From the moment a mother holds her newborn, every detail about their life raises questions and concerns. One of the most common worries is the safest sleep position. While placing a baby on their stomach may seem natural or comforting, especially if the baby sleeps deeply this way, it carries serious health risks that many parents may not realize. According to RaisingChildren, here’s what parents need to know.
Why Some Babies Sleep on Their Stomach
Newborns cannot fully control their bodies and start rolling over independently around 4–6 months of age. Some babies prefer sleeping on their stomach because:
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Light pressure on the tummy can relieve gas or colic.
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It provides a sense of security and comfort.
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Some babies calm down or stop crying when placed on their stomach.
However, this temporary comfort can hide serious health risks.
Health Risks of Stomach Sleeping
1. Sudden Infant Death Syndrome (SIDS)
Sleeping on the stomach is the leading factor associated with SIDS, where an infant dies unexpectedly during sleep. Babies on their stomach are at higher risk due to possible airway obstruction or reduced oxygen levels.
2. Breathing Difficulties
The face may press against the mattress, limiting airflow to the lungs. Newborns’ weak neck muscles prevent them from repositioning their head to maintain proper breathing, increasing the risk of suffocation.
3. Overheating
Stomach sleeping can raise body temperature due to contact with the mattress or heavy clothing, another risk factor for SIDS.
4. Pressure on Internal Organs
This position puts weight on the lungs, heart, and stomach, restricting breathing and potentially affecting proper growth if prolonged.
5. Bone and Skull Development Issues
Extended stomach sleeping may cause chest or neck bone deformities and could lead to flat spots on the skull due to limited variation in sleeping positions.
Why Some Parents Still Prefer It
Despite medical warnings, some parents continue this practice, believing it helps babies sleep more deeply or eases colic. Grandparents may also encourage it as a traditional practice. Modern research, however, confirms that these short-term benefits do not outweigh the serious risks.
Safe Sleep Positions
Back Sleeping
The American Academy of Pediatrics recommends that all newborns sleep on their backs during the first year, significantly reducing the risk of SIDS and ensuring free breathing.
Side Sleeping with Support
In rare cases, such as severe gastroesophageal reflux, a doctor may suggest side sleeping with secure supports to prevent rolling onto the stomach.
Other Safety Tips
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Avoid pillows under the baby’s head; use a firm, flat mattress with a fitted sheet.
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Place the baby in their own crib, not in your bed.
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Maintain a well-ventilated room with moderate temperature.
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Avoid heavy blankets or large stuffed toys in the crib.
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Dress the baby in lightweight, breathable clothing.
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Keep the baby’s head uncovered.
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Do not let the baby sleep in swings or strollers for long periods.
Common Questions
Can my baby roll onto their stomach alone?
Babies usually begin rolling around 4–6 months. Always place your baby on their back initially. If they roll themselves, ensure the crib is free of pillows or blankets that could obstruct breathing.
My baby only sleeps on their stomach! What should I do?
Use alternative calming methods, such as gentle tummy massages while awake, holding the baby upright briefly after feeding, or gentle patting on their back.
Does stomach sleeping strengthen muscles?
“Tummy time” is important for neck and arm strength but must only be done while the baby is awake and supervised—not during sleep.
When to consult a doctor?
Seek medical advice if your baby shows breathing difficulties, loud snoring, excessive sweating, or was born prematurely, as these conditions increase the risk of complications during stomach sleeping.
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