz (1 to 1½oz per hour) maximum. That’s because the breast milk adapts itself to their precise needs as they grow; it constantly changes its composition as the child gets older and that includes calorie content contained per ounce. That’s clever!

Human babies are the only primate babies that smile at their mother or father.16. The Only Smiling Primate

Human babies are the only primate babies that smile at their mother or father. That’s quite remarkable, although we wonder whether other primates have a different way of smiling that we don’t recognise or understand.

17. Special Birth Months

According to statistics, the most common date of birth is the 9th of September. This is closely followed by the 19th, 12th and 17th of September, in that order. Interestingly, babies born around this time stand the best chance of being the smartest in the class and going on to have the greatest success in life. We considered whether this could be linked to school starting in September, making these children the oldest, most mature pupils in the class at a time when learning and development is so crucial.

Meanwhile, people born in October seem to live the longest, living on average 160 more days than those born in the Spring.

Scientific evidence also points to the month of birth affecting personality. For example, those born in the summer months having the most optimistic outlooks.

18. And the Not So Special

Meanwhile, December, January and February are the least common months for births, with December 25th and 26th seeing the fewest during the entire year.

Firstborn children are 1.7 times more likely to live to the age of one hundred.19. Outcomes of Being First Born

Children who are first-born are 1.7 times more likely than their younger siblings to live to the age of one hundred. Those with young mothers at birth stand the greatest chance of doing so. The first born is statistically more likely to have better mental health but have a slightly higher propensity to be overweight or have high blood pressure. Firstborns are often natural leaders but younger siblings may experience that simply as bossiness when growing up!

20. The Origins of ‘Infant’

The term ‘infant’ comes from the Latin ‘infans’, which means ‘unable to speak‘ … which makes sense, when you think about it.

We hope that you have found these surprising facts of interest and have perhaps learned something you didn’t know before — we certainly enjoyed putting them together for you.

High Quality Childcare in Streatham

Little Cedars Nursery is in Streatham, near Tooting, Furzedown & BalhamWe are Little Cedars, a pre-school and childcare nursery in Streatham. As well as being one of the best nurseries in the London SW16 area, we would also make a convenient choice for anyone requiring childcare nurseries, pre-schools or playgroups in/around Balham, Tooting, Norbury, Colliers Wood, Furzedown, Streatham Common, Streatham Hill and Streatham Park.  Why not book a visit, register for a nursery place, or ask any questions — our childcare professionals are here to help:

Apply for a Nursery Place Arrange a Visit or Email Us Here Telephone 020 8677 9675

The importance of sleep for babies and toddlers

A baby sleeping with older brother

We all know how detrimental a bad night’s sleep can can be to our general wellbeing. At the very least, it can make the following day a real struggle, perhaps make us feel irritable and certainly leave us underperforming. With this in mind, we thought we’d take a look at how sleep affects babies, toddlers and under-fives. It will be no surprise to hear that a good night’s sleep is even more important for the early years age group.

What are the benefits of a good night’s sleep to children?

Sleep has enormous benefits to the young and old and it has been the subject of many studies. Young children who get a decent night’s sleep are shown to:

  • be happier, have better moods and be more resilient;
  • have better attention spans;
  • be more alert;
  • have improved learning capacity and cognitive performance;
  • have better memory skills (e.g. improved vocabulary acquisition);
  • have improved development of motor skills;
  • have improved mental and physical health;
  • be less likely to be withdrawn, stressed or anxious;
  • have a reduced likelihood of developing high blood pressure, obesity, diabetes and depression.
  • What’s more, children’s growth hormone is produced when the child is asleep. This is essential for healthy growth and function of the child’s body, particularly during early infancy.
  • Other hormone levels change when you sleep and this can help with anything from skin repair to muscle mass and even changes to body weight.

A very sleepy toddlerThese are significant benefits, so high quality sleep — and the right amount — is incredibly important.

“A quarter of children under the age of 5 don’t get adequate sleep” (National Library of Medicine, Biotech Information)

How much sleep should young children and babies get?

Studies suggest the following recommendations when it comes to the number of hours of sleep that children should regularly receive during their early years …

Recommended sleep time
  • 4-12 months old: 12-16 hours of sleep (per 24 hours, including naps)
  • 1-2 years old: 11-14 hours of sleep (per 24 hours, including naps)
  • 3-5 years old: 10-13 hours of sleep (per 24 hours, including naps)

Source: Great Ormond Street Hospital (GOSH) / The American Academy of Sleep Medicine (AASM)¹

Sleep Hygiene

Under-five toddler asleep with mumSleep Hygiene‘ is a term that refers to the whole routine around bedtime and sleeping, including important preparation measures during the run-up to bedtime A good sleep hygiene regime will help children get to sleep and to sleep soundly.

Parents can help to optimise children’s sleep quality in a number of ways:

  • Caffeine is a stimulant, so encourage children to limit their intake during the day and completely avoid it from lunchtime onwards. It can be found in hot drinks like tea and coffee as well as cold drinks including energy drinks and fizzy drinks like coke.
  • Conversely, a drink of warm milk in the evening before bedtime can have a soothing effect and help a child to get settled, ready to sleep.
  • Avoid giving children large meals too close to bedtime, as these can stop them from getting to sleep.
  • Exercise can play a big part in a child’s sleep pattern but it needs to be approached in the right way. While exercising vigorously soon before bed can lead to problems getting to sleep, exercising during the day can burn off excess energy and help children sleep well once it comes to bedtime later on. Some fresh air in the evening (for example, a leisurely outdoor walk) can also help children to feel sleepy once they get home.
  • Children’s bedrooms should have the right set-up. For example, they should not have access to anything that might stimulate their brains in the run-up to sleeping. Toys could be an unwanted distraction from sleep if present, however screens (TVs, handheld tablets, mobile phones etc.) should be totally avoided several hours before bedtime. Not only do they distract from sleeping but screens have also been shown to stimulate the brain even after they’ve been switched off — greatly hindering sleep.
  • Bedrooms should also be away from noisy areas of the house and the room should also be a comfortable, but slightly cool, temperature.
  • Children’s rooms should also be suitably lit to suit the child in question. Some young children sleep best in total darkness while others may sleep better if there is a night light in or close to their bedroom.
  • Giving them a suitable cuddly toy may also help them to feel more safe and secure.
  • Children should also be encouraged to visit the toilet immediately before bed. Doing so decreases the chances of them having to interrupt their sleep for a visit to the loo during the night.
  • Baby monitors are also useful so long as the child doesn’t end up using them simply as a way to communicate with parents in another room.
  • If children leave their bedrooms to seek out parents during the night, it’s a good idea to quietly lead them back to their beds, without debate where possible, and to be consistent about it. Otherwise, a precedent is set and they might do it more and more often. Such a habit would be detrimental to their sleep pattern. It’s important to be consistent and not to ‘cave in’ to the child, even if they try to be with parents repeatedly throughout the night. They’ll eventually get the message and their overall sleep pattern will benefit from doing so.

Preschoolers get tired tooThe biggest message is that setting up — and sticking to — a set bedtime routine will greatly help with the quality of your child’s sleep. It sets a pattern that their minds and bodies will become used to naturally. A regime of this nature can include winding-down activities like a warm bath or shower, a peaceful book-reading session, dimmed lights and so on in the approach to bedtime. The routine will prepare them automatically for sleep even during the run-up to actually sleeping.

Important Side Note: The importance of sleeping position when babies are in the womb

Aside from the obvious positive effects of sleep on children and adults, one surprising aspect of sleep has a direct impact on the wellbeing of unborn babies. Statistics suggest that the sleeping position of the parent can have a direct bearing on the foetus’s chance of survival. This is important stuff! According to NHS Start 4 Life², mothers-to-be should try to sleep on their sides, when possible, by the 28th week of pregnancy. Doing so will statistically reduce the risk of the baby being stillborn. Of course, once asleep, it’s only natural for you to move around into different positions, so the message is not to worry unduly if you wake up on your back when pregnant — it’s totally normal for this to happen. Simply go onto your side before returning back to sleep. Bending your knees will help you get comfortable on your side, facilitate easier breathing and put less pressure on your uterus. As an added bonus, it also helps to alleviate backache.

Sleep at Little Cedars Nursery, Streatham

Babies take at least two naps at Little Cedars nursery, StreathamAt Little Cedars Day Nursery in Streatham, we understand the importance of sleep, particularly for babies and the youngest of the children. For that reason, we ensure that children have the opportunity of a nap both in the morning and in the afternoon. For example, babies sleep for about half an hour to an hour around 9.30am and then again after lunch, for 1 to 2 hours between about 1pm and 3pm. Preschoolers don’t have to sleep if they don’t want to, but are given the opportunity to do so — every child is different. We also take a lead from parents who may prefer their child to keep to a particular sleep pattern. If you would like more information about this topic, and how we approach it at the nursery, please do get in touch.

Contact Little Cedars Day Nursery

Little Cedars Day Nursery offers weekday childcare services in Streatham, London SW16, for babies (from 6 months) and children aged up to 5 years old. We’re based in Aldrington Road, so are convenient for anyone looking for a nursery or pre-school in and around Streatham, Streatham Park, Tooting Bec, Tooting Common, Furzedown and Balham. Call 020 8677 9675 for more details. You can also request more details, send us an email or arrange a visit here, so we can show you around the nursery.

Please note that this article is for general guidance only and does not constitute medical advice. If you are at all concerned about your child’s sleep, health or wellbeing, please seek advice from your child’s doctor or health professional.