The Safe to Sleep Program, SIDS and SUID

Why are We Putting Babies to Sleep on Their Backs?

The Hong Kong Studies

In 1985 after retrospectively investigating only 15 deaths, researchers concluded that that Hong Kong had a much lower rate of unexplained infant deaths than that of Western countries. They cited a low incidence of preterm birth in Hong Kong (a known risk factor for unexplained infant death) and two significant differences in infant sleep environments — crowded living conditions and the traditional Chinese practice of putting babies to sleep on their backs. Given the absurdity of recommending crowded living conditions and the unlikelihood of reducing preterm birth, they went with the supine sleep recommendation in their conclusions. Read more

Flat Spots

I see lots of babies who have flat spots on their heads (plagiocephaly) in my Craniosacral Therapy practice.

Container-Baby Culture and Flat Heads

The most common variety is the broad flat spot on the back of the head – an artifact of the Back to Sleep Program, swaddling for sleep and time spent in car seats, baby seats and swings that have a flat, firm surface. My mantra is: Back to sleep, tummy for play, car seats only for car rides and in arms or slings the rest of the time. Of course, this doesn’t mesh well with what most Americans actually do with their babies – especially the car seat and “infant furniture:”part. Read more