Is It Safe for Infants to Sleep on Their Side? Understanding Risks.

Is it safe for infant to sleep on side – Is it safe for an infant to sleep on their side? This seemingly simple question sparks significant debate and concern for parents. The position in which a baby sleeps is crucial, especially during the first year of life. Understanding the potential risks associated with different sleep positions, like side sleeping, is vital for ensuring your baby’s safety and well-being. This guide delves into the current recommendations, the dangers to avoid, and the best practices for creating a safe sleep environment for your little one.

The information provided will cover the potential dangers of side sleeping, the official recommendations from leading pediatric organizations, and alternatives to help you make informed decisions. We’ll explore the science behind safe sleep, addressing common concerns and misconceptions, and providing practical advice to help you navigate this important aspect of infant care. We will also touch on special circumstances and considerations that might require different approaches.

Risks Associated with Side Sleeping for Infants

The practice of placing infants to sleep on their sides poses significant health risks, primarily due to the increased likelihood of Sudden Infant Death Syndrome (SIDS) and other respiratory complications. Understanding these dangers is crucial for parents and caregivers to ensure the safety and well-being of newborns and infants. This section will delve into the specific risks associated with side sleeping, offering a detailed explanation of the potential hazards.

Increased SIDS Risk

Side sleeping significantly elevates the risk of SIDS, a condition characterized by the unexplained death of an infant, typically during sleep. Studies have consistently demonstrated a strong correlation between non-supine sleeping positions and increased SIDS rates. The exact mechanisms by which side sleeping contributes to SIDS are complex and multifaceted, but several factors are believed to play a role.

Risk of Rolling Over

Infants placed on their sides are highly susceptible to rolling over onto their stomachs, a position that dramatically increases the risk of SIDS. Once an infant rolls onto their stomach, they may face difficulties in breathing, especially if their face is pressed against the mattress or bedding. This can lead to suffocation or rebreathing of exhaled carbon dioxide. The ability of an infant to roll over often develops before they have the necessary motor skills to reposition themselves safely.

Physiological Breathing Obstruction

Side sleeping can compromise an infant’s breathing in several ways. The side position can cause the airway to become compressed or obstructed, particularly if the infant is lying on a soft surface or has a pillow or blanket near their face. This obstruction can limit the intake of oxygen and increase the likelihood of respiratory distress. Furthermore, the side position may make it harder for the infant to clear their airway of any mucus or fluids, which can further impede breathing.

Factors Amplifying Side Sleeping Risks

Certain factors exacerbate the dangers of side sleeping, making it even more hazardous for infants. These factors underscore the importance of adhering to safe sleep guidelines.

• Soft Bedding: Using soft bedding, such as pillows, thick blankets, or comforters, increases the risk of suffocation if the infant rolls over or their face becomes pressed against the bedding. The risk is elevated because the infant can sink into the soft surface, further obstructing their airway.
• Co-sleeping: Sharing a bed with parents or other siblings is associated with an increased risk of SIDS, particularly when the infant is placed on their side. The risk is compounded if the parent or sibling smokes, uses drugs or alcohol, or is excessively tired.
• Premature Birth or Low Birth Weight: Premature infants and those with low birth weights are at a higher risk of SIDS in general, and this risk is amplified when they sleep on their side or stomach. Their respiratory and neurological systems may not be fully developed, making them more vulnerable to breathing difficulties.
• Exposure to Smoke: Exposure to secondhand smoke significantly increases the risk of SIDS. Smoke irritates the infant’s respiratory system and can impair their ability to arouse from sleep, making them less likely to respond to breathing difficulties. This risk is further increased if the infant sleeps on their side, as the airway may be more easily compromised.
• Overheating: Overheating can increase the risk of SIDS. Infants should be dressed in light sleep clothing, and the room temperature should be maintained at a comfortable level. Overbundling or covering the infant with too many blankets can lead to overheating, increasing the risk.

Official Recommendations and Guidelines

The safety of infants during sleep is a paramount concern for parents and healthcare professionals alike. Understanding and adhering to established guidelines is crucial in mitigating risks and promoting infant well-being. This section Artikels the official recommendations from leading pediatric organizations regarding infant sleep positions, highlighting the evidence-based rationale behind these guidelines and providing resources for further information.

Current Recommendations from Pediatric Organizations

Leading pediatric organizations, such as the American Academy of Pediatrics (AAP), strongly advocate for specific sleep practices to reduce the risk of Sudden Infant Death Syndrome (SIDS) and other sleep-related infant deaths. These recommendations are rooted in extensive research and are updated periodically as new evidence emerges.The primary recommendation is:

Always place infants on their backs to sleep.

This position, known as the “Back to Sleep” position, is the cornerstone of safe sleep practices. Other key recommendations include:

• Use a firm, flat sleep surface. This means a mattress specifically designed for infants, covered by a fitted sheet. Avoid soft surfaces such as waterbeds, sofas, or pillows.
• Keep the sleep area free of hazards. This includes removing all soft objects, such as pillows, blankets, quilts, and stuffed animals, from the crib.
• Share a room with the infant, but not the same bed. Room-sharing, without bed-sharing, is recommended for the first six months, as it can reduce the risk of SIDS.
• Avoid overheating. Dress the infant in light sleep clothing and keep the room at a comfortable temperature. Avoid swaddling after the infant can roll over.
• Consider offering a pacifier at naptime and bedtime. Pacifier use has been shown to reduce the risk of SIDS.
• Ensure the infant receives regular checkups and vaccinations.

Evidence Supporting the “Back to Sleep” Campaign and its Impact on SIDS Rates

The “Back to Sleep” campaign, initiated in the early 1990s, represents a pivotal public health initiative. Its primary objective was to educate parents and caregivers about the importance of placing infants on their backs to sleep. The campaign was driven by scientific evidence linking prone (stomach) sleeping to an increased risk of SIDS.The evidence supporting the “Back to Sleep” campaign is substantial:

• Epidemiological studies: Numerous studies demonstrated a strong correlation between prone sleeping and SIDS. These studies showed that infants placed on their stomachs to sleep had a significantly higher risk of SIDS compared to those placed on their backs.
• Physiological studies: Research explored the physiological mechanisms that contribute to SIDS. These studies suggested that prone sleeping could compromise an infant’s ability to breathe, especially if the infant’s face is pressed against the mattress or bedding.
• Intervention studies: The implementation of the “Back to Sleep” campaign, which involved widespread education and awareness efforts, led to a dramatic decrease in SIDS rates. For example, in the United States, SIDS rates decreased by more than 50% following the campaign’s launch.

The impact of the “Back to Sleep” campaign is a testament to the effectiveness of evidence-based public health interventions. The campaign’s success underscores the importance of disseminating accurate information and empowering parents with the knowledge to make informed decisions about their infants’ sleep practices.

Comparison of Recommendations from Different Health Organizations

Different health organizations often share similar core recommendations regarding safe infant sleep practices. However, there might be subtle variations in emphasis or specific details. The following table provides a comparative overview of the recommendations from the American Academy of Pediatrics (AAP), the National Institutes of Health (NIH), the World Health Organization (WHO), and the Centers for Disease Control and Prevention (CDC).

Organization	Sleep Position	Sleep Surface	Other Recommendations
American Academy of Pediatrics (AAP)	Back to sleep for every sleep.	Firm, flat sleep surface; fitted sheet only.	Room-sharing (not bed-sharing); avoid soft objects in sleep area; consider pacifier; avoid overheating; regular checkups and vaccinations.
National Institutes of Health (NIH)	Back to sleep.	Firm mattress.	Avoid smoking during pregnancy and after birth; breastfeed if possible; avoid overheating; room-sharing (not bed-sharing); avoid soft objects in sleep area.
World Health Organization (WHO)	Back to sleep.	Firm, safe sleep surface.	Exclusive breastfeeding for the first six months; room-sharing (not bed-sharing); avoid exposure to smoke.
Centers for Disease Control and Prevention (CDC)	Back to sleep.	Firm, flat sleep surface.	Room-sharing (not bed-sharing); avoid soft bedding; avoid overheating; consider pacifier; breastfeeding is recommended.

This comparison highlights the consistency in the core message across different organizations: placing infants on their backs to sleep on a firm, flat surface is crucial. Minor variations reflect the organizations’ broader public health priorities.

Finding Reliable Information and Resources on Safe Infant Sleep Practices

Accessing accurate and reliable information is crucial for parents and caregivers seeking guidance on safe infant sleep practices. There are several reputable sources that provide evidence-based recommendations and resources.Here are some sources:

• American Academy of Pediatrics (AAP): The AAP’s website offers comprehensive information on infant sleep safety, including guidelines, FAQs, and educational materials. The AAP’s resources are developed by pediatricians and other healthcare professionals.
• National Institutes of Health (NIH): The NIH provides information on various health topics, including SIDS and safe sleep practices. Their website offers evidence-based resources for parents and caregivers.
• Centers for Disease Control and Prevention (CDC): The CDC offers information on safe sleep practices, including recommendations and educational materials. The CDC’s resources are designed to be accessible and easy to understand.
• Local Pediatricians and Healthcare Providers: Consulting with a pediatrician or other healthcare provider is essential. They can provide personalized advice and address specific concerns.
• Non-profit organizations: Organizations like the SIDS Alliance or First Candle offer educational materials, support services, and resources for families affected by SIDS or infant loss.

When seeking information, it is essential to verify the source’s credibility and ensure the information is up-to-date and evidence-based. Avoid relying on anecdotal information or advice from unreliable sources. Always consult with a healthcare professional for personalized guidance and address any specific concerns.

Alternatives to Side Sleeping

Prioritizing an infant’s safety during sleep is paramount. Understanding and implementing alternatives to side sleeping is crucial for mitigating the risks associated with this position. The focus should be on establishing a safe sleep environment that promotes healthy development and minimizes the likelihood of Sudden Infant Death Syndrome (SIDS). This section will delve into the ideal sleep position, techniques to encourage it, and essential safe sleep practices.

Ideal and Safest Sleep Position for Infants

The ideal and safest sleep position for infants is on their back, also known as the supine position. This recommendation is based on extensive research and evidence that consistently demonstrates a significantly lower risk of SIDS when infants sleep on their backs. The rationale behind this recommendation centers on the infant’s airway.When an infant sleeps on their back, the airway is less likely to be obstructed.

The tongue and jaw are less likely to fall back and block the airway compared to when the infant is sleeping on their side or stomach. This allows for easier breathing and reduces the risk of suffocation. Furthermore, the back-sleeping position may provide benefits in terms of thermoregulation. The infant’s body temperature is more easily regulated, and the risk of overheating, a potential risk factor for SIDS, is reduced.The American Academy of Pediatrics (AAP) and other leading health organizations strongly advocate for the back-to-sleep position for all infants, every time they sleep, from birth until they are one year old.

This recommendation is a cornerstone of safe sleep practices and has contributed significantly to the decline in SIDS rates.

Methods to Encourage Infant Back Sleeping

Encouraging an infant to sleep on their back is a critical step in promoting safe sleep. Several methods can be employed to help parents establish and maintain this position.One of the most effective methods is to consistently place the infant on their back to sleep, starting from the first day of life. This creates a habit and reinforces the back-sleeping position as the norm.

Even during naps, it’s essential to follow this practice. If an infant rolls over onto their side or stomach during sleep, they can be gently repositioned onto their back. However, once the infant can independently roll over from back to stomach and back again, it’s generally considered safe to allow them to find their preferred sleep position.Swaddling can be a helpful tool in maintaining the back-sleeping position, especially for younger infants.

Swaddling provides a sense of security and can prevent the infant from rolling over. However, it’s crucial to swaddle correctly, ensuring that the swaddle is not too tight and does not restrict the infant’s movement. Once the infant shows signs of rolling over, swaddling should be discontinued.Using a firm, flat sleep surface is also essential. A firm mattress minimizes the risk of the infant sinking into the sleep surface, which could increase the risk of suffocation.

Avoid using pillows, blankets, or other soft items in the crib, as these can pose a suffocation hazard.Consistent modeling is also vital. Parents, caregivers, and other family members should all be aware of the importance of back sleeping and consistently follow the practice. This creates a supportive environment and reinforces the message that back sleeping is the safest option.

Safe Sleep Practices Complementing Back Sleeping

Adopting safe sleep practices in conjunction with back sleeping is essential for creating a safe sleep environment. Several factors contribute to this, and adherence to these practices significantly reduces the risk of SIDS and other sleep-related infant deaths.

• Firm Sleep Surface: The infant should sleep on a firm, flat surface, such as a crib mattress that meets current safety standards. The mattress should be specifically designed for infants and fit snugly within the crib frame. Avoid using soft surfaces, such as waterbeds, sofas, or cushions.
• Avoiding Loose Bedding: Loose bedding, including blankets, pillows, comforters, and stuffed animals, should be kept out of the crib. These items can pose a suffocation hazard. Instead of blankets, consider using a sleep sack or wearable blanket to keep the infant warm.
• Room Sharing, Not Bed Sharing: The infant should sleep in the same room as the parents, but not in the same bed, for at least the first six months, ideally for the first year. Room sharing allows parents to be close by to monitor the infant while minimizing the risks associated with bed sharing, such as accidental suffocation.
• Pacifier Use: Offering a pacifier at naptime and bedtime, once breastfeeding is well established (usually after the first month), has been shown to reduce the risk of SIDS. If the pacifier falls out, it does not need to be reinserted.
• Avoidance of Overheating: Overheating can increase the risk of SIDS. The infant should be dressed in light sleep clothing, and the room temperature should be maintained at a comfortable level. Avoid overdressing the infant or covering their head.

Safe Sleep Environment: Temperature, Lighting, and Crib Items

Creating a safe sleep environment involves paying close attention to several factors, including temperature, lighting, and the presence of items in the crib. A well-designed sleep environment promotes healthy sleep and minimizes potential hazards.The ideal room temperature for an infant is generally between 68 and 72 degrees Fahrenheit (20 to 22 degrees Celsius). The infant should be dressed in appropriate sleep clothing to maintain a comfortable temperature.

Avoid overdressing the infant or using excessive blankets, which can lead to overheating. Regularly check the infant for signs of overheating, such as sweating or flushed skin.Regarding lighting, a dimly lit room is often conducive to sleep. Avoid bright lights, especially during nighttime feedings or diaper changes. Consider using a nightlight with a soft, warm glow if some light is needed.The crib should be free of any items that could pose a suffocation hazard.

This includes:

• Blankets: Replace with sleep sacks.
• Pillows: Avoid until the infant is older.
• Comforters: Use sleep sacks instead.
• Stuffed Animals: Keep them out of the crib.
• Crib Bumpers: Avoid them due to suffocation risk.

The crib should also be placed away from windows, cords, and other potential hazards. Ensure that the crib meets current safety standards and is in good condition. Regularly inspect the crib for any signs of damage or wear and tear.

Addressing Concerns and Misconceptions

Navigating the world of infant sleep can be daunting for parents, filled with anxieties and uncertainties. Addressing common parental concerns and dispelling misconceptions is crucial for promoting safe sleep practices and fostering peace of mind. This section aims to provide clear, evidence-based information to help parents understand and manage these concerns effectively.

Common Parental Concerns Regarding Back Sleeping and Solutions

Many parents express concerns about back sleeping, particularly regarding the risk of choking and the development of flat head syndrome (positional plagiocephaly). These concerns are understandable, but addressing them with accurate information can alleviate anxiety.Addressing choking concerns:Parents often worry that babies will choke on vomit if they sleep on their backs. However, the anatomy of an infant’s airway actually protects against this.

“When a baby vomits while on their back, the esophagus is above the trachea. Gravity and the natural gag reflex help to clear any fluids or solids, preventing aspiration into the lungs.”

In contrast, side sleeping or stomach sleeping increases the risk of aspiration.Addressing flat head syndrome concerns:Positional plagiocephaly, or flat head syndrome, is a common concern associated with back sleeping. The prolonged pressure on one part of the skull can cause flattening. However, several strategies can mitigate this risk.* Varying head position during sleep: Rotate the baby’s head to different sides each night.

This can be achieved by changing the position of the crib or the baby’s orientation in the crib.

Tummy time

Supervised tummy time is crucial for strengthening neck muscles and promoting healthy head shape. This should be initiated as soon as the baby is awake and alert.

Avoiding excessive time in car seats and swings

These devices can contribute to prolonged pressure on the back of the head. Limit the time spent in these devices.

Differentiating Infant Sleep Noises from Distress

Understanding the difference between normal infant sleep noises and signs of distress is essential for parents. Infants make a variety of sounds while sleeping, and not all of them indicate a problem.Normal infant sleep sounds:Infants can be surprisingly noisy sleepers. They may grunt, gurgle, snort, or make other noises due to their immature respiratory systems and the presence of mucus.Signs of distress:Signs of distress require immediate attention.

These include:* Labored breathing: Observe for retractions (sucking in of the chest muscles), flaring nostrils, or grunting with each breath.

Changes in skin color

Bluish discoloration (cyanosis) around the lips, mouth, or skin is a serious sign.

Unusual lethargy

Difficulty waking the baby or a lack of responsiveness.

Prolonged pauses in breathing (apnea)

Periods of no breathing for more than 20 seconds.If any of these signs are observed, seek immediate medical attention.

Role of Tummy Time in Counteracting Back Sleeping Effects

Tummy time is a critical component of infant development, especially when babies primarily sleep on their backs. It plays a vital role in strengthening neck muscles, promoting motor skills, and counteracting potential issues associated with back sleeping.Benefits of tummy time:

Strengthening neck and shoulder muscles

Tummy time helps infants develop the muscles needed to lift their heads, roll over, and eventually crawl.

Preventing flat head syndrome

By spending time on their tummies, babies take pressure off the back of their heads, which helps to prevent or correct positional plagiocephaly.

Promoting motor skill development

Tummy time encourages babies to explore their environment and develop essential motor skills.Implementing tummy time:

Start early

Begin tummy time shortly after birth, as soon as the umbilical cord stump has fallen off and the baby is comfortable.

Supervise closely

Always supervise tummy time to ensure the baby’s safety.

Gradually increase duration

Start with short sessions (3-5 minutes) several times a day and gradually increase the duration as the baby becomes stronger and more comfortable.

Make it fun

We all want what’s best for our little ones, and ensuring safe sleep is paramount. While side sleeping for infants isn’t recommended, understanding your baby’s sleep patterns is crucial. The journey to a full night’s rest varies, but knowing when do newborns sleep all night, as detailed here: when do newborns sleep all night , can guide your expectations.

Always prioritize the safest sleep positions, such as on their back, to protect your precious child.

Engage the baby with toys, sounds, and facial expressions to make tummy time an enjoyable experience.

Frequently Asked Questions and Answers About Infant Sleep Positions

Addressing common misconceptions about infant sleep positions through a question-and-answer format can provide clarity and reinforce safe sleep practices.* Is it okay for my baby to sleep on their side? No, the American Academy of Pediatrics (AAP) recommends that infants always be placed on their backs to sleep. Side sleeping is not considered safe.* What if my baby rolls over onto their side or stomach? If a baby rolls over on their own, they do not need to be repositioned.

However, always place the baby on their back to sleep at the beginning of each sleep session.* Will my baby choke if they sleep on their back? No, the anatomy of a baby’s airway is designed to protect against choking. Babies are more likely to choke if they are sleeping on their side or stomach.* Can back sleeping cause flat head syndrome? Back sleeping can increase the risk of flat head syndrome.

However, this risk can be mitigated by varying the baby’s head position during sleep and incorporating supervised tummy time.* How much tummy time does my baby need? Start with short tummy time sessions (3-5 minutes) several times a day and gradually increase the duration as the baby gets older and stronger. Aim for a total of 30-60 minutes of tummy time per day.* Are sleep positioners safe? No, the AAP does not recommend using sleep positioners.

These devices are not necessary and can increase the risk of SIDS.* What about swaddling? Swaddling can be safe when done correctly. Ensure the swaddle is not too tight, and stop swaddling once the baby shows signs of rolling over.* Is it okay to use a wedge pillow in the crib? No, wedge pillows and other inclined surfaces are not recommended for infant sleep, as they can increase the risk of SIDS.

Special Circumstances and Considerations: Is It Safe For Infant To Sleep On Side

Navigating the realm of infant sleep positions requires a nuanced approach, acknowledging that certain medical conditions and developmental stages necessitate deviations from standard recommendations. While the supine position remains the gold standard, specific circumstances may warrant alternative approaches, always under the vigilant guidance of a pediatrician. This section delves into these complexities, offering insights into adapting safe sleep practices for vulnerable infants.

Alternative Sleep Positions in Medical Contexts, Is it safe for infant to sleep on side

Certain medical conditions may influence the appropriateness of the supine sleep position. These situations often require a careful balance between minimizing risks and addressing specific health concerns. The decision to consider alternative sleep positions should never be made without professional medical consultation.

Adapting Safe Sleep Practices for Premature Infants and Infants with Health Issues

Premature infants and those with certain health conditions require individualized safe sleep strategies. Their physiological vulnerabilities necessitate careful consideration of sleep positioning, monitoring, and environmental factors. This includes specialized support and, in some cases, modified sleep surfaces.

• Premature Infants: Premature infants may exhibit respiratory immaturity and other health challenges. For these infants, the supine position remains the primary recommendation, but often within a controlled environment, such as a neonatal intensive care unit (NICU). In the NICU, healthcare professionals carefully monitor the infant’s breathing, heart rate, and oxygen saturation. Specialized equipment, like cardiorespiratory monitors, is crucial. If a premature infant demonstrates apneas or bradycardias, the medical team might consider side or prone positioning, but always with continuous monitoring and under strict medical supervision.

• Infants with Gastroesophageal Reflux Disease (GERD): While the supine position is generally recommended, infants with severe GERD might experience increased discomfort and potential aspiration. In such cases, a slight elevation of the head of the crib, under medical supervision, might be considered. This elevation should be achieved through methods that maintain a flat sleeping surface and do not involve pillows or wedges.
• Infants with Craniofacial Anomalies: Infants with conditions affecting the shape of their skull or face may require specialized positioning to maintain an open airway and prevent pressure on specific areas. This often involves the use of custom-designed pillows or supports, and always under the guidance of a specialist.
• Infants with Obstructive Sleep Apnea (OSA): Infants diagnosed with OSA might benefit from positional therapy, although the supine position is still the safest overall. In some cases, side-lying may be considered if it helps to alleviate airway obstruction, but this requires close monitoring and medical supervision to ensure safety and prevent potential risks associated with this position.

Importance of Pediatrician Consultation for Personalized Advice

A pediatrician’s expertise is paramount when it comes to infant sleep positioning. They can assess the individual needs of each infant, taking into account medical history, developmental stage, and any existing health concerns. This personalized approach is crucial for ensuring safe and effective sleep practices.

Pediatrician Advice for Infants with Specific Medical Conditions

A pediatrician’s advice is crucial in tailoring sleep practices to the individual needs of an infant. Here is a blockquote containing the kind of advice a pediatrician might give for an infant with a specific medical condition.

Scenario: Infant diagnosed with mild to moderate Gastroesophageal Reflux Disease (GERD)

Pediatrician’s Advice: “For your infant with GERD, we will prioritize the supine sleep position to minimize the risk of SIDS. However, to help alleviate reflux symptoms, we can consider a few modifications. Ensure the crib mattress is firm and flat. We can slightly elevate the head of the crib, using a safe method like placing a wedge under the crib legs, but ensure the sleeping surface remains flat.

Never use pillows, wedges, or other soft items in the crib. Monitor your baby for any signs of discomfort or increased reflux. Consider feeding your baby smaller, more frequent meals. If symptoms persist or worsen, please contact me immediately. Remember, the supine position is always the safest option, and any modifications must be made under careful observation and medical guidance.”

Conclusion

In conclusion, the question of “is it safe for an infant to sleep on their side” has a clear and compelling answer rooted in scientific evidence and expert guidance. Prioritizing back sleeping, alongside other safe sleep practices, significantly reduces the risk of SIDS and promotes a healthy start for your baby. By understanding the risks, adhering to established guidelines, and addressing any concerns with your pediatrician, you can create a safe and nurturing sleep environment.

Remember, knowledge and proactive measures are key to protecting your infant during sleep.

FAQ

Is side sleeping ever recommended for infants?

No, side sleeping is generally not recommended for infants. While some medical conditions might require adjustments, the standard recommendation is to place infants on their backs to sleep.

What if my baby rolls onto their side during sleep?

If your baby rolls onto their side, you don’t need to reposition them unless they are unable to roll back onto their back. However, it’s crucial to always place your baby on their back to sleep at the beginning of each sleep session.

Does swaddling impact sleep position safety?

Yes, swaddling can be a safe practice when done correctly, but it’s essential to stop swaddling once your baby shows signs of rolling over. Always place a swaddled baby on their back.

Can using a sleep positioner make side sleeping safer?

No, sleep positioners are not recommended. They are not proven to prevent SIDS and can be a suffocation hazard if the baby rolls over or gets trapped against the device.

How can I ensure my baby sleeps safely during naps?

Follow the same safe sleep guidelines for naps as you do for nighttime sleep: back to sleep on a firm, flat surface, without any loose bedding or soft items in the crib.