Tummy Time: Why It Matters and How to Make It Work

Since the Back to Sleep campaign began in the 1990s, the rate of SIDS has dropped dramatically. The side effect is a generation of babies who spend most of their time on their backs and need intentional tummy time to develop the strength and skills they would have built naturally if they slept face down.

Why tummy time matters

Tummy time builds the head, neck, shoulder, and core muscles that baby needs for every subsequent gross motor milestone: rolling, sitting, crawling, and standing. Without it, these milestones may be delayed. It also prevents positional plagiocephaly, the flat head that can develop when babies spend a lot of time on their backs.

When to start

Start from day one at home. Tummy time does not have to happen on a mat on the floor. In the early weeks, resting baby on your chest counts. Carrying baby face-down along your forearm (aeroplane hold) counts. The key is getting baby in a prone position regularly.

How much tummy time

By 3 to 4 months, aim for 30 minutes of tummy time per day spread throughout the day in shorter sessions. This does not need to be in one stretch — even 3 to 5 minutes at a time all day adds up.

What to do when baby hates it

Most newborns initially dislike tummy time because they have very little head control and it is genuinely hard work. Strategies that help:

**Put a rolled towel or small pillow under baby's chest.** This elevates their upper body slightly and makes it easier for them to lift their head.

**Get face to face.** Get down on the mat with them. Your face is the most motivating thing in their world.

**Use tummy time toys.** A play mat with a mirror and hanging toys positioned where baby can see them gives them something to lift their head for.

**Try different surfaces.** Some babies tolerate tummy time better on a slightly firm surface, others prefer a softer mat.

**Be consistent.** Even a baby who cries for most of each session will build strength over time. A few minutes daily is far better than occasional long sessions.

Stop tummy time if baby falls asleep. Never leave baby unsupervised during tummy time.