Did you know?
• About one in five sudden infant syndrome
(SIDS) deaths occur while an infant is being
cared for by someone other than a parent.
Many of these deaths occur when infants
who are used to sleeping on their backs
at home are then placed to sleep on their
tummies by another caregiver. We call this
“unaccustomed tummy sleeping.”
• Unaccustomed tummy sleeping increases the
risk of SIDS. Babies who are used to sleeping
on their backs and placed to sleep on their
tummies are 18 times more likely to die from
Who is at risk
• SIDS is the leading cause of death for infants
between 1 month and 12 months of age.
• SIDS is most common among infants that are
2-4 months old. However, babies can die of
SIDS until they are 1 year old.
Because we don’t know what causes SIDS,
safe sleep practices should be used to reduce
the risk of SIDS in every infant under the age of
Supported in part by Grant No. U46 MC 04436 from the Maternal
and Child Health Bureau (Title V, Social Security Act), Health
Resources and Services Administration, Department of Health
and Human Services.
Know the truth…
SIDS is not caused by:
• Vomiting or choking
What can child care
Follow these guidelines to help protect the
infants in your care:
CREATE A SAFE SLEEP
Create and use a written safe sleep policy–
Reducing the Risk of Sudden Infant Death
Syndrome, Applicable Standards from Caring
for Our Children National Health and Safety
Performance Standards: Guidelines for Out-
of-Home Child Care Programs outlines safe
sleep policy guidelines. Visit http://nrc.uchsc.
edu/SPINOFF/SIDS/SIDS.htm to download a
A safe sleep policy
should include the
• Healthy babies should always sleep on their
backs. Because babies sleeping on their sides
are more likely to accidently roll onto their
stomach, the side position is not as safe as the
back and is not recommended.
• Require a physician’s note for non-back
sleepers that explains why the