Safe Sleep: AAP Guidelines 2025

The American Academy of Pediatrics (AAP) updates its safe sleep guidelines regularly as new research emerges. Here is a comprehensive summary of current recommendations for parents of newborns through 12 months.

The ABC Rule

The foundation of safe infant sleep is Alone, on their Back, in a Crib. Every AAP recommendation flows from these three principles.

Sleep Position

Always place your baby on their back for every sleep — naps and nights — until their first birthday. Babies who can roll over may be allowed to remain in whatever position they roll to, but should always be placed to sleep on their back. Side sleeping is not recommended as it can progress to stomach sleeping.

Sleep Surface

Use a firm, flat sleep surface — a crib, bassinet, or play yard that meets current safety standards. The mattress should be firm enough that it doesn't conform to the baby's face. Inclined sleepers, bouncers, and car seats are not safe for unattended sleep. Soft surfaces including sofas, armchairs, and adult beds significantly increase SIDS risk.

Sleep Environment

• Keep the crib bare: no pillows, bumpers, blankets, or toys
• Room-sharing (not bed-sharing) is recommended for at least the first 6 months
• Keep room temperature comfortable — not too warm (68–72°F / 20–22°C)
• Offer a pacifier at sleep time (reduces SIDS risk), but don't force it
• Avoid overheating — dress baby in one more layer than you would wear

White Noise Safety

White noise is safe when used correctly. Keep volume at or below 65 decibels (similar to a quiet conversation). Place the speaker at least 7 feet from the baby's head. Do not place a phone or speaker inside the crib. Running white noise all night is considered safe by current AAP guidance.

Breastfeeding

Breastfeeding is associated with a reduced risk of SIDS. Even partial breastfeeding provides benefit. If breastfeeding, parents can bring baby into the adult bed for feeding, but return baby to their own sleep surface before falling asleep themselves.