{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T13:07:40Z","timestamp":1776690460903,"version":"3.51.2"},"reference-count":140,"publisher":"American Academy of Pediatrics (AAP)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,7,1]]},"abstract":"<jats:p>Of the nearly 3.8 million infants born in the United States in 2018, 8.3% had low birth weight (ie, weight &amp;lt;2500 g) and 10% were born preterm (ie, gestational age of &amp;lt;37 weeks). Ten to fifteen percent of infants (approximately 500\u2009000 annually), including low birth weight and preterm infants and others with congenital anomalies, perinatally acquired infections, and other diseases, require admission to a NICU. Every year, approximately 3600 infants in the United States die of sudden unexpected infant death (SUID), including sudden infant death syndrome (SIDS), unknown and undetermined causes, and accidental suffocation and strangulation in an unsafe sleep environment. Preterm and low birth weight infants are 2 to 3 times more likely than healthy term infants to die suddenly and unexpectedly. Thus, it is important that health care professionals prepare families to maintain their infant in a safe home sleep environment as per recommendations of the American Academy of Pediatrics. Medical needs of the NICU infant often require practices such as nonsupine positioning, which should be transitioned as soon as medically possible and well before hospital discharge to sleep practices that are safe and appropriate for the home environment. This clinical report outlines the establishment of appropriate NICU protocols for the timely transition of these infants to a safe home sleep environment. The rationale for these recommendations is discussed in the accompanying technical report \u201cTransition to a Safe Home Sleep Environment for the NICU Patient,\u201d included in this issue of Pediatrics.<\/jats:p>","DOI":"10.1542\/peds.2021-052045","type":"journal-article","created":{"date-parts":[[2021,6,21]],"date-time":"2021-06-21T08:40:13Z","timestamp":1624264813000},"source":"Crossref","is-referenced-by-count":19,"title":["Transition to a Safe Home Sleep Environment for the NICU Patient"],"prefix":"10.1542","volume":"148","author":[{"given":"Michael H.","family":"Goodstein","sequence":"first","affiliation":[{"name":"aDivision of Newborn Services, WellSpan Health, York, Pennsylvania"},{"name":"bDepartment of Pediatrics, College of Medicine, The Pennsylvania State University, Hershey, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dan L.","family":"Stewart","sequence":"additional","affiliation":[{"name":"cDepartment of Pediatrics, Norton Children\u2019s and School of Medicine, University of Louisville, Louisville, Kentucky"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin L.","family":"Keels","sequence":"additional","affiliation":[{"name":"dNational Association of Neonatal Nurse Practitioners, National Association of Neonatal Nurses, Chicago, Illinois"},{"name":"eNeonatal Advanced Practice, Nationwide Children\u2019s Hospital, Columbus, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel Y.","family":"Moon","sequence":"additional","affiliation":[{"name":"fDivision of General Pediatrics, School of Medicine, University of Virginia, Charlottesville, Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2021,7,1]]},"reference":[{"issue":"3","key":"2026020912560812500_B1","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1542\/peds.2009-0038","article-title":"Concurrent risks in sudden infant death 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