What’s the Big Deal with Tummy Time?
Since the launch of the Back-to-Sleep campaign in 1994, which has successfully reduced the rate of sudden infant death syndrome (SIDS) by 50% , we've also seen an increase in flat head syndrome (plagiocephaly and brachycephaly) in babies . This shift can be confusing for many parents, leading to questions about when and how to start tummy time.
Why Is Tummy Time So Important?
Tummy time—placing your baby on their stomach while they are awake—provides several key benefits:
Strengthens muscles in your baby’s neck, shoulders, and back .
Encourages motor skill development, including crawling and sitting .
Prevents or reduces flat spots on the back of your baby’s head .
A survey by the American Physical Therapy Association found that the lack of tummy time is the leading cause of delayed motor development in infants .
When Should You Start Tummy Time?
It’s never too early! You can begin tummy time as soon as your baby comes home from the hospital. Start by placing your baby on your chest, which promotes bonding while encouraging time on their tummy.
How Long Should Tummy Time Last?
By 3 months of age, your baby should work up to 1 hour of tummy time a day. Start with short sessions of 3-5 minutes several times a day, gradually increasing the duration as your baby builds strength and comfort.
What If My Baby Dislikes Tummy Time?
It’s normal for some babies to resist tummy time, especially if they lack the neck strength to lift their head and explore their surroundings. It’s essential to continue practicing, as this will improve their muscle strength and sensory development. If your baby struggles with tummy time due to issues like reflux, consult a physiotherapist for tips on making this position more comfortable.
What About Sleep?
Always place your baby on their back to sleep to reduce the risk of SIDS. Tummy time should be reserved for waking hours to promote healthy development.
Other Tips to Prevent Flat Head Syndrome
In addition to tummy time, limit the amount of time your baby spends in car seats, bouncers, swings, and carriers. Also, try changing the direction your baby’s head faces when sleeping by alternating the head of the bed daily, encouraging them to turn their head in both directions.
Need Help?
If your baby struggles with tummy time or you’re concerned about their development, a pediatric physiotherapist can offer personalized advice to help your baby thrive in this position.
And remember:
Back to sleep, tummy to play, change the head of the bed every day!
References:
Trachtenberg FL et al. (2012). Risk factor changes for sudden infant death syndrome after initiation of Back-to-Sleep campaign. Pediatrics.
Biggs, W. S. (2003). Diagnosis and management of positional head deformity. American Family Physician.
American Physical Therapy Association. (2008). Child Development: Lack Of Time On Tummy Shown To Hinder Achievement. ScienceDaily.
"Babies Need Tummy Time!" Eunice Kennedy Shriver National Institute of Child Health and Human Development, U.S. Department of Health and Human Services.