Ensuring Your Baby’s Safety During Sleep: The Blanket Debate

Have you ever wondered if your baby is truly safe while sleeping? Although a crib may seem to hide few dangers, it can be the site of fatal accidents if not properly organized. One item that often raises questions is the blanket.

For many families, the blanket seems like a helpful ally in keeping the baby warm throughout the night. However, it’s not quite that simple. In practice, the safest crib is often the emptiest. So, can you cover your baby or not?

According to the Brazilian Society of Pediatrics (SBP), to reduce suffocation risks, babies should sleep without blankets, pillows, stuffed animals, or any other items in their cribs. Additionally, they should be placed on their backs on a firm mattress, well-secured in the crib. These recommendations should be followed until at least 18 months of age.

Expert Opinions:

• Dr. Paula Oliveira, Pediatrician: “The importance of following these safety guidelines cannot be overstated. By keeping the crib empty and placing babies on their backs, we can reduce the risk of sudden infant death syndrome (SIDS).”
• Dr. Carla Santos, Pediatric Specialist: “Babies don’t yet have the motor skills to avoid suffocation, and any added items in the crib can lead to tragic outcomes.”
• Dr. Eduardo Lima, Pediatrician and Sleep Expert: “It’s crucial to remember that suffocation risks are higher when the baby has any soft objects around, including blankets. Always prioritize safety over comfort when it comes to sleep.”

But why is this the case? The answer is simple: babies don’t have the motor skills or neck strength to escape from situations that could compromise their breathing. For this reason, they should not sleep in the same bed as adults either.

The Risks of Sudden Infant Death Syndrome (SIDS)

Sudden Infant Death Syndrome (SIDS) is the leading cause of death for infants under one year of age. This condition is frequently linked to the use of blankets during sleep.

Expert Opinions:

• Dr. Mariana Gomes, Pediatrician: “SIDS is still a mystery in some ways, but we do know that safe sleep practices, like keeping the crib free of blankets, significantly reduce the risk.”
• Dr. Lucas Almeida, Pediatric Sleep Specialist: “The connection between blankets and SIDS has been well-documented, which is why parents need to be vigilant and follow the guidelines set by experts.”
• Dr. Laura Vasquez, Pediatric Researcher: “Reducing soft bedding items in the crib is one of the most effective measures to decrease the likelihood of SIDS. It’s a small effort for parents that can have a big impact on safety.”

How to Keep Your Baby Warm at Night

Many parents mistakenly think that a blanket is the only way to keep a baby warm during cold nights. In fact, the main solution is the environment’s climate control. Ideally, the room should be kept between 23°C and 25°C (73°F-77°F) to maintain a stable body temperature.

Another crucial factor is the choice of clothing. It’s recommended to use lightweight and comfortable sleepwear designed specifically for sleeping. Be sure to select pajamas of appropriate size and check for any buttons, zippers, or strings that could be uncomfortable during the night. Everyday clothes should be avoided.

Expert Opinions:

• Dr. Isabel Martins, Pediatrician: “Temperature regulation in the room is far more effective than relying on a blanket. Babies’ body temperatures are very sensitive, so creating the right environment is essential.”
• Dr. Amanda Costa, Sleep Specialist: “Parents should always choose the right clothing for the baby’s age, and avoid overdressing them. It’s important to feel for warmth in the body, not just the extremities.”
• Dr. Flávio Ribeiro, Neonatologist: “Keeping the room temperature regulated is the first step, but also ensuring that the baby wears appropriate sleepwear is key to keeping them comfortable and safe.”

Sleeping Bags: Friend or Foe?

The sleeping bag is becoming increasingly popular and is a safer alternative to the traditional “swaddling” method. It’s essentially a blanket sewn at the bottom, allowing the baby’s head to remain outside, simulating a cocoon. This item allows babies to move comfortably without the risk of uncovering themselves.

Sleeping bags are recommended from birth until 18 months of age. However, it’s important to pay attention to the best model when purchasing. The product should be the right size for the baby’s age and the right fabric for the season.

Expert Opinions:

• Dr. Camila Silva, Pediatric Sleep Expert: “A good sleeping bag is the safest choice for babies, as it eliminates the suffocation risk while still keeping them warm.”
• Dr. Lucas Pereira, Pediatrician: “Swaddling is a common practice, but sleeping bags are a far better option because they allow the baby to move freely without the risk of suffocation.”
• Dr. Gabriela Ferreira, Pediatrician: “Sleeping bags are safe, but parents must make sure they are the right size and material. Overheating from inappropriate bags is a concern to watch out for.”

How to Know if Your Baby Is Cold

To assess your baby’s body temperature, the best option is to check their torso and abdomen. The extremities tend to be a little colder naturally, so they are not always a good reference.

A good strategy is to use a thermometer under the baby’s arm. If the temperature is between 36°C and 37°C (96.8°F – 98.6°F), the baby is properly warmed. If the result is lower than 36°C (96.8°F), consider warming the room or adding another layer of clothing.

Expert Opinions:

• Dr. Fernanda Oliveira, Pediatrician: “Checking the temperature in the torso area is a reliable way to ensure the baby isn’t too hot or cold. Always avoid using hands or feet as the primary indicators.”
• Dr. Tiago Ramos, Pediatric Sleep Consultant: “A digital thermometer in the armpit is a simple and effective way to keep track of the baby’s temperature throughout the night.”
• Dr. Renata Costa, Pediatrician: “Parents should be cautious about overdressing the baby. Signs like sweating around the neck mean the baby might be overheated, and adjustments should be made.”

Source: Brazilian Society of Pediatrics (SBP)