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Nursery safety

Please take a few moments to review the following safety tips. Understanding what you can do for your baby's physical safety now can help prevent an accident later.

Crib

Your baby's crib is an investment because your baby will be sleeping in it for several years.

Tip

Plan ahead for your baby's safety. Most accidents happen during times of stress, fatigue or upset in the family routine. When you are tired and rushed, you may more easily overlook dangerous situations.

Look for a crib with a safe design. The risks come from your baby getting trapped between the rails, between the mattress and the sides, or in spaces created by the crib's design.

When choosing a crib:

  • Make sure the slats are no more than 2 3/8 inches apart. This is the width of a soda can.
  • Make sure the corner posts are no more than one-sixteenth inch higher than the top of the end panel.
  • Make sure there are no cutout designs in the headboard or footboard.
  • Make sure the mattress is firm and fits snugly in the crib. There shouldn't be a gap between the mattress and the sides of the crib.
  • The American Academy of Pediatrics recommends that crib bumper pads are not used to reduce the risk of SIDS.
  • Tip

    Do not buy used playpens, baby gates or baby walkers at garage sales. They may not be safe.

  • Make sure that the distance between the top of the crib side rails in the raised position are at least 26 inches above the mattress when it is in the lowest position.
  • Make sure the locks and latches are secure and do not slip.
  • Make sure the crib has no missing or broken hardware.
  • If the crib is new, look for a safety certification seal.
  • If you refinish a crib made before 1978, remove all the old paint. It may contain lead. Repaint with a high-quality, lead-free paint.

Pacifier

If you are going to use a pacifier, here are some guidelines:

  • Choose a style that is one piece. That way the nipple won't separate from the shield.
  • If you are breastfeeding, wait to introduce a pacifier until breastfeeding is well established (after one month).
  • A silicone nipple lasts longer than a latex one. It also doesn't carry the risk of a latex allergy.
  • To prevent choking, make sure the pacifier is at least 1 ½ inches wide. That way your baby can't suck the pacifier into his mouth.
  • Make sure the shield has vent holes. This allows air to get to your baby's skin and also prevents choking.
  • Avoid nipples that are filled with liquid or gel.
  • Pacifiers come in different sizes. Start with one that is a newborn or infant size.
  • Buy several nipple styles and use the one your baby prefers.
  • Before giving the pacifier to your baby for the first time, boil it for five minutes to sterilize it and remove any chemical residue.
  • Wash a pacifier often in the dishwasher or in warm soapy water.
  • Check a pacifier often for holes or tears.
  • Never tie a string, cord, yarn or ribbon around your baby's neck to hold the pacifier.

Warning

The U.S. Consumer Product Safety Commission (CPSC) issued a warning about sling carriers for babies in March 2010.

The CPSC advises that parents be cautious when using infant slings for babies younger than 4 months old. Over the last 20 years, the CPSC identified at least 14 deaths linked to sling-style infant carriers.

A baby can stop breathing and die if his face is covered, if the baby is hunched with his chin touching his chest, if the baby is too low, or the baby's face is pressed tight against the fabric of the sling.

Changing table

If you are going to use a changing table, choose one that is wide and sturdy. If you are getting a used one, check it carefully for exposed nails and splinters. Consider buying a new pad if the old one is cracked.

Baby carriers

Slings and front packs are a convenient way to carry your baby while you shop, go for a walk, or work around the house. They can also be useful in quieting a fussy baby.

There are several different styles. It is helpful to try a style to make sure you feel comfortable wearing it. Read and follow the instructions to ensure that your baby is secure and your baby's head is supported.


 

Source: Allina Patient Education, Guide for the Care of Children: Ages Birth to 5 Years Old, fourth edition, ISBN 1-931876-26-6

First published: 02/01/2010
Last updated: 02/01/2010

Reviewed by: Allina Patient Education experts, including the Pediatric Department of Allina Medical Clinic - Coon Rapids