SUID can occur in infants younger than a year. It includes three causes of death: sudden infant death syndrome (SIDS), accidental suffocation and strangulation in bed (ASSB) and unknown/undetermined reasons. 

“SUID can happen in any sleep environment but is less likely to happen if the baby is in their own crib, bassinet, or portable crib,” explains Samantha St. John, program coordinator at Cook Children’s Center for Community Health.

St. John shares how families can prepare and keep their little one safe as they build their baby registry. The U.S. Consumer Product Safety Commission (CPSC) requires that products include clear labeling with information such as age recommendations, safety warnings, usage instructions, and manufacturer details to help ensure safe use and inform caregivers of potential hazards.  St. John adds that while some items may be marketed to help ease parenthood, they may not be safe.

Safe Sleep:

Weighted sleep sacks: Weighted sleep sacks are often advertised as providing extra comfort to a baby by imitating a parent’s hand resting on the infant’s chest.  However, according to the CPSC, the additional weight on the baby’s chest may hinder movement and breathing, which could increase the risk of SUID.

Alternative: Parents should use unweighted wearable blankets or sleep sacks to keep the baby warm and allow the baby to take full, deep breaths. 

Bumper pads: Crib bumper pads are a common piece of décor for the crib. Due to the significant risk associated with crib bumper pads, the Safe Baby Sleep Act bans the manufacture and sale of this product in the United States. Between 1990 and 2016, bumper pads were responsible for at least 107 infant deaths, according to the CPSC.  Even alternative products that claim to be breathable still pose a risk of suffocation and strangulation.

Lounger: A baby lounger is a portable, cushioned space for a baby, often called an infant lounger, a lounge pillow, or newborn lounger.  Though these products are made for the baby to use while awake and supervised, we often see infants sleeping in these loungers while in their crib, bassinet, or on the couch.  According to the American Academy of Pediatrics (AAP), infants are at risk of suffocation if they roll into the cushioned side of the lounger and their nose and mouth become blocked. 

When in use: Caregivers need to supervise while the baby is awake.  The lounger should be placed on the ground to avoid the risk of falling.  Manufacturer instructions and guidelines should be followed.   

Pillows: It is a common misconception that babies need a pillow in their beds for comfort.  Adding this soft product to their sleep space can increase the risk of suffocation and SIDS. 

Alternative: Save the pillows for when the child is over the age of one and it is developmentally safe.  This includes wedge pillows, regular pillows, anti-roll pillows and head shaping pillows.

Stuffed animals: Toys should never be placed in a baby’s sleep space, as they can increase the risk of suffocation.  Stuffed animals make great décor for the nursery but are not safe for the baby to snuggle with while sleeping until they are over the age of one.

Toys with button batteries: Infants learn by exploring and putting items in their mouths. If swallowed, toys with small button batteries can get stuck in the throat and be a choking hazard or can travel through the digestive tract, causing serious or life-threatening injuries within three hours.  Parents need to inspect toys to ensure the battery case is securely closed, there are no loose or broken parts, and the case is sturdy enough to withstand continued use without the batteries falling out.

Blankets: Blankets are a popular registry item because they are cozy, cute, and useful during cuddle time and for tummy time on the floor.  However, blankets can cover the baby’s face and increase the risk of suffocation while sleeping. 

Alternative: To keep the baby safe and warm, use a wearable blanket or sleep sack.

Swings/rockers/bouncers: Baby swings, rockers, and bouncers are great products on a registry because they can help soothe the baby and allow the baby to enjoy independent time in a different position or location.  For sleep, these products are not a safe place for infants because the incline of the product makes it easier for the baby’s head to fall forward, which can block their airway and increase the risk of suffocation. 

When in use: Swings, rockers, and bouncers are great for supervised awake time, but not for naps or overnight sleep. 

Safety over comfort

In 2024, the CPSC report on Injuries and Deaths Associated with Nursery Products among Children Younger than Age 5, stated more than 60,000 children visited the emergency department in 2023 due to injury related to a nursery product such as an infant carrier, bouncer, swing, or other items. St. John emphasizes that when caregivers are determining which products to purchase, safety should be top of mind.

When looking at items for vehicle safety with a baby, she suggests:

Mirrors/Cameras: Caregivers need to be mindful that these products can become detached in an accident and cause injury to anyone in the vehicle. Any loose and unstored items in the vehicle can become a projectile in a car crash. Mirrors and cameras are often added to registries because parents want to be able to see their baby while they are rear-facing in their car seat. 

Car Seat Accessories: Items such as car seat covers, head support inserts, and toys are not often approved products by car seat manufacturers because they can affect the safety of the child in the car seat. Parents should check their car seat owner’s manual before registering for these additional accessories.

Counterfeit car seats: Fake car seats may not have a manufacturer date, model number, warning label, or instruction manuals.  Caregivers can schedule an appointment to have their car seat checked by visiting www.freecarseatcheck.org.

Vehicle Seat protectors: Vehicle seat protectors are advertised as being able to help protect the fabric of the vehicle seat.  However, many child safety seat manufacturers do not allow the use of these seat protectors.  When registering for this product, parents need to be sure the car seat manufacturer approves the use of vehicle seat protectors.