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			Back to Sleep Campaign Back to Sleep has been a successful campaign in reducing the incidence of SIDS by 50 % according to the National Institute of Child Health and Human Development. A less favorable outcome of back to sleep is limited opportunities for tummy time and an increase in plagiocephaly (flat head). Studies also have shown that babies that sleep on their back and have limited tummy time are less likely to reach the developmental milestone of rolling over by 4 months. Strategies to Promote Symmetrical Head Shape -Alternate positions in the crib by positioning the baby so his/her head is at the opposite end of the crib every other night. -Help the baby change his/her head position at night. -Position mobiles on alternate sides of the crib to encourage active head turning to both sides. -Encourage parents to alternate the arm they use to carry and feed the baby. -Limit the amount of time baby spends in bouncy seats or other seating devices. When using devices, support head at midline so it is not tipped or turned to one side. -Provide stimulation and approach baby from both sides. -Provide tummy time activities when baby is awake and being supervised- begin with a few minutes a day and gradually increase time as baby's tolerance improves. Experts are suggesting 30 minutes of tummy time per day to promote motor development and prevent flat head complications.
						Tummy Time Tummy time can be calming and organizing for babies and helps to provide the foundation for many motor skills. Many infants will resist tummy time initially as it is a challenging position for babies due to the need to lift their head. This is why tummy time is so important, as it helps babies develop neck strength for head control. Tummy time on an adult’s chest is a great adapted position to increase baby's tolerance. Tummy time encourages weight bearing over arms and hands which promotes shoulder strength for mobility and fine motor skills. Some ideas for tummy time activities include: -Support baby under the chest to help him/her push up on their arms and hold their head up against gravity. -Mirrors, light & sound producing toys, books, faces, etc. can help promote tolerance.
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