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Sudden Unexpected Infant Death (SUID), which includes Sudden Infant Death Syndrome (SIDS), is the leading cause of injury death in infancy. Sleep is a big challenge for families with babies, but following safe sleep recommendations can prevent many SUID fatalities. Help the families in your practice learn how their babies can sleep safely so parents can sleep soundly.

The rate of sleep-related infant death declined significantly in the 1990s after the AAP and others recommended that babies be placed on their backs to sleep, but rates have since plateaued, and SIDS remains the leading cause of postneonatal mortality. Black and Native American/Alaska Native infants die at rates more than double that of white babies. Pediatricians should support all families in implementing recommendations that reduce the risk of sleep-related infant death:

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Congratulations on your little one! Expect your newborn to sleep in periods from 30 minutes to 3 hours across the day and night. His sleep periods will be largely driven by hunger, with breastfed babies sleeping for slightly shorter periods than bottle-fed babies. In terms of total sleep, there is tremendous individual variability for...

Hang in there! Your baby is still incredibly young. It is expected that your newborn will sleep in short periods (30 minutes to 3 hours) throughout the day and night. However, there is great individual variability. If your little one still has her nights and days mixed up, be sure to wake her for...

Your little one is transitioning from newborn sleep patterns (short periods throughout the day and night) to sleeping for longer stretches. She should also be more consistently awake during the day, taking several naps throughout the day. If you haven't already, consider starting a bedtime routine. Doing two to three activities that are the...

At 3 months, babies can sleep for longer stretches at night. His first nap probably starts about 2 hours after he last woke. Also, if you haven't already, this is a great time to start a bedtime routine moving toward a consistent bedtime of about 7:00-8:00 p.m. Be sure to make feeding the first...

At 4 months, sleep duration is similar to when he was 3 months (about 11 to 15 hours over 24 hours). Babies at 4 months often take three to four naps per day, each beginning about 2 hours after they last woke. Some babies, though, will take two slightly longer naps, with one in...

If your little one is still waking during the night, think about how she falls asleep at bedtime. All babies wake naturally during the night but not all babies know how to return to sleep on their own. The skill of self-soothing at bedtime typically generalizes overnight. Also, know that by about 6 months,...

At 7 months, babies can be sleeping for long stretches at night, with some sleeping straight for 10 to 12 hours. If your little one is now pulling up in the crib, it is time to remove the mobiles and hanging toys to keep her safe. And don't be surprised if she gets stuck...

Is your little one still working on sleeping through the night? If so, it may be time to think more specifically about how your 8-month-old falls asleep at bedtime. Helping her learn to fall asleep on her own at bedtime (without even having an adult in the room) can help her to sleep for...

Some families say that their little ones experience a recurrence of night wakings right around this time (between 9 and 12 months). Know that sleep patterns are always changing, and that the best thing to do in response to a recurrence of night wakings is to stick with what you have always done. Sticking...

Your little one is now officially a toddler! At 12 months old, little ones can definitely be sleeping through the night and do not need any feedings overnight. Toddlerhood brings about several developmental changes, with huge leaps in language and walking. These developmental changes can certainly affect sleep patterns. Sticking to a consistent sleep...

Your little one is probably walking, or close to it, at this point. Developmental milestones can affect sleep patterns so you may observe some changes in his sleep as he meets these typical milestones. Also, if he has a history of sleep terrors, he may begin to sleep walk as he ages!

Developing healthy sleep habits, like many behavioral routines, is important to start at an early age. The older he gets, the tougher some of these changes can be to make. For example, many little ones still have a bottle at bedtime or in the crib during sleep. Falling asleep while drinking a bottle of...

Does your little one still want to nurse or have a bottle when he wakes during the night? If he does, it is probably likely that he falls asleep with a bottle (or right after having one) at bedtime. At his age, about 17 months old, you can definitely wean his bottle at bedtime....

Between 18- and 23-months old, little ones typically sleep 9 to 12 hours overnight and 1.5 to 3 hours during the day, with some individual variability. By now, your little one is probably taking one nap per day. A good start time is about 12:30 or 1:00 p.m., right after lunch. If she is...

It's fine if your little one still uses a pacifier to help her sleep. Taking it away now may lead to major sleep issues. Once your little one is using a pacifier for this long, it can be best to continue to use it until 3 to 4 years of age. At that time,...

Some little ones snore. Sometimes snoring is just that - snoring. Other times it can be an indicator that your little one has something called obstructive sleep apnea. If your little one looks like she works hard to breathe during the night, has noisy breathing, or snores, be sure to check with your health...

An early bedtime is best! Little ones who go to bed early actually fall asleep faster, wake less often at night, and get more sleep. Putting your child to bed before he gets overtired will make a big difference. Some parents worry that if they move their child's bedtime earlier that their child will...

Some little ones wake quite early in the morning. They then either call for mom or dad, or leave the room to go find a parent or play in another part of the home. Although you can't make him sleep, you can help him learn to stay in his room and play quietly until...

Your little one is almost three years old! Most little ones stop napping somewhere between three and five years old. Before the age of three, typically the better that he sleeps during the day, the better he will sleep at night. Be sure to have a consistent naptime routine, like his bedtime routine but...

The Pediatric Sleep Council was created to provide accurate and up-to-date information on sleep in young children for parents. The goal is to provide comprehensive and expert-based information on baby and toddler sleep that is freely available to the public. The Pediatric Sleep Council is an international team of people with expertise in all aspects of sleep and development in young children. We represent pediatric sleep experts, including physicians, psychologists, and researchers.

Crying is the way babies communicate with you. In the first three months, newborns cry a lot because they need your help to feed, change or settle so they can get back to sleep. Although they seem to spend a lot of time sleeping (generally 12 to 16 hours in a 24-hour period), they do not have established sleep-wake rhythms like we do. These first three months are an important time for you and your baby to start to learn and understand each other.

Sleep cycles consist of active sleep and quiet sleep. During active sleep, the newborn may move, groan, open their eyes, cry out or breathe noisily or irregularly. During quiet sleep, they will lie relatively still and their breathing will be more even.

It is important to create positive sleep associations for your newborn. Some settling techniques may be hard to keep doing for the long term, such as holding your baby until they fall asleep. These can create a negative sleep association for your newborn, resulting in them needing to be held to fall asleep. You need to decide what is right for you and your family.

Sleep is important for both you and your baby. But to a newborn, sleep is the brain's main activity. Babies spend about half the time they're asleep in the dream stage, called REM sleep. That stage is linked to brain activities, such as memory, nervous system function and self-control.

And for a newborn, there's no such thing as night and day. So they sleep and wake on their own schedule. But even with a newborn, you can start to shape your baby's sleep habits for healthier lifelong rest.

There may be no pattern at first. Babies wake up to eat and then fall back asleep. But after a couple weeks, babies will be able to stay awake longer, and then sleep for a longer time. A more regular sleep schedule comes with brain and nervous system growth and being able to go longer between feedings.

Every baby is different. But by age 3 to 4 months, many babies sleep at least five hours at a time. Babies this age should be sleeping around 12 to 16 hours a day including naps. And at some point during a baby's first year, babies will start sleeping for about 10 hours each night.

Adult beds are risky for infants. A baby can become trapped and suffocate in the normal spaces of a bed, including in bedding. Babies can become trapped between headboard slats, or the mattress and bed frame or wall.

Put your baby to bed drowsy, but awake. When you see signs of tiredness, such as when babies rub their eyes, head to the bedroom. Putting drowsy babies in bed helps link it with the process of falling asleep.

Give your baby time to settle down. Your baby might fuss or cry for a few minutes before falling asleep. Allow a short time to pass before you check on your baby. If your baby is still upset, offer comfort and try again.

Some babies fall asleep faster when they are swaddled. Swaddling a baby means wrapping them in a blanket or a swaddling sleep sack. If you swaddle your baby, make sure it isn't too tight. Babies need to be able to bend their legs. 2351a5e196