SIDS (Sudden Infant Death Syndrome)

Definition: The unexplained death of a baby under 1 year old that usually happens during sleep. SIDS is part of a broader category called Sudden Unexpected Infant Death (SUID), which includes other sleep related causes like accidental suffocation or strangulation in bed.

Parent Tip: The safest sleep environment for a baby follows the ABC rule: Alone, on their Back, in a Crib. That means the baby sleeps by themselves on a firm, flat sleep surface, on their back, and in a bare crib or bassinet with no blankets, pillows, bumpers, stuffed animals, or other soft items. The baby should sleep in the same room as the parents but not in the same bed for at least the first 6 months. A sleep sack or wearable blanket is the safer alternative to loose bedding if your baby needs warmth.

Safe Sleep Checklist for Babies Under 1 Year

  • Baby sleeps alone in their own crib or bassinet
  • Baby sleeps on their back for every sleep, including naps
  • The sleep surface is firm and flat with no soft padding
  • The crib has a fitted sheet only, no blankets, pillows, bumpers, or stuffed animals
  • Baby's head and face stay uncovered
  • Room shares with parents but does not bed share
  • Room temperature is comfortable, not too warm
  • No smoking in the home or around the baby
  • Breastfeeding when possible, since it has been shown to reduce SIDS risk
  • Offer a pacifier at sleep time after breastfeeding is well established

Why It Matters: SIDS rates have dropped dramatically since the "Back to Sleep" campaign began in the 1990s, but it remains one of the leading causes of death in babies between 1 month and 1 year. Most SIDS deaths happen in sleep environments that were not as safe as they could have been. Every safe sleep choice reduces the risk. If you have questions or concerns about safe sleep, your pediatrician is the best resource for your specific situation.

Related Terms: Breathing Trouble, Childproofing, CPR, Injury Prevention, Trouble Breathing


Written and reviewed by Jeremy Manke, Firefighter / Paramedic (22 years of emergency service)

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