10 Best Sleeping Positions for Infants: A Safe and Comfortable Guide

Ensuring your baby sleeps safely is one of the most important aspects of infant care. The right sleeping position can reduce the risk of Sudden Infant Death Syndrome (SIDS) and promote better rest. Below, we explore the 10 best sleeping positions for infants, along with safety tips to help your little one sleep soundly.

1. Back Sleeping (Recommended by Pediatricians)

The American Academy of Pediatrics (AAP) strongly recommends placing infants on their backs to sleep. This position significantly lowers the risk of SIDS.

• Always lay your baby flat on their back on a firm mattress.

• Avoid using pillows, blankets, or stuffed animals in the crib.

• This position helps keep the airway open and prevents suffocation.

Back sleeping is the safest and most recommended position for newborns and infants up to one year old.

2. Side Sleeping (Under Supervision Only)

Some parents prefer side sleeping, but it should only be done under close supervision and for short periods.

• Use a rolled-up blanket to support the baby’s back and prevent rolling.

• Ensure the baby’s lower arm is forward to avoid rolling onto the stomach.

• Never leave a baby unattended in this position, as it increases SIDS risk.

Side sleeping is not the safest option but may be used temporarily for babies with reflux under medical guidance.

3. Elevated Head Position (For Reflux or Congestion)

If your baby suffers from acid reflux or nasal congestion, a slightly elevated head position can help.

• Place a small, firm wedge under the crib mattress (never under the baby).

• Keep the elevation angle minimal (under 30 degrees).

• Always consult a pediatrician before using this position.

This position should only be used when necessary and under professional advice.

4. Swaddled Sleeping (For Newborns)

Swaddling can help newborns feel secure and prevent the startle reflex from waking them.

• Use a lightweight, breathable swaddle blanket.

• Ensure the swaddle is snug but not too tight around the hips.

• Stop swaddling once the baby shows signs of rolling over (around 2-4 months).

Swaddling is safe when done correctly but should be discontinued once the baby becomes more mobile.

5. Arms-Out Swaddle (For Transitioning Babies)

As babies grow, they may prefer having their arms free while still feeling snug around the torso.

• Use a sleep sack with armholes for better mobility.

• Keeps the baby warm without restricting movement.

• Reduces overheating risk compared to full swaddling.

This position is ideal for babies who are starting to roll but still need comfort.

6. Tummy Time (While Awake and Supervised)

Tummy time is essential for muscle development but should never be used for unsupervised sleep.

• Only allow tummy time when the baby is awake and under watch.

• Helps strengthen neck, shoulder, and back muscles.

• Reduces the risk of flat spots on the head (plagiocephaly).

Always place your baby on their back for sleep, even if they enjoy tummy time while awake.

7. Cradle Hold (For Comfort and Bonding)

Holding your baby in a cradle position can help them fall asleep before transferring them to the crib.

• Supports the head and neck while rocking.

• Promotes bonding and relaxation.

• Always place the baby on their back after they fall asleep.

This position is great for soothing fussy babies but should not replace safe crib sleeping.

8. Co-Sleeping (With Precautions)

Some parents prefer co-sleeping, but it must be done safely to avoid suffocation risks.

• Use a co-sleeper bassinet attached to the bed instead of bed-sharing.

• Keep pillows, blankets, and soft bedding away from the baby.

• Avoid co-sleeping if you are a heavy sleeper or under the influence of medication.

Co-sleeping can be risky, so following safety guidelines is crucial.

9. Flat Surface Sleeping (Avoiding Inclined Sleepers)

Babies should always sleep on a flat, firm surface without inclines or soft padding.

• Avoid inclined sleepers, nests, or docks due to suffocation risks.

• Use a fitted sheet on a firm crib or bassinet mattress.

• Ensure no gaps between the mattress and crib walls.

Flat surfaces are the safest and reduce the risk of accidental suffocation.

10. Room-Sharing (Without Bed-Sharing)

The AAP recommends room-sharing (but not bed-sharing) for at least the first 6 months.

• Place the baby’s crib or bassinet in the parents’ room.

• Helps with monitoring and nighttime feedings.

• Reduces SIDS risk by up to 50%.

Room-sharing is a safe alternative to bed-sharing and promotes better sleep safety.

Final Thoughts on Safe Infant Sleep

Choosing the right sleeping position for your baby is crucial for their safety and development. Back sleeping remains the gold standard, while other positions should be used cautiously. Always follow pediatric guidelines and consult your doctor if unsure. By prioritizing safe sleep practices, you can ensure your baby rests comfortably and securely.