What is a key SIDS prevention recommendation for infant sleep safety?

• A. Sleep on the stomach on a soft surface.
• B. Place infants on their backs to sleep on a firm surface; avoid soft bedding, pillows, and bed-sharing.
• C. Use soft bedding and bumper pads for comfort.
• D. Bed-sharing with caregivers to promote bonding.

Answer: (B)

Putting the infant to sleep on their back on a firm, flat surface sharply lowers the risk of SIDS. This position keeps the airway clearer and reduces the chance of rebreathing exhaled air, which can occur more easily in other positions. A firm surface helps prevent the baby from sinking into soft materials that could block the nose or mouth. Soft bedding, pillows, and bed-sharing create opportunities for the face to become obstructed or covered, increasing suffocation risk. Bed-sharing with caregivers also adds danger due to potential overlay or accidental compression, especially if the adult is tired or under the influence. Therefore, the safest approach is back-sleep on a firm mattress with no loose blankets or soft items, in the same room as caregivers but not in their bed. Consider a wearable sleep sack instead of blankets, and keep the sleep area free of pillows, bumper pads, and plush toys to support safe, uninterrupted breathing.