The task force supports the recommendations of the AAP Committee on Fetus and Newborn, which state that hospitalized preterm infants should be placed in the supine
position for sleep by 32 weeks» postmenstrual age to allow them to become accustomed to sleeping in that
position before
hospital discharge.103 Unfortunately, preterm and very low birth weight infants continue to be more likely to be placed prone for sleep
after hospital discharge.104, 105 Preterm infants are placed prone initially to improve respiratory mechanics106, 107; although respiratory parameters are no different in the supine or prone
positions in preterm infants who are close to
discharge, 108 both infants and their caregivers likely become accustomed to using the prone
position, which makes it more difficult to change.