ShePrep

Moving a Baby Out of Your Bed and Into a Cot

The AAP recommends room-sharing without bed-sharing at any point in the first year. UK guidance from the Lullaby Trust instead sets out safer practices and names circumstances where bed-sharing is never safe. Both agree on sofas and armchairs: never. No body publishes a method for the move.

Where the guidance actually stands

Before the practical question, the positions, stated separately rather than merged, because they genuinely differ.

The American Academy of Pediatrics. Its safe sleep guidance recommends that a baby sleeps in the parents' room, close to the parents' bed but on a separate surface designed for infants, ideally for at least the first six months. It does not recommend bed-sharing under any circumstances, and its position is room-share, do not bed-share.

The Lullaby Trust, in the UK. It takes a risk-minimisation approach: it does not tell parents never to bring their baby into bed, because it knows many will, and instead publishes what makes it safer and the circumstances in which it is never safe. Those circumstances are named: if you or your partner smoke, if you have drunk alcohol, if you have taken drugs or medication that makes you drowsy, or if your baby was born premature or at a low birth weight.

Both are credible national bodies and both are internally consistent. There is no averaged position to hand you.

The one thing nobody disagrees about

Never sleep with your baby on a sofa or an armchair. The Lullaby Trust, the NHS, Ireland's HSE, the AAP and Red Nose Australia all say this without qualification, because a baby can slip into a position where they are trapped and cannot breathe. If you are moving your baby out of your bed and end up resettling them downstairs at 3am, that is the risk this whole page exists to avoid.

What a bedside crib changes

A bedside crib, sometimes sold as a next-to-me cot, is a separate sleep space with one side open to your bed. It satisfies the room-sharing advice while keeping your baby within arm's reach, which makes it the obvious intermediate step for a family moving out of bed-sharing.

The Lullaby Trust notes that since 2020 bedside cribs in the UK should meet BS EN 1130:2019, which means the side should no longer fully drop down. Follow the manufacturer's instructions for fitting it to your bed height and securing it, and keep your own duvet and pillows out of the crib — a crib attached to a bed is still a clear cot.

Making the cot somewhere your baby will actually sleep

The Lullaby Trust's mattress test: firm, so your baby's head sinks in by no more than a few millimetres; entirely flat, with no raised or cushioned areas; with a waterproof layer; fitting the frame with no gaps. Then keep it clear. No pillows, no duvets, no cot bumpers, no soft toys, no loose bedding, no pods or nests, and nothing that keeps your baby in one position.

Things people try that are not safe: putting a worn t-shirt in the cot so it smells of you; adding a folded blanket under the sheet to make it softer; a rolled towel to make the space feel smaller; a cot bumper for the same reason. All of these add loose material to a sleep space, and all of them are advised against.

What nobody publishes

A method. There is no NHS, HSE, Lullaby Trust, AAP or Red Nose protocol for moving a baby out of a parental bed, no timeline, and no evidence base for the staged approaches sold online. That absence is worth knowing, because it means the confidence in any plan you are offered comes from the person selling it.

What is published is how to handle the wakings that follow. Ireland's HSE advises soothing by speaking softly, feeding if hungry, using a dim yellow or red light rather than a bright or blue one, avoiding screens, not changing the nappy unless it is dirty, and putting your baby back into the cot drowsy but awake, on their back. It also says not to leave a baby crying for longer than a few minutes. The AAP's position for babies over four months is different: do not rush in.

A realistic sequence

Since nothing is published, treat what follows as ordinary parental practice rather than guidance. Start with naps in the cot, in daylight, when nobody is desperate. Keep the cot in your room. Use the same sleeping bag, so the fabric against your baby does not change at the same time as the surface. Change one thing at a time, and not in the same week as nursery starting, a house move, a holiday or a vaccination.

And decide in advance what you will do at 3am if it is not working, because that decision made in the moment while exhausted is the one that goes wrong. Putting your baby back in your bed following the Lullaby Trust's safer bed-sharing conditions is a decision. Falling asleep on the sofa with them is not.

If you decide to stop for now

That is a legitimate answer, and it is worth saying because the pressure runs the other way. Room-sharing is advised for at least six months in every framework here. If bed-sharing is currently how your family sleeps, the useful move may be to make it as safe as the Lullaby Trust describes — clear the bed of pillows and duvet around your baby, keep them away from the edge and from other children and pets, place them on their back — and revisit the cot later.

When to ask

Speak to your health visitor, public health nurse or GP if you are unsure whether bed-sharing is safe in your circumstances, if you are so tired that you are falling asleep in unplanned places, if your baby was premature or of low birth weight, or if anyone in the household smokes. Those are exactly the situations where a conversation is worth more than a plan from the internet.

Sources

  1. How to Keep Your Sleeping Baby Safe: AAP Policy Explained American Academy of Pediatrics (HealthyChildren.org), accessed
  2. Co-sleeping The Lullaby Trust, accessed
  3. Room sharing The Lullaby Trust, accessed
  4. Keeping a clear cot The Lullaby Trust, accessed
  5. Helping your child get back to sleep HSE (Health Service Executive, Ireland), accessed
  6. Sudden infant death syndrome (SIDS) NHS, accessed