Preventing Strangulation and Suffocation


Your home has everyday items that are potential strangulation or suffocation threats to your child. We present the following tips to identify and prevent or reduce the chances of this happening.

Strangulation and suffocation: prevention basics

Pay attention to your child when around these items.

Clothing & fashion accessories

  • Take off bibs and hooded clothing before laying your child down in the crib for sleep.
  • Especially for sweaters with hoods, cords or drawstrings can catch on toys, furniture, draw shut the hood to suffocate the child, or tie around the child’s neck resulting in strangulation.
  • Fashion accessories like a necklace also becomes a strangulation risk if they accidentally tie up to choke the child. The pendant that may come with the necklace is a choking hazard as well if the child has the tendency to put things in the mouth, so reaching for that pendant any time is especially risky.

Pacifiers and bottles

  • Your child must be able to spit pacifiers out of the mouth at a moment’s notice.
  • Don’t use anything to keep a pacifier in your young baby’s mouth – if she can’t spit it out when she wants to, she could be at risk of suffocation.
  • Don’t use ribbons, strings or chains to attach a pacifier to your child – it could strangle him.
  • Hold your baby and stay with her while she drinks from a bottle. Don’t prop the bottle in her mouth, because she won’t be able to spit it out if she can’t breathe.

Prams and strollers

  • Always supervise your baby when he’s in a pram or stroller. Some prams and strollers can fold slightly, even when a baby is in them. If a baby’s head gets covered when the pram folds, it’s a suffocation risk.
  • Use a five-point harness to strap your baby firmly into a baby bouncer or car restraint. This will help prevent the risk of your child slipping down and getting straps tangled around her neck.

Preventing strangulation and suffocation in the bedroom

Use these tips to help prevent strangulation or suffocation in rooms where your baby sleeps:

  • Use a safe baby mattress and a cot that meets Singapore’s Consumer Goods Safety Requirements.
  • Keep pillows, cot bumper pads, stuffed toys, cushions and piles of clothing out of cots and prams until your child is at least two years old.
  • Keep cots away from blinds and curtains – children can easily strangle themselves on dangling curtain cords. Fit blinds and curtains with rods instead of cords.
  • Keep hanging mobiles out of your baby’s reach so he can’t strangle himself with them.
  • Make sure there are no large gaps between the cot or bed railings. This can be a suffocation risk if your child gets trapped or stuck while sleeping.
  • Avoid putting baby to sleep on soft surfaces like couches, beanbags or waterbeds. Babies might roll over into an unsafe sleeping position on these surfaces. Also, children shouldn’t sleep on adult beds.

Put your baby in a safe sleeping position, lying down to sleep on her back, tucked firmly into her bedding. This can help protect your child from sudden unexpected death in infancy (SUDI) including Sudden Infant Death Syndrome (SIDS) and fatal sleeping accidents.

Preventing strangulation: blinds, cords and ropes

Simple precautions can reduce strangulation risks from blinds, cords and ropes around your house:

  • Keep all cords out of reach of toddlers, and move chairs away from blinds so toddlers can’t climb up to reach cords. You can fit blinds without cords, and curtains with rods instead of cords.
  • If your blinds have cords, wrap the cords in a cleat (available from hardware stores) attached to the wall at least 1.6 m above floor level. Wrap any remaining cord around the cleat.
  • When young children are outdoors, make sure you supervise them if they’re using rope swings because these can be a strangulation hazard.

Preventing suffocation: bags, boxes and packaging

These tips can reduce suffocation risks from bags, boxes and packaging around your home:

  • Make sure toy boxes don’t have lids that come off easily. Also make sure the boxes have air holes. If your child climbs into a toy box and gets stuck, these precautions can help prevent suffocation.
  • Put child-resistant locks on any airtight boxes your child could climb into, including freezers – if a child closes himself in an airtight box he could suffocate before he’s found.
  • Store plastic bags, plastic wrap and dry cleaning bags out of reach. Always tie a knot in them before storing them or throwing them out. A child could suffocate if she pulls them over her head.
  • Remove all plastic from cot and mattresses, and throw it away. You can’t use plastic packaging as a substitute for a waterproof mattress protector.
  • Choose balloons made of foil – rubber balloons pop more easily and can be inhaled. Long ribbons can wrap around children’s necks, so the ribbons should be no longer than 30 cm. Don’t give uninflated balloons to young children.

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