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Posts Tagged ‘Development

Sleep positioners were originally designed after the Safe Sleep community began urging parents to place infants on their backs in order to decrease the risk of Sudden Infant Death Syndrome (SIDS).  Sleep positioners come in a variety of different designs but their design purpose is to keep an infant on his or her back.

Unfortunately, the unintended consequence of this product was to introduce yet another soft device into an infant’s sleep environment increasing the risk of suffocation.

Safe Sleep experts have long held that sleep positioners only increase the possibility of an infant dying due to either SIDS or accidental suffocation caused by the soft product.

To reduce the risk of sleep-related infant deaths, including accidental suffocation and Sudden Infant Death Syndrome (SIDS), the American Academy of Pediatrics recommends that infants sleep on their backs, positioned on a firm, empty surface. This surface should not contain soft objects, toys, pillows, or loose bedding.

Once an infant can freely roll, he should be allowed to adopt whatever sleep position he prefers.



Tummy Time Tip5The American Academy of Pediatrics recommends placing babies on their backs to sleep and their tummies to play as part of a daily routine. Just a few minutes a day, a few times a day, can help your baby get used to Tummy Time and help prevent early motor delays. If you begin early (even from just a few days old) and maintain a consistent schedule, your baby will learn to love Tummy Time. This helps develop the muscles in their back, neck, and trunk, on their way to meeting all their infant development milestones.

Tummy Time should begin from the time baby is brought home from the hospital. Try these simple tasks:

  • Create a habit of alternating baby’s position (not location) at least every 20 minutes when baby is awake.
  • Carry baby in arms rather than in a car seat.  Sometimes use the “foot ball” hold and carry baby tummy side down.
  • When changing baby’s diaper, flip him over onto his tummy for 30 seconds  to one minute.
  • Place baby on his tummy on your lap to burp or soothe. A hand on his bottom will help to keep him steady.
  • If bottle feeding, alternate arms to create a more natural hold for baby.
  • When you are awake and alert, lie down and place baby on your tummy or chest.  Until baby can lift her head, alternate her head position for her.  Make sure you keep  your hands on baby at all times.
  • Get down on the floor at eye level with baby.  Be sure to position yourself in different locations around baby to encourage head turning.

Babies don’t always like Tummy Time in the beginning because they have no ability to lift their heads.  However, if you are consistent about doing Tummy Time for short periods all throughout the day, every day, baby will learn to love it!

For additional information on Tummy Time activites and Infant development.  See

Tummy Time is important for baby because the amount of time baby spends on their tummy is reduced by back sleeping and car seat usage.  The average baby now misses out on several hours of natural tummy time every day.  The lack of tummy time can result in serious consequences for baby’s development.  Flat head (Plagiocephaly), Wry neck (torticollis) as well as social, emotional and developmental delays can all be linked to a lack of tummy time.  However, all these issues can be avoided by parents and caregivers by giving baby an appropriate amount of snuggle time (carried) and tummy time every day starting from birth.

The key to effective tummy time is consistency.  Every day when baby is awake, alert and supervised, the caregiver can place baby on his or her tummy for small amounts of time.  A newborn baby is recommended to be placed on his or her tummy around 5 times a day for no more than 3 minutes each time.  As baby grows and gains strength and skill, that time should increase until by three months of age, baby is spending an hour a day of awake time on their tummy.

There are several simple ways to integrate tummy time into baby’s day without adding an additional or time consuming routine.

  1. You can place baby on their tummy on your lap for burping.
  2. Place baby on your tummy while lying down so that he or she can look you directly in the eye.
  3. Get down on the floor and put your face at baby’s level.  Place interesting toys all around baby so that she reaches in different directions.

When the baby is on his or her back, it is easy to develop a flat spot on the head because the skull is so soft.  A bald spot on baby’s head is the clearest early warning sign that baby is spending too much time in a certain position.  Altering the position that baby holds their head while on their back will help prevent both flat head syndrome and wry neck; a condition where the neck muscles on one side of the neck shortens and the opposite side lengthens.  The key is to recognize that baby prefers to turn his or her head to look at the parent or the door (where the parent comes in).  Here are a few simple tips:

  1. When diapering, alternate the baby’s head direction for each diaper change.  Then, flip baby over onto their tummy for a moment.
  2. When bottle feeding baby, alternate the arm in which baby is held just like a breastfeeding mother would.
  3. Put baby to in a safe crib on her back for every sleep time, but alternate the orientation of her head between the head of the crib and the foot of the crib.

Perhaps the most important thing that parents and caregivers can do to positively affect baby’s social, emotional and developmental progress is to carry the baby in arms rather than in a car seat.  When baby is held, he or she is getting lots of sensory input, eye contact and bonding in addition to lots of muscle usage.  As a newborn, keep baby’s head, neck and back well supported; but as baby gains skills and develops, you can begin to use a less supporting position.

For more information on tummy time, go to or schedule a Tummy Time workshop from Borchardt Consulting.  If there are concerns about baby’s development, consult your pediatrician.

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