Why does the baby always sleep on their stomach?

Patient's question:

My son is 1 year and 3 and a half months old. Recently, he always sleeps on his stomach and tends to stick his buttocks up, always curving his hips upward. Could you please ask the experts what could be the reason for this?

Doctor's answer:

Hello, a baby's sleeping position is not fixed and can change after a period of time. There is no need to worry.
The advantages and disadvantages of a baby sleeping on their stomach are as follows:
1. The baby feels secure. In the womb, the fetus naturally adopts a curled position with the face and abdomen facing inwards and the back facing outwards. The face and abdomen lack the skeletal protection of the back and are more vulnerable to external harm, making them more sensitive. This is the most natural self-protective posture.
Many babies seem to naturally prefer sleeping on their stomach, which is also based on this principle: protecting the body's most vulnerable parts. When sleeping deeply, they feel more secure, making it easier to fall asleep and reducing crying. This is beneficial for the development of the nervous system.
2. It is beneficial for stomach peristalsis and digestion. When sleeping on their stomach, stomach contents are less likely to flow into the esophagus or mouth, causing vomiting. Instead, they move into the small intestine, which aids in digestion and absorption.
3. Prone sleeping can encourage the baby to lift their head and chest, thereby exercising large muscle groups such as the neck, chest, back, and limbs. This is beneficial for training (turning over) and crawling.
Disadvantages:
1. It can easily lead to suffocation. Since a baby's head is heavy and their neck strength is insufficient, if they cannot turn their head or roll over freely, their mouth and nose may become blocked by pillows, towels, or other objects, leading to suffocation or even life-threatening risks.
2. It is not conducive to heat dissipation. The chest and abdomen press tightly against the bedding, making it difficult for heat to dissipate. This can cause an increase in body temperature or lead to eczema due to the accumulation of sweat on the chest and abdomen.
3. The limbs and hands and feet are not easy to move.

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