A belly upwards is the best position to prevent suffocation and crib death … let’s see why …
Although for many light years that the safest place to sleep for a newborn is the supine (belly upwards!) There are still many “resistance” that we find in some families, especially by grandmothers and older people often they remain faithful to the old traditions of pediatrics to put the children in the prone position (on your stomach). After all, it’s not even their fault so they were educated about twenty years ago, they did so with their children and wanting the best for their grandchildren, consider putting them on your stomach is the best thing … but it is not so! And in a moment you will understand very clearly why. Therefore, if on one hand I can understand his grandparents, who does not justify at all however is that thick band of nurses standing that, by updating properly, are still linked to this dangerous old tradition, often transmitting it to young mothers discharge from points birth.
If I decided to write this short article it is, therefore, as too often happened to me that after recommending a mom to make sleeping son on his back (belly up), intervened grandparents dubiously asking: ” Doctor of me putting on his stomach upward, then it is not likely to choke if she had a milk regurgitation at night? it is better to put him on his stomach as if he were regurgitating the milk will escape easily from the mouth?” or (and this really makes me so angry!) “Doctor but the nurse to the nursery told us that it is better to let him sleep on your stomach!” …. and here it is better not to comment further.
That’s why in this very short extract prefer solely and exclusively on the relationship between nocturnal regurgitation infant positions trying to give a clear answer on this point. So I found in the field that this is the only thing that really matters to families: what happens if a milk regurgitation. Point. So I do not want to talk about statistics, nor I want to reiterate that in the prone position the risk of SIDS (Sudden Infant Death Disease – Cot death) doubled compared to the supine position (and mind that cot death is not dependent certainly only by regurgitation night but other factors as well!). I know that the most faithful to the old traditions are just fascinated by similar speeches. To most of them only care about what happens in case of regurgitation, nothing more. And the purpose of this short excerpt is just convince them. The most curious, if they want, they will instead deepen the discussion by reading the scientific work quoted in the bibliography.
So, let’s touching with the hand because in case of nighttime regurgitation is easier to inhale the gastric material respiratory tree standing on his stomach and not vice versa!
You may also like to read another article: Baby Sleep Positioner: What is it and how to choose?
It is obvious that if a rise upward milk regurgitation from the stomach through the esophagus (regurgitation is represented by small green dots) it can “leak” into the trachea, aided by the force of gravity, much more easily if the baby’s belly down! Surely even belly upwards inhalation can happen, but in this position the force of gravity will play in favor of the child and will tend to keep the gastric material out of the respiratory tract (rather than in!) … and in the meantime cough of the child, which will trigger reflex, it will help to expel the regurgitated material.
It is therefore clear that the infamous and dreaded “night regurgitation,” even before having to “escape from the mouth” should “escape from the esophagus” without, however, fall into the trachea.
The risk of inhalation of gastric material during sleep therefore appears absolutely highest placing small, as it should be placed: A BELLY UP!
I am sure that some of you may be asking: “But if the child is suffering from acid reflux disease as you do?” Although in older children prone position is often recommended to relieve the symptoms associated with the disorder, this does not apply in the little ones as it would increase the risk of SIDS.
“And if you were to put on the side?” you ask someone else … unfortunately Over Side studies and statistics describe us a greater incidence of cot death. If nothing else because in lateral position the baby is likely to end up prone at night no longer able to turn around. And if in addition to crib death put us to think again only on the night regurgitation, imagining the photo child in a lateral position below it is clear that the force of gravity in this position still does not play in favor of the child in facilitating the entrance of the trachea gastric material. Holding the baby supine instead, once the gastric material will have passed that point and will be arrived in the mouth, maybe even helped by a bit of cough, it will be same as the child who instinctively for the inconvenience that warns, will turn his head to one side only ( and not the whole body!) facilitating the escape even from the mouth.
“And if the child has a blast, he can not cough and become greyish / bluish?” … in this case it is clear that inhalation of gastric material into the trachea, fails to implement a cough to get rid of it and then, whether we realize it, we must act as well as many of you you will come to one of the many courses on unblocking maneuvers that take place in many cities. played in their city: the child will be grabbed by the jaw, put “piggyback” on his arm (in anti-colic position) while with the elbow of the same arm we block her gambina with us … so we put him in upside down using a single hand (thus exploiting the force of gravity to eject regurgitation!) and we will have the other hand free to settle taps to the back via the lateral escape, which will contribute to the unblocking. Doing it in practice is much easier to read it … and those of you who followed our pediatric first aid courses knows. As soon as we will be able to produce an explanatory video of what has been described as the video (the photographs) is the best way to show the simplicity of this life-saving gesture.
Bottom line: You put the kids to sleep on your stomach upwards from the first day of life, and do it as long as the child does not acquire the motor skills to roll and turn around by himself! And the best way to reduce the risk of inhalation of a nocturnal regurgitation as well as cot death (which can depend on many factors, not just regurgitation!).