Please know: I’ve updated this checklist according to the most up-to-date safe sleep recommendations (2022) from the American Academy of Pediatrics (I LOVE Table 3!).
Sleep surface is...anchor
Firm (No need for mattress cushions or pillow tops)
Flat (Even for reflux babies or babies with upper respiratory infections, an elevated position is not safe for sleep.)
Labeled as a crib, bassinet, portable crib, or play yard (No loungers, sleepers, nappers, or surfaces by any other name are approved.)
Clear of weighted products of any kind, any loose bedding, blankets, stuffed animals, or pillows
More than an arm’s length away from windows, furniture, and cords
His/her own space (Not bed-sharing with parents or siblings)
No gaps around the edges of the mattress
Snuggly fitted sheets on the mattress
Slats no more than 2 ⅜ inch apart
No drop-down sides
Crib mattress at the appropriate height setting (When baby begins to sit independently, crib rail should be at mid-chest or higher on baby in the standing position.)
When using bassinets...anchor
Only use with the mattress sold specifically with it (applies to play yards too)
Transition when baby outgrows it (Weight/length limits OR when baby can sit, climb, or roll out)
Swaddling should be...anchor
Snug around the chest, but still allow for your hand to slide inside
Loose around the hips
Only in non-weighted swaddles
Baby should also be...anchor
Placed on back for sleep for the entire first year
Allowed to sleep on his tummy IF he/she rolls there independently
Offered a pacifier at nap time and bedtime
Free of any bows, clips, hats, or mittens
Dressed for temperature comfort
Considerations for sleep outside of the crib:anchor
If baby is being held or snuggled for sleep, caregiver must remain awake.
If baby falls asleep in a car seat, swing, carrier, or stroller, baby is moved to flat, firm sleep surface as soon as safe and practical (as specifically recommended by the AAP).
Car seat sleep is safe when car seat is in the car, car seat is installed/used properly, and baby is buckled as directed. - Baby must NOT be swaddled in car seat. - No positioners, padding, toys, etc. in car seat other than what was sold with that particular car seat.
If baby is in a car seat outside of the car, these must all apply: - Baby must remain properly buckled. - Baby’s face should be entirely visible to a watching caretaker at all times. - Car seat should be placed in the big portion of shopping cart or in an approved adapter for a stroller. - Remove baby from car seat once you arrive home or to your destination.
Click here to get a printable version of this checklist. *Disclaimer: Please always follow the advice of your doctor and stay up to date with all the recommendations of the American Academy of Pediatrics or the safe sleep guidelines for where you live.