Carbon dioxide (CO2) retention by the infant due to rebreathing of exhaled air.	Free airflow through the netted surface of the mattress and sheet prevents accumulation of CO2 in the infant's environment which is especially important in situations when breathing is possible only through the mattress.	Put baby to sleep on the back with face uncovered, avoid use of loose objects on sleep surface, avoid exposing infant to tobacco smoke before and after birth.	www.parentscentre.gov.uk www.sids.org www.healthychildcare.org
Spitting up food and gastro- esophageal reflux.	The porous nature of the net and the ability to raise the mattress decrease reflux episodes and prevent inhalation of the regurgitated food.	Use of special infant formula, thickening the formula, small volume feeds and when needed use of medications as prescribed by the doctor.	digestive.niddk.nih.gov www.kidshealth.com www.aafp.org
Overheating, hyperthermia and increased sweating.	The low thermal resistance of the meshed netting helps temperature regulation and prevents overheating and increased sweating.	Keep room temperature at 20°C-22°C and refrain from overdressing and overuse of bedding and blankets.	www.sidsandkids.org www.healthychildcare.org www.healthychildcare.org www.aap.org
Runny nose and wet cough.	The seeping of secretions and mucus through the porous netting and the ability to raise the mattress improve their clearance from the infant's airway.	Use of humidifier or vaporizer and symptomatic medications as indicated.	www.merck.com www.emedicine.com
Development of dust mite sensitization and exacerbation of asthma, allergic rhinitis and atopic dermatitis.	The meshed surface of the mattress does not enable the survival of dust mites upon it.	Environmental control measures including removal of dust collecting items from the bedroom and use of medications based on the disease and its severity.	www.patient.co.uk www.niehs.nih.gov
Developmental delay due to prolonged laying of infants on their back and use of mattresses which sag and develop "mattress memory".	The possibility to place the attended infant in a face down position for long periods of time and the taut netting which prevents the occurrence of "mattress sleep memory"promote infant development.	Encouragement of parental activities that promote child development and referral to professionals if needed.	www.marchofdimes.com www.nlm.nih.gov
Accumulation of dust, dirt, germs and fungus in and on the mattress.	The porous nature of the mesh and its significant permeability curtail the growth of bacteria and fungi and prevent accumulation of dirt. The strength and durability of the netting enable thorough cleaning and sterilization.	Cleaning the infant's crib and bed.	www.essortment.com
Skin irritation caused by urine accumulation on the mattress especially during periods of toilet training.	The porous nature of the netting enables seeping of urine through the mattress and prevents its accumulation and contact with the baby's skin.	Behavioral modification and medical treatment of enuresis.	clinicalevidence.bmj.com www.cks.library.nhs.uk familydoctor.org www.nlm.nih.gov