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Breathable cot surfaces, such as mesh sides or specially designed mattresses, can be helpful in reducing the risk of accidental suffocation if a baby rolls over or presses their face against the sleep surface. These materials allow for better air flow, which can provide an extra layer of safety in certain scenarios where airflow might otherwise be restricted.

However, it's important to understand that while breathable surfaces may help reduce suffocation risk, they do not prevent Sudden Infant Death Syndrome (SIDS). SIDS is a complex and poorly understood condition that involves unexplained death during sleep, often without any signs of struggle or airway blockage. It is believed to be related to underlying vulnerabilities in how an infant’s brain controls breathing and arousal from sleep.

To reduce the risk of both SIDS and suffocation, the most effective strategies remain the same: place babies on their backs to sleep, use a firm, flat mattress with a fitted sheet, keep the sleep environment free of pillows, blankets, toys, or loose bedding, and avoid overheating. Breathable materials can add to safe sleep practices, but they are not a substitute for following evidence-based safe sleep guidelines.

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