K. asks from North Olmsted, OH on September 29, 2006
Tummy Sleeping - North Olmsted,OH
My daughter is 4 months old and just recently she has been trouble sleeping on her back. I have decided for naps that I would try tummy sleeping and she has done wonderfully!!! Before she would only take cat naps all day and then end up being cranky. She will sleep longer stretches now in the afternoon and has helped me with my peace of mind and allowed me more play time with my 3 year old son. I know that there is a risk for SIDS and it is so sensationalized in the media that it freaks me out, but I am just trying to get advice or opinions from other parents out there and what they do. I truly feel she is more comfortable this way.
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K.H. answers from Cleveland on October 02, 2006
About the tummy sleeping I know they say it is terrible but I have to tell you I have 2 boys one is now 4 and the other will be 2 next month and they both slept on their belly from the time I brought them home. My youngest still pretty much only sleeps on his belly. I mean as long as there is nothing to soft for their face to go into it will be fine. And actually my 2 year old even sleeps on a pillow now to and still on the belly. I would say been with the pillw for close to a year. Don't get me wrong no pillows for a 4 month old but the belly should be ok.
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B.C. answers from Cleveland on September 29, 2006
Hi K., How are you doing? My advice is do what works for you.
I let my children sleep on their tummies and no one really mentioned SIDS at that time. My children have perfectly shaped heads too. A lot of children today have flat heads and I think it is from laying on their backs all the time.
I know the skull is soft and can be shaped by rubbing it. that all for now. B.
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C.C. answers from Dayton on October 13, 2006
When both of my kids started rolling over to their stomachs, we started putting them to sleep on their stomachs. Otherwise, they would wake themselves up when we would lay them down on their backs to sleep. If she's sleeping better on her stomach (and has no problems with rolling) then I would put her to sleep on her stomach. Everyone sleeps better that way! :-)
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S.S. answers from Columbus on September 29, 2006
You can do the research, but sleeping position doesn't increase SIDS - here's 10 years of data to help:
After a decade of research on SIDS, I can confidently tell you that BTS has NOT reduced SIDS deaths, and yet the media continues to not only put a false sense of security in the minds of new (and veteran) moms, but also scare moms to the point of truly believing that they must wedge their rolling children because the minute they get on their tummies they will die.
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Here's more information so that each mom can make an educated choice (information that you can find on an Internet search):
There is less than a .5 (yes, that's POINT five) chance of SIDS from even a newborn tummy-sleeper. You actually have a higher risk of injuring or death to a child in an auto accident by age five than your baby suffering crib death.
Several factors can be attributed to the "drop" in SIDS statistics: parents became more conscious about removing stuffed animals, pillows, and fluffy blankets from cribs, thus eliminating true suffocation deaths; and the medical profession is now under much more rigid standards to be more specific on the actual cause of death in infants. It used to be that any death, unless obvious trauma, to a baby was simply called SIDS. SIDS is not suffocation, heart defects, other physical abnormalities, or any other health issue - doctors don't know exactly WHAT it is...
More and more studies are being released that indicate SIDS may be genetic - which means it doesn't matter how your child sleeps, if the gene is present, there's frankly nothing a parent can do about it.
Recent studies and in the May 2005 issue of Pediatrics magazine, they showed that the reduction in SIDS deaths was not due to BTS but rather in a stringent campaign forcing States to find a cause of death in newborns instead of just labeling it SIDS. http://www.nlm.nih.gov/medlineplus/news/fullstory_24409.html
Another study came out in February of 2005 from Cambridge University showing a correlation between maternal levels of alpha-fetoprotein (AFP) and SIDS. Women with the highest AFP levels were three times likely to have a baby die of SIDS.
Keeping your child at a comfortable temperature and keeping the crib free of obstructions is common sense. Remember - SIDS is NOT suffocation.
Before the BTS campaign, we were TOLD to put babies on their bellies. Then about a decade ago, that got switched to recommending ONLY side-sleeping. Then this BTS stuff started. So you see, the next publication could revert back. It's frankly up to each parent, and just like any recommendation, parents must do research.
Babies have died from SIDS on their backs AND bellies, at home AND in hospitals, and even in their mother's arms. Believe what you will, but I (like many others, medical professionals and parents) am absolutely convinced that the position that a child sleeps in has nothing to do with SIDS.
And of course, there is a contradicting argument to virtually every statistic you will read.
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"...Further more, much depends on how statistics are gathered. Until recently most autopsies on infants were carried out in a haphazard fashion. Often, no autopsies were performed. Now, in most parts of the western world, strict criteria are applied and autopsies performed by specialist teams. Many cases that previously would be considered as qualifying for the diagnosis of SIDS are now excluded. This artificially reduces the incidence compared to pre-autopsy and specialised consideration times. To accurately follow recent trends one needs to look at the overall infant mortality rate. This is the bottom line and cannot be easily manipulated."--Dr Kalokerinos MD (Medical Pioneer of the 20th century p178) - from http://www.whale.to/vaccine/quotes18.html
"...In summary, this study has shown that infants who die of SIDS have a higher proportion of airway smooth muscle in their small airways than age-matched infants who die suddenly from causes no associated with underlying cardiorespiratory pathology. The increase in smooth muscle may contribute to excessive airway narrowing which, along with other factors such as immature ventilatory control mechanisms, may result in sudden death, but the precise significance of this finding remains unknown." from http://ajrccm.atsjournals.org/cgi/content/full/160/1/313
"...The tragic mystery (MYSTERY - meaning there is NO CAUSE OR CURE - my words) of sudden infant death syndrome (SIDS) is a bit closer to being solved. New research shows that genetics may play a role." from http://my.webmd.com/content/article/92/101949.htm
"...A new study has identified mutations in genes pertinent to the autonomic nervous system among babies who died of sudden infant death syndrome (SIDS) that might explain why they died..." from http://www.docguide.com/dg.nsf/PrintPrint/8848BC53E7ED852...
"...In other words, the more we look for fine abnormalities the more we find. Unfortunately, apart from a few factors such as the recognition of the dangers of cigarette smoking, nothing had been found that dramatically reduces the incidence of the syndrome..." from http://www.pnc.com.au/~cafmr/newsl/kalo.html
I had this quote from somewhere..."Weese-Mayer's own research, published in 2003, found that infants who succumbed to SIDS were more likely to have a certain pattern in the serotonin transporter gene. Serotonin, among other things, influences the regulation of breathing, the heart and temperature. Another study published during 2001 found that a small subset of SIDS cases occurs in babies who have a mutation in a gene called SCN5A, which causes subtle cardiac rhythm disturbances during sleep."
So you see from these studies, genetics and other factors are what are believed to cause SIDS. But alas, no one still really knows! But it is clear to me that sleeping position is unrelated to true SIDS.
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Let me put this in perspective about the misleading stats. For example:
- 10 years ago, 10 babies suffered crib death. No autopsies performed, so all 10 called SIDS.
- Now 10 babies suffer crib death. Autopsies completed - 2 suffocated, three had tracheal abnormalities or other heart/health problems... 5 are mysteries, ala SIDS.
Viola. A 50 eduction in SIDS deaths in the past decade. BTS is taking the credit for it, and it's absolutely no-questions-asked false statistics.
Info regarding this can be found on: http://www.msnbc.msn.com/id/7706456/
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Some sites are connecting immunizations to SIDS, however I am still a strong supporter in childhood immunizations. That's a whole other debate that I'm not interested in getting into.
Why I am such a strong opposer to BTS? I am carrying on the work of my now-deceased MIL who spent the last decade of her life compiling the information contradicting the validity of BTS. She was a brilliant medical professional for over 40 years. Her main concern was mothers getting a false sense of security that their babies could not suffer SIDS if they were put on their backs. That's blatantly wrong, and she wanted her moms to know that.
What are the wonderful results from the scare tactic of BTS?
Some think a link to PPD may be derived from moms not sleeping well at all because their back-sleeping babies can't sleep (why anyone would take an infant that had been snugly curled and secure for 9 months and lay them out on their back is still beyond me). Now there are increasing reports of plagiocephaly (flat heads) and the progressive health problems that can come from it - from poor babies having to wear helmets and all the way to mental retardation from compression of the brain. This comes from forced back-sleeping. We have babies with delayed development - not a big deal, but yet another side effect of forced back-sleeping - they're not developing the arm and leg strength to crawl as quickly as their predecessors. There are also lots of reports on the dangers of sleep positioners - supply and demand, right? These manufacturers are brilliant. Sleep positioners are suffocation hazards and should never be used (the AAP won't endorse them), but the hype over BTS makes a mom believe that her child must be "pinned down" in order to survive, when in effect they are risking crib death.
There are a few sites, and I won't argue that there are many that still claim BTS has reduced the stats. I believe otherwise, and that's my perogative; I, like you, must do what I feel best for my babies and myself.
All three of my infants were tummy sleepers from the hospital on, and so will any future babies of mine. I am 110% confident that their risk of SIDS is not increased.
EDITED 9/30: PLEASE PLEASE DON'T USE SLEEP POSITIONERS - THEY'RE A TRUE SUFFOCATION HAZARD - THE AAP WON'T EVEN ENDORSE THEM.
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A.B. answers from Youngstown on October 07, 2006
My twins would not sleep on their backs, i had to lie in bed/couch etc... and have them one me on their tummies, they slept great.
I was villified by all those back sleeper baby's moms, like i was evil. if it works then go with it, please make sure the mattress is firm, no blankets/toys/etc so their is no chance of suffocation,
my twin boys are happy healthy and sleeping thru the night.....
if you hear negative comments, then tell whoever it is to please bring their pillow and a blanket to your house, purchase earplugs for yourself and see how they change their view.
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M.S. answers from Columbus on September 29, 2006
I agree with you. The reality is that no one really knows exactly what causes SIDS. For generations and generations, moms put their baby's on their stomachs with no issues. When my daughter was a newborn, the only way either one of us could sleep would be to have her on her stomach, on my chest. At first I was petrified and spent many a sleepless night. But, after a couple of days of maybe 2 hours of sleep, I took my sister advice and we both got much needed rest. The bottom line is that there are precautions you can take, but there is absolutely no guarentee a baby won't get SIDS. A co-worker of my boyfriend's daughter died from SIDS and she was on her back. They still don't know why she died, but I think research is starting to point to underdeveloped lungs, or lungs filling with fluid, which is not detectable until it is too late. Hopefully in the next few years they will find out an exact cause.
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L.M. answers from Columbus on September 29, 2006
Hi K.,
My 15 month old was the same way. She would only sleep for short periods of time and be a bear when awake. At about 3 weeks I put her on her tummy when she had gas and she fell asleep almost instantly. Like you, I was very worried and kept checking on her contantly to make sure she was still breathing. She has slept on her tummy ever since.
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B.C. answers from Cleveland on September 29, 2006
Hi K., How are you doing? My advice is do what works for you.
I let my children sleep on their tummies and no one really mentioned SIDS at that time. My children have perfectly shaped heads too. A lot of children today have flat heads and I think it is from laying on their backs all the time.
I know the skull is soft and can be shaped by rubbing it. that all for now. B.
1 mom found this helpful
K.H. answers from Cleveland on October 02, 2006
About the tummy sleeping I know they say it is terrible but I have to tell you I have 2 boys one is now 4 and the other will be 2 next month and they both slept on their belly from the time I brought them home. My youngest still pretty much only sleeps on his belly. I mean as long as there is nothing to soft for their face to go into it will be fine. And actually my 2 year old even sleeps on a pillow now to and still on the belly. I would say been with the pillw for close to a year. Don't get me wrong no pillows for a 4 month old but the belly should be ok.
1 mom found this helpful
K.M. answers from Cleveland on September 30, 2006
ask her dr about acid reflux i had a friend whose baby was very cranky while lying on her back but was just fine being upright you may also want to try to elevate one end of her bed mattress it may help good luck
C.Y. answers from Cincinnati on September 30, 2006
K.,
I had the same problem with BOTH of my kids. My son is 2, and my daughter is 9 1/2 months. Neither one of them would sleep very long on their backs, if at all. It seemed that after about 20 minutes, they would wake up!! FRUSTRATING!! I realized one day that my son napped for almost 2 hours on his belly!! From then on, he slept on his tummy. I don't let anything else be in the crib, but allow them to sleep how they want!! After all, our parents put us on our tummies to sleep because back then, THAT was considered the safe way to sleep!! Go with your gut!! You are a Mom, and your gut is usually right on!! Good luck!!
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