What Is SIDS?
Sudden Infant Death Syndrome (SIDS) is the sudden death of an infant younger than 1 year of age that remains unexplained after a thorough case investigation. This investigation includes performing a complete autopsy, examining the death scene, and reviewing the clinical history. When a baby dies, health care providers, law enforcement personnel, and communities try to find out why. They ask questions, examine the baby, gather information, and run tests. If they can’t find a cause for the death, and if the baby was younger than 1 year old, the medical examiner or coroner will call the death SIDS. If there is still some uncertainty as to the cause after it is determined to be fully unexplained, then the medical examiner or corner might leave the cause of death as “unknown”. These deaths are called SUID (pronounced Soo-id), which stands for “Sudden Unexpected Infant Death.

•SIDS is the leading cause of death among babies between 1 month and 1 year of age.
• Most SIDS deaths occur when babies are between 1 month and 4 months of age.
• SIDS is a sudden and silent medical disorder that can happen to an infant who seems healthy.
• SIDS is sometimes called "crib death" or "cot death" because it is associated with the time frame when the baby is sleeping. Cribs themselves don't cause SIDS, but the baby's sleep environment can influence sleep-related causes of death.

SIDS is not...
• SIDS is not the cause of every sudden infant death.
• SIDS is not the same as suffocation and is not caused by suffocation.
• SIDS is not caused by vaccines, immunizations, or shots.
• SIDS is not contagious.
• SIDS is not the result of neglect or child abuse.
• SIDS is not caused by cribs.
• SIDS is not caused by vomiting or choking.
• SIDS is not completely preventable, but there are ways to reduce the risk.

 What causes SIDS?...
Honestly, we do not know. We don’t know exactly what causes SIDS at this time. Scientists and health care providers are working very hard to find the cause or causes of SIDS. If we know the cause or causes, someday we might be able to prevent SIDS from happening at all. More and more research evidence suggests that infants who die from SIDS are born with brain abnormalities or defects. These defects are typically found within a network of nerve cells that send signals to other nerve cells. The cells are located in the part of the brain that probably controls breathing, heart rate, blood pressure, temperature, and waking from sleep. At the present time, there is no way to identify babies who have these abnormalities, but researchers are working to develop specific screening tests. But scientists believe that brain defects alone may not be enough to cause a SIDS death. Evidence suggests that other events must also occur for an infant to die from SIDS. Even though the exact cause of SIDS is unknown, there are ways to reduce the risk of SIDS.

Safe to Sleep Public Education Campaign
WAC 170-300-0291:  Infant and toddler safe sleep practices.

3,500 babies die each year in the U.S.
In deaths where a public health nurse talked with affected families, over half of these babies were
sleeping with an adult or child.

*Traditional drop-side cribs cannot be made or sold; immobilizers and repair kits are not allowed.

Federal law bars any person from selling products subject to a publicly-announced voluntary recall by a manufacturer or a mandatory recall ordered by the Commission.

Play yards with newborn nappers: safe or not?

Our concerns with the napper was how it was designed and marketed

to parents as a place for newborns to sleep. Here’s how Graco describes it:

The Newborn Napper’s soft, cushy fabrics make it the perfect nap spot

for your new arrival.

We stated in the book that we consider soft fabrics and items like the

napper’s the head support a risk for Sudden Infant Death Syndrome (SIDS).

Graco contacted us to share safety and testing data on the Newborn Napper. So let’s take a second and look at this controversy and give you both sides of the argument.

First, a bit of background: the play yard in recent years as morphed into a second nursery. Graco was one of the first play yard makers to spot this trend and began adding features to their best-selling Pack N Play to meet this use. Hence, play yards began sprouting bassinets, diaper changing stations and the like.

In 2008, Graco introduced the Newborn Napper, a separate space that sat above the bassinet mattress. This proved popular and Graco has expanded the number of Pack N Plays with this feature in the past year to include ten models. It is currently the fifth best-selling play yard on Amazon.

Graco includes several safety warnings for the napper. First, the napper is only for “supervised sleep”: “You are responsible for providing adult supervision when using your napper,” says the instruction manual. Parents are supposed to discontinue use of the napper when a baby can roll over (that typically happens at two to four months of age).

As for safety standards, The Newborn Napper falls into a grey zone—there are no specific federal safety standards for a napping device that is attached to a playpen. Graco told us they believe the Napper falls under standards that would be similar to swing or a car seat. It is not intended for overnight sleep.

As for “soft cushy fabrics,” Graco told us they think it is safe. “The Napper is designed with a breathable material that has been tested for gross misuse and has passed a number of third party tests for risk of suffocation, CO2 rebreathing, and strangulation. The napper is also designed to keep the baby in a safe position and prevents them from rolling by centering the child’s weight and sitting at an incline to keep the child in a safe position,” the company said in an email.

Finally, Graco notes that in the hundreds of thousands of Newborn Nappers that have been sold, there hasn’t been a single consumer complaint about the product causing suffocation or asphyxiation.

All this is well and good—but we still aren’t going to recommend the Newborn Napper. Here are our reasons:

1. The American Academy of Pediatrics (AAP) just released an updated policy statement on SIDS that clearly states infants should ONLY be put to sleep on a flat, firm surface with NO soft bedding of any kind. The Newborn Napper clearly does not meet this test. While we understand that Graco has tested the product and believes the “soft, cushy fabrics” it uses are safe, we believe this at best sends a mixed message to parents. Just to be clear: we think the BASSINET feature on Graco and many other play yards is safe—this provides a flat, firm surface for babies to sleep.

2. It is unrealistic to think that a parent will be able to supervise their baby sleeping in the Newborn Napper at all moments. And babies can roll over with little or no notice, as soon as two months old.

3. The head support pillow is completely unnecessary and a potential safety risk, in our opinion. Yes, car seats have head support pillows, but they are not designed as a place for infants to sleep. The pillows are for crash protection. The head support on the Newborn Napper serves no obvious function.

4. The AAP also recommends against using “sitting devices” for routine sleep:

Sitting devices, such as car safety seats, strollers, swings, infant carriers, and infant slings, are not recommended for routine sleep in the hospital or at home. Infants who are younger than 4 months are particularly at risk, because they might assume positions that can create risk of suffocation or airway obstruction.

So you might ask what is “routine sleep”? Is a newborn nap in a Napper “routine sleep”? We’d argue there isn’t much difference between naps and “routine sleep”. Newborns sleep for 2-4 hours at a stretch, eat and then go back to sleep again. There is little time they are actually awake. Hence, the safest place for a newborn to sleep (whether you call it a nap, nighttime sleep or whatever) is in a full-size crib or bassinet withe a flat, firm surface.

Bottom line: our recommendation stands. We recommend the Graco Pack N Play with the bassinet feature. WE DO NOT RECOMMEND THE NEWBORN NAPPER FEATURE.