Why can’t babies sleep on an incline?

Answered by Robert Dupre

Babies should not sleep on an incline because it can pose risks to their airway and breathing. The angle created by an inclined sleeper can cause the baby’s head to slump forward in a chin-to-chest position, which can obstruct their airway and make breathing difficult. This is especially concerning for newborns and young infants who may not have the muscle strength or control to reposition themselves.

When a baby’s head is slumped forward, it can compress the airway, making it harder for them to breathe freely. This can be particularly dangerous because babies primarily breathe through their noses, and any obstruction can lead to breathing problems or even suffocation.

The risk of airway obstruction is further heightened if the baby is swaddled or positioned in such a way that restricts their movement. While swaddling can help calm babies and promote sleep, it should be done in a safe manner that allows for proper airflow and freedom of movement.

Additionally, an inclined sleeper may not provide the necessary support for a baby’s developing spine and neck muscles. Babies have delicate necks that require proper support to maintain a neutral position. When placed on an incline, their necks may be forced into an unnatural position, which can strain their muscles and potentially lead to discomfort or injury.

It is important to note that the American Academy of Pediatrics (AAP) advises against the use of inclined sleepers or any sleep surface that elevates a baby’s head more than 30 degrees. This recommendation is based on safety concerns and the potential for airway obstruction.

To ensure the safety of your baby during sleep, it is recommended to follow the guidelines provided by organizations like the AAP. These guidelines include placing babies on their backs to sleep on a firm and flat surface, free from any soft bedding, pillows, or cushions. The sleep area should be kept clear of any potential hazards that could pose a suffocation or entrapment risk.

It is crucial to prioritize your baby’s safety and well-being during sleep. If you have any concerns or questions, it is always best to consult with your pediatrician or healthcare provider for guidance. Every baby is unique, and they may have specific needs or medical conditions that require individualized advice.