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Updated: Aug 14, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Safe sleep practices for hospitalized infants
1Children's Medical Center, Dallas, TX, USA.
Insights
Hospitals must ensure compliance with infant sleep positioning guidelines, addressing the risks of bed-sharing for newborns. A multidisciplinary task force developed a policy considering physiological, behavioral, and cultural aspects of infant cosleeping.
Area of Science:
- Pediatrics
- Public Health
- Hospital Administration
Background:
- Established infant sleep positioning guidelines over a decade ago.
- Guidelines primarily focus on home care, necessitating hospital review.
- Parent-infant bed-sharing is a controversial aspect in hospital settings.
Purpose of the Study:
- To examine hospital compliance with infant sleep positioning guidelines.
- To address the risks associated with parent-infant bed-sharing in hospitals.
- To develop a policy for managing infant cosleeping in healthcare settings.
Main Methods:
- Multidisciplinary task force formation.
- Review of existing infant sleep positioning guidelines.
- Development of a policy addressing physiological, behavioral, and cultural aspects of cosleeping.
Main Results:
- Identified the need for a specific hospital policy on parent-infant bed-sharing.
- Highlighted risks of entrapment and injury during hospital bed-sharing.
- Emphasized the importance of monitoring and assessment in hospital care.
Conclusions:
- Hospitals must prioritize infant safety and compliance with sleep positioning guidelines.
- A comprehensive policy is crucial for managing the complexities of infant cosleeping in hospitals.
- Balancing parental choice with infant safety is essential for optimal patient care.
Abstract:
Guidelines were established over 10 years ago by professional and government agencies that have dramatically changed the practice of infant sleep positioning. Although these guidelines mainly focus care on the newborn and infant in their home by a parent, guardian or caregiver, hospital staff need to examine their compliance with these guidelines.The most controversial aspect of the "Back to Sleep" guidelines for the hospital setting is the parent and infant sharing a bed. Although parents may choose to sleep with their infant at home, the need for monitoring, ongoing assessment and care as well as the risk of entrapment or injury should be a priority in the delivery of optimal patient care in the hospital setting. The need for a policy was identified and developed by a multidisciplinary task force focusing on the physiological, behavioral and cultural aspects of cosleeping.
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