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Resources about Safe Infant Sleep and Breastfeeding


Here you will find key resources about safe infant sleep and breastfeeding developed by the National Action Partnership to Promote Safe Sleep (NAPPSS), its leadership organizations (National Center for Education in Maternal and Child Health, National Center for Cultural Competence, CJ First Candle, United States Breastfeeding Committee), and the Safe to Sleep® public education campaign; images of safe sleep environments and breastfeeding support; statistics; recommendations from the American Academy of Pediatrics (AAP); Healthy People 2020 objectives; and the Health Resources and Services Administration/Maternal and Child Health Bureau National Performance Measures. Be sure to view our roster of NAPPSS Coalition Members which includes links to their websites; many have resources that are useful to you.

National Action Partnership to Promote Safe Sleep (NAPPSS) Resources

Resources from the NAPPSS Leadership Organizations

Safe to Sleep® Public Education Campaign

  • Safe to Sleep® Public Education Campaign. Materials for infant caregivers in English and Spanish. Materials for health care providers and continuing education modules for nurses and pharmacists. Includes materials to help communicate the safe sleep message to Native communities. Eunice Kennedy Shriver National Institute of Child Health and Human Development directs and manages the campaign in collaboration with other organizations.

Images of Safe Sleep Environments and Breastfeeding Support

As noted in the AAP recommendations, media exposures (including movie, television, magazines, newspapers, and Web sites), manufacturer advertisements, and store displays affect individual behavior by influencing beliefs and attitudes. As such, photographs are an important component of safe infant sleep education and breastfeeding support for families.

  • Safe Sleep & Breastfeeding Image Gallery. Photos and illustrations of families sleeping and feeding in a breastfeeding-friendly safe sleep environment. Images comply with the latest AAP recommendations for safe sleep and may be downloaded at no charge and without restriction.

  • Do all of your organization’s resources have images that model breastfeeding-friendly, safe infant sleep practices? Use the NAPPSS checklist to find out: Modeling Safe Practices: A Checklist for Infant Sleep & Breastfeeding Images. (2017).

  • Let's work together to get Google's attention about the many photos that appear in its search results of babies sleeping in unsafe positions and sleep environments. View Take 5 to address unsafe infant sleep images and learn how you can take action.

  • Safe Sleep Environments. The Federal SUID/SIDS Workgroup has a collection of infant sleep environment images based on the latest AAP safe sleep recommendations. These images are in the public domain and can be used freely for any purpose.

  • Landscape of Breastfeeding Support Photo Project. The United States Breastfeeding Committee (USBC), with support from the Centers for Disease Control and Prevention (CDC) created a library of images to illustrate how communities across the United States support breastfeeding families. In addition to providing positive representations of breastfeeding support in action for educational, advocacy, and clinical efforts, the increased exposure to breastfeeding provided by the images is an important step toward normalizing breastfeeding and reducing the societal and cultural barriers faced by breastfeeding families.


American Academy of Pediatrics Recommendations

Healthy People 2020 Objectives

A national health-promotion and disease-prevention initiative of the Department of Health and Human Services that provides science-based, ten-year national objectives for improving the health of all Americans. The Healthy People objectives are the foundation for many federal prevention initiatives. The objectives related to SUID, safe infant sleep, and breastfeeding are under the topic area, Maternal, Infant, and Child Health (MICH) as follows.

  • MICH-1.9. Reduce the rate of infant deaths from sudden unexpected infant deaths (includes SIDS, Unknown Cause, Accidental Suffocation, and Strangulation in Bed)

  • MICH-20 Increase the proportion of infants who are put to sleep on their backs

  • MICH-21 Increase the proportion of infants who are breastfed (includes targets for ever breastfed and breastfed at 6 months, 1 year, exclusively through 3 months, and exclusively through 6 months)

  • MICH-22 Increase the proportion of employers that have worksite lactation support programs

  • MICH-23 Reduce the proportion of breastfed newborns who receive formula supplementation within the first 2 days of life

  • MICH-24 Increase the proportion of live births that occur in facilities that provide recommended care for lactating mothers and their babies

Health Resources and Services Administration/Maternal and Child Health Bureau National Performance Measures

The Maternal and Child Health Bureau (MCHB) Title V Maternal and Child Health Services Block Grants to States Program has established 15 National Performance Measures (NPMs) for the 2015-2017 grant cycle; one focuses on breastfeeding and another on safe sleep as follows.

  • NPM 4: A) Percent of infants who are ever breastfed and B) Percent of infants breastfed exclusively through 6 months. To learn more, see the NCEMCH brief, Breastfeeding (2014).

  • NPM 5: Percent of infants placed to sleep on their backs. To learn more, see the NCEMCH brief, Safe Sleep (2014).

November 2015