It's lovely to have your baby with you for a cuddle or a feed, but it's safest to put them back in their cot before you go to sleep.
The safest place for your baby to sleep for the first 6 months is in a cot, lying on their back, in the same room as you.
Lullaby Trust safer sleep advice gives simple steps for how you can sleep your baby to reduce the risk of sudden infant death syndrome (SIDS) which is commonly known as cot death. It can give you the peace of mind to enjoy this special time. This advice is based on strong scientific evidence and should be followed for all sleep periods, not just at night.
If you have any questions about SIDS or safer sleep, please call The Lullaby Trust information line on 0808 802 6869 (lines open Monday-Friday 10am-2pm) or contact your Midwife or Health Visitor for more support.
Sudden Infant Death Syndrome (SIDS) is the sudden and unexpected death of a baby where no cause is found. This is also known as “cot death”. While SIDS is rare, it can still happen and there are steps parents can take to help reduce the chance of this tragedy occurring.
To find out more, please visit The Lullaby Trust Website.
The safest place for your baby to sleep for the first 6 months is in a cot in the same room as you.
It's especially important not to share a bed with your baby if you or your partner:
The risks of bed sharing are also increased if your baby was:
As well as a higher risk of SIDS, there's also a risk you might roll over in your sleep and suffocate your baby. Your baby could get caught between the wall and the bed, or roll out of an adult bed and be injured.
Never sleep with a baby on a sofa or armchair. It's lovely to have your baby with you for a cuddle or a feed, but sleeping with your baby on a sofa or armchair is linked to a higher risk of SIDS. It's safest to put your baby back in their cot/Moses basket before you go to sleep.
It is important to make sure that your baby’s room is a comfortable temperature – not too hot or too cold. The chance of SIDS is higher in babies who get too hot. Try to keep the room temperature between 16 -20°C. Find out more.
Some parents choose to share a bed (also known as co-sleeping) with their babies. It is important for you to know how to do this safely and that there are some circumstances in which bed-sharing with your baby can be very dangerous.
Co-sleeping more safely:
If you are bedsharing with your baby you should consider any risks before every sleep. It is easy for your situation to change if you are unwell or have drunk any alcohol, which means your baby will be safest in a separate sleep space such as a cot or Moses basket on that occasion.
Co-sleeping with your baby is very dangerous if:
In these scenarios, it is always best to put baby in their own safe sleep space, such as a cot or Moses basket. Keeping the cot or Moses basket next to your bed might make this easier.
Never fall asleep on a sofa or armchair with your baby. The risk of SIDS is 50 times higher for babies when they sleep on a sofa or armchair with an adult. They are also at risk of accidental death as they can easily slip into a position where they are trapped and can’t breathe.
The safest sleeping position for a baby is on their back so always place your baby on their back to sleep and not on their front or side.
Sleeping your baby on their back (known as the supine position) for every sleep, day and night, is one of the most protective actions you can take to ensure your baby is sleeping as safely as possible.
There is substantial evidence from around the world to show that sleeping your baby on their back at the beginning of every sleep or nap (day and night) significantly reduces the risk of sudden infant death syndrome (SIDS).
Visit The Lullaby Trust website to find out more.
Warmer weather can make following safer sleep advice more complicated. The Lullaby Trust have put together some tips on how to enjoy the summer and keep baby safe when the weather is hot.
Visit The Lullaby Trust website to find out more.
We know that the colder months can be difficult for families. You may be worried about the costs of living and have to make difficult choices for you and your family. Or you may be worried about paying your heating bills. You may be concerned about trying to keep your home warm, keeping draughts out and keeping your baby warm.
The recommended room temperature is 16-20 degrees, this may be difficult to maintain in the colder months. It can be tempting to wrap your baby up to keep them warm, however, we know that overheating a baby increases the chances of SIDS (also known as cot death). Research shows babies are better to be cooler than too hot.
Things to avoid:
Visit The Lullaby Trust website for things to consider for your baby and their sleep space during the colder months.
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There are many sensory issues associated with sleep including:
Look at the bedroom environment to see what may be affecting their ability to go to sleep and stay asleep. Do their pyjamas and bedclothes feel comfortable, are they too hot or cold? Is it too light or too dark, too noisy or too quiet? Perhaps it is too cluttered and stimulating. Think about your child’s diet. Are they eating too early or not having enough to eat? Are they eating food that can stimulate them close to bedtime. There can be added difficulties where children have restrictive diets but some simple adjustments of what is eaten and when can make a big difference.
Sticking to the same routine helps your child to know what to expect at bedtime and helps them feel secure. It also helps to support your child’s internal body clock and keep it on track. The age related sleep advice and information on this website can help with establishing routines. Some children will benefit from using picture timetables, timers or social stories to help them understand their bed-time routine. More information about visual supports can be found on these websites
Visual Resources | Autism West Midlands
Visual Supports | Autism Toolbox Autism Toolbox
Your child may be feeling overstimulated after a busy day and needs help to wind down, or their environment may be overstimulating with lots of toys, TVs and computers within reach. Avoiding TV and computers or hand-held devices an hour before bedtime can help your child to wind down. Activities that are good for the wind down period are jigsaws and colouring. Having a relaxing bath and milky drink can help some children, but for some children having a bath can over-excite them so they may need to have their bath earlier in the day.
Children who wake to use the toilet, wet the bed, or who wear nappies or pull-ups at night that need changing may have disturbed sleep. Eric, the children’s bowel and bladder charity are a good source of advice on this topic.
A sleep diary can help you understand what may be causing difficulties with sleep. Fill it out every evening and record as much as you can. You can use it to spot patterns and make changes that may help.
The Sleep Charity have templates you can download; one for teenagers and one for younger children.
There are organisations that can help you if you are having difficulties with your child’s sleep. There are many national organisations, including those who specialise in sleep for SEND families, and there are also community-based services in Shropshire, Telford and Wrekin. Click the link at the bottom of page to visit our support services page.
The circadian sleep cycle is a 24-hour cycle that helps govern essential bodily functions especially the sleep-wake cycle. It plays a vital role in a person’s ability to sleep in one consolidated block of time at night and to stay awake during the day. As the sun sets in the evening, the brain begins producing melatonin, a hormone that induces sleepiness. Core body temperature also drops.
As melatonin and tryptophan (an amino acid which helps produce melatonin) are naturally produced in the body, there are things you can do to help their production. Darkness helps to promote the production of melatonin which is why it is a good idea to put your child to sleep in a darkened room, and light emitting devices such as tablets and phones also can destroy Melatonin so should not be used for at least an hour before bed. New research shows that limiting exposure to screens and increasing physical activity levels during the day has a positive effect on children's overall physical, mental health and wellbeing, including sleep.
Setting a waking time consistently even in holiday times, called ‘anchoring’ the wake time, can help to reset the body clock over time. This should be accompanied with exposure to lots of light on waking to support circadian rhythm.
Melatonin and tryptophan occur naturally in some foods and drinks such as milky drinks and cereals which is why having a milky drink before bed can help settling to sleep. For more information visit Diet & Sleep - The Sleep Charity
Behavioural strategies and practical solutions are the best way to address sleep difficulties, but if they are having a significant impact on your child’s ability to function, a drug form of melatonin is sometimes prescribed for neurodivergent children. As the drug’s function is to re-set sleep and wake cycles, it works best combined with good sleep hygiene practices. It is important that is it taken under medical supervision and not purchased on-line so that it is closely monitored for dosage and side effects. It should be prescribed for the shortest period necessary as the long-term effects of the drug on children’s development are not yet known.
In Shropshire, Telford and Wrekin the Community Paediatric Service and the BeeU Service (CAMHS) can prescribe Melatonin for children and young people who meet ALL of the following criteria.
GPs are unable to prescribe Melatonin although they sometimes issue repeat prescriptions when prescribing has been started by a specialist (such as a paediatrician or child psychiatrist).
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