{
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  "id": "maternal:safe-infant-sleep",
  "owner": "maternal",
  "kind": "care_topic",
  "slug": "safe-infant-sleep",
  "name": "Safe infant sleep",
  "aliases": [],
  "atlases": [
    "maternal"
  ],
  "summary_plain": "How and where a baby sleeps affects the risk of sudden infant death and other sleep-related deaths. NICHD's Safe to Sleep campaign advises putting babies on their backs for every sleep, on a firm, flat, level surface with nothing in the sleep area but a fitted sheet, in their own sleep space in the parents' room, and feeding human milk.",
  "summary_technical": "The Safe to Sleep campaign page lists back sleeping, a firm, flat, level surface covered only with a fitted sheet, room sharing without bed sharing for at least the first 6 months, an empty sleep area, and feeding human milk, and says its actions are based on the recommendations of the American Academy of Pediatrics Task Force on SIDS; the atlas did not read that policy statement (see the claim on this page). The page also covers bed sharing risks, car seats and other situations that are not summarised here. The US-authorised SNOO Smart Sleeper is a separate record. The recipient is the infant, and the caregiver acts on the advice.",
  "editorial_state": "draft",
  "last_substantive_edit": "2026-10-14",
  "last_evidence_check": "2026-10-14",
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  "identifiers": [],
  "navigation": {
    "maternal": {
      "life-stage": [
        "newborn",
        "infant-follow-up"
      ],
      "care-area": [
        "infant-health"
      ]
    }
  },
  "payload": {
    "scope": "Sleep position, sleep surface, sleep space and related advice for babies younger than 1 year, as published by NICHD.",
    "life_stages": [
      "Newborn",
      "Infant follow-up"
    ],
    "life_stage_terms": {
      "maternal": [
        "newborn",
        "infant-follow-up"
      ]
    },
    "care_setting": "Home and child care sleep settings."
  },
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      "category": "recommendation",
      "statement": "NICHD's Safe to Sleep campaign advises that babies be placed on their backs to sleep for naps and at night, and says it is not safe to place babies on their sides or stomachs to sleep, not even for a nap. It advises a sleep surface that is firm, flat and level and covered only with a fitted sheet; sharing a room, but not a bed, with the baby for at least the first 6 months, with the baby in their own sleep space; keeping everything except a fitted sheet out of the sleep area; and feeding human milk, as by breastfeeding. NICHD says these actions are based on the recommendations of the American Academy of Pediatrics Task Force on SIDS.",
      "context": {
        "id": "maternal:ctx-us-infants-under-1-year-and-caregivers-safe-sleep",
        "label": "Infants younger than 1 year in the United States and their caregivers (NICHD Safe to Sleep)",
        "recipient": "child",
        "population": "Babies younger than 1 year of age and the people who care for them. The Safe to Sleep campaign addresses parents, grandparents, other relatives, babysitters, child care providers and anyone who might care for a baby. Counts on the page are for the United States.",
        "care_setting": "Home and child care sleep settings (the page lists parents, babysitters and child care providers).",
        "geography": "United States (NICHD campaign)",
        "life_stage_note": "Newborn and infant, younger than 1 year",
        "life_stage_terms": {
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        "gestational_age_min_days": null,
        "gestational_age_max_days": null,
        "gestational_age_basis": null,
        "postnatal_age_min_days": null,
        "postnatal_age_max_days": null,
        "gestational_age_status": null,
        "postnatal_age_status": null,
        "followup_description": "Not applicable (guidance and national counts)",
        "eligibility": {
          "inclusion": [
            "Infants younger than 1 year"
          ],
          "exclusion": [
            "The page notes babies born preterm or with certain health conditions may need different care"
          ]
        }
      },
      "evidence_stage": "guidance",
      "certainty": "not_assessed",
      "certainty_method": null,
      "limitations": "This is a summary of the campaign's public advice. The atlas did not read the American Academy of Pediatrics policy statement on which NICHD says the advice is based, so the advice is attributed to NICHD and not to that statement. The page states that babies born preterm or with certain health conditions may need different care, and it gives sections on specific situations that are not summarised here. The advice reduces risk and is not a guarantee. A baby's doctor can advise on a baby's own situation.",
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      "checked_at": "2026-10-14",
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