Safe sleep needs to start long before we thought. In the NICU. At 32 weeks, according to new guidelines from the American Academy of Pediatrics. Once a baby is moved from an isolette to an open crib, the head of bed should be flat, no blankets, no positioners, and no side-lying or tummy sleep. Back to sleep every time, starting at 32 weeks. It’s going to take a lot of education and prodding to steer unit culture that way.