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Sleep sacks can help prevent SIDS (Sudden Infant Death Syndrome) for several reasons. Firstly, sleep sacks eliminate the need for loose blankets in the crib, reducing the risk of suffocation or entanglement. Secondly, they ensure the baby stays at a comfortable and consistent temperature throughout the night, preventing overheating, which is associated with an increased SIDS risk. Additionally, sleep sacks provide a secure sleeping environment, preventing the baby from rolling onto their stomach, which is another SIDS risk factor.

Babies can wear clothes under a sleep sack depending on the ambient room temperature. If the room is quite cold, it's best to dress the baby in a light layer of clothing, like a onesie or a long-sleeved bodysuit, before putting them in the sleep sack. However, if the room is comfortably warm, the sleep sack alone is sufficient. The goal is to keep the baby at a comfortable temperature, not too hot or too cold, to promote safe and sound sleep.

1. Touch their skin: Feel their chest, back, or tummy with your hand. If the skin feels cold to the touch, they might be too cold.

2. Check their ears, nose, and extremities: If these areas feel very cold, it could indicate that your baby needs an extra layer.

3. Observe their sleep patterns: If your baby is restless, waking frequently, or having trouble settling, they might be uncomfortable due to the cold.

4. Monitor their body language: Look for signs of discomfort, such as shivering or fussing during sleep.

5. Use a room thermometer: Keep the room temperature between 68°F to 72°F (20°C to 22°C) for most babies.