I often get asked when it is safe to leave your baby sleeping on their tummy. As per the AAP (American Academy of Pediatrics) and the CPS (Canadian Paediatric Society) it is advised to place your baby on their back for every sleep (night time and naps) until they are at least 12 months of age.

As per the safe sleep guidelines (CPS & AAP), once your baby is able to roll onto their tummy (totally alone and independently), it is okay and safe to leave them! However, it is important that you continue to place them on their back for each sleep (even if they roll over immediately) and you NEED to remove the swaddle if not already done.

What to Consider with Tummy Sleep

REMOVE THE SWADDLE

The most important thing to do at the first signs of rolling is to STOP using the swaddle. The transition from the swaddle is not always easy, but it is crucial for safe sleep and your baby will get used to sleep without a swaddle! If you are transitioning from the swaddle before signs of rolling, you can take your time by starting with one arm out, then two arms out for a few days before removing entirely. If your baby is showing signs of rolling, you need to stop the swaddle cold turkey as it is not longer safe. It will be tough for a few days, but know that it will get better!

ENSURE SAFE SLEEP SPACE

A safe sleep space should be of top priority from birth onwards, but it is always important to do a check in and assessment of your child’s sleep space as they grow. Review your country’s safe sleep guidelines to ensure that you are up to date with the more current safe sleep guidelines. 

Some basics that should be followed:

  • Own sleep space
  • Nothing in the sleep space (toys, bumpers, blankets..etc)
  • Tight fitting sheet and a firm mattress with no gaps
  • Sleep space should be away from windows, curtains, any strings hanging down..etc.
  • Your baby should be able to easily roll in what they are wearing (ex: no swaddle or weighted sleep sacks)

DAYTIME PRACTIVE & TUMMY TIME

Many babies will learn to roll from their back to their tummy first, so it is really important to give them time and opportunity to practice rolling both ways during the daytime. The faster they can master the skill, the less time it will disrupt sleep for. Watch this reel for guidance on daytime rolling practice, make sure to read the caption.

As well as practicing the skill of rolling during the day, it is equally as important to offer plenty of time for tummy time. Tummy time can help make sleep on their tummy easier and safer.

Other benefits of tummy time:

    • Encourages play and stimulation
    • Important for physical development
    • Helps build up sleep pressure!
    • Great for 1:1 interactive time with your little one.

PROVIDE COMFORT

If you have ensured a safe sleep space, your baby is able to roll independently from their back to tummy, they are no longer swaddled and they roll from back to tummy in their sleep space, then it is safe to support them to find comfort in that position. It is possible that they simply need a bit of time to get used to and comfortable with this new sleep position.

    If your little one’s sleep has hit a major speed bump when rolling popped up, do not be discouraged, I am here to help and support your family. Book a free discovery call with me so I can learn more about your specific sleep situation, help you identify what might be missing in terms of a solution and how I can best support you and your family in reaching your sleep goals! 

     

    Rosalie Kassen (she/her)

    Founder of Plume Sleep Solutions, Registered Nurse and Paediatric Sleep Consultant.

     

    I work with families all over the world to bring healthy sleep habits and rest back into their homes. Stop simply surviving the parenthood journey and start thriving!