
08/18/2025
Infant sleep can be a very controversial topic with lots of thoughts, opinions, and research. There are two primary methods families tend to follow:
•Safe Sleep Seven
Promoted by La Leche League to support breastfeeding dyads who choose to bedshare.
Goal: Minimize risk while recognizing the reality of bedsharing in many families.
•Safe to Sleep Campaign
Led by the U.S. National Institute of Child Health and Human Development (NICHD).
Goal: Reduce SIDS and other sleep-related infant deaths through avoidance of all bedsharing.
•Safe Sleep Seven
Bedsharing may be safe if:
1. Baby is breastfed
2. Parent is non-smoking
3. Parent is sober & unimpaired
4. Baby is full-term & healthy
5. Baby sleeps on their back
6. Baby is lightly dressed and UNSWADDLED
7. Bed is firm with no pillows or blankets
•Safe to Sleep Campaign
Recommends:
•Baby sleeps alone in a separate sleep space
•Always on the back but they can be swaddled
•On a firm mattress with no pillows, blankets, or soft items
•In the same room as caregiver, but not in the same bed
•Safe Sleep Seven:
Cautiously supportive of bedsharing when all 7 criteria are met in breastfeeding families.
•Safe to Sleep:
Firmly discourages bedsharing due to increased risk of sleep-related death.
Common Ground
Both agree on:
•Back sleeping
•Firm, flat surface
•Avoiding overheating
•No smoking or substance use
•Room-sharing is safer than solo room or bed sleeping
In Summary:
•Safe to Sleep = strict avoidance of bedsharing
•Safe Sleep Seven = harm reduction framework for low-risk bedsharing in breastfeeding families
One of the major differences is swaddling. To reduce risk to baby, if you’re going to bed share, even accidentally from falling asleep while feeding, make sure baby is unswaddled.