Stomach Sleeping and Head Covering Are Unsafe for Toddlers


By Tom Jo
3 min read

a toddler sleeping on a toddler bed, The toddler is wearing a blue pajama top and a striped pajama bottom.

Why Do Toddlers Prefer Sleeping on Their Stomach and Covering Their Head?

Toddlers may prefer sleeping on their stomach and covering their head for several reasons.

• Toddlers prefer sleeping on their stomach and covering their head for security and comfort.
• Some toddlers maintain this habit from infancy for familiar comfort.
• Covering their head creates a private space or avoids light, enhancing their sense of safety and security.

Is Stomach Sleeping Safe For Toddlers?

Stomach sleeping is a common sleep position for many toddlers, but it’s not without concerns. While newborns are often placed on their stomachs for comfort, guidelines from the American Academy of Pediatrics (AAP) recommend that infants sleep on their backs to reduce the risk of sudden infant death syndrome (SIDS). But what about toddlers?

For toddlers over the age of one, stomach sleeping doesn’t carry the same risk for SIDS as it does for infants. However, experts do caution that stomach sleeping can still pose certain safety risks. When toddlers sleep on their stomachs, their ability to move and shift positions may be compromised, especially if they have trouble lifting their head or rolling over. In these cases, the risk of suffocation or accidental injury could increase.

Dr. Rachel Dawkins, a pediatrician and sleep expert at Johns Hopkins Medicine, explains, “Once a child reaches 12 months old, they have more control over their body and are less likely to roll onto their stomach and become stuck in a potentially harmful position. However, some children may still struggle with shifting positions, making it important for parents to create a safe sleep environment.”

According to AAP recommendations:
• Place babies on back to reduce SIDS risk.
• Monitor toddlers' sleep positions for safe practices.
• Ensure safe sleep environment free from pillows, soft bedding, or stuffed animals.

Is Head Covering Safe for Toddlers?

Head covering during sleep is another behavior that many toddlers display, often pulling their blankets, pillows, or even clothing over their heads while they sleep. While this might seem like a natural instinct for warmth or comfort, it can present several risks.

The primary concern with head covering is the risk of suffocation. If a toddler accidentally pulls a blanket or pillow too tightly over their face, they could obstruct their airways, leading to difficulty breathing. This is especially dangerous if the child is not yet able to reposition themselves or alert someone to their distress.

Toddlers are still developing their ability to regulate body temperature. Overheating due to excessive covering of the head is another danger. According to the AAP, overheating is associated with a higher risk of SIDS in infants, and although the risk for older toddlers may not be as high, it’s still a factor to consider when they cover their heads.

How to Address These Habits Safely

If your toddler exhibits stomach sleeping or head covering habits, there are a few steps you can take to help them sleep more safely:

  1. Monitor Sleep Positions: Encourage your toddler to sleep on their back or side if possible. Make sure their sleep environment is clear of soft bedding and pillows.
  2. Use Safe Sleep Gear: Consider using wearable blankets or sleep sacks to prevent head covering, keeping your toddler warm without the risk of suffocation.
  3. Check the Sleep Environment: Make sure the crib or bed is free from any objects that could obstruct your toddler’s breathing.

Conclusion

While stomach sleeping and head covering may seem like innocent behaviors, they can pose potential risks to your toddler’s health. By following expert recommendations and ensuring a safe sleep environment, you can reduce the likelihood of any harm. Always keep in mind that if you have concerns about your child’s sleep habits, it’s a good idea to consult your pediatrician for personalized advice and guidance.