When Can Babies Sleep with a Pillow? Safe Sleep for Babies

As adults, it's hard to imagine falling asleep without a soft pillow to rest our heads. Naturally, you might think that your baby would enjoy the same comfort. But here's the thing: babies are different, and when it comes to sleep, pillows just aren't safe for the tiniest of tots. In fact, infants are at a higher risk of suffocation if they sleep with a pillow in the crib.

In this guide, we'll answer your query "When can babies sleep with a pillow safely?", explain the potential dangers of using one too early, and share tips on how to create the safest sleep environment for your little one.

When Is It Safe for Babies to Use a Pillow?

Pillows might seem harmless, but for babies, they're not safe until much later. According to the American Academy of Pediatrics (AAP), babies should sleep on a firm, flat surface—free of pillows, blankets, and other soft bedding—until at least age 1. This is crucial to reduce the risks of SIDS (Sudden Infant Death Syndrome), suffocation, entrapment, and strangulation.

Even after your baby turns 1, it's best to wait a bit longer before introducing a pillow. Experts recommend waiting until your little one transitions from the crib to a toddler bed, usually between 18 months and 3.5 years. Not only does waiting longer reduce the suffocation risk even further, but it also prevents your toddler from using the pillow as a step to climb out of the crib.

That said, every baby is different. So, the answer to "When can my baby sleep with a pillow?" really depends on your child's development. Some babies might be ready for a pillow earlier, while others may take a bit longer. Keep an eye out for signs like your baby moving more during sleep or trying to sleep in a more upright position—this could mean they're ready for the extra support of a pillow.

So, the simple rule: no pillows before age 1, and ideally not until your little one moves to a toddler bed. Even then, it's important to take things slowly and be cautious.

Dangers of Letting Babies Sleep with a Pillow Too Early

Introducing a pillow too soon can pose serious risks to your baby's health and safety. Here's why experts strongly advise waiting:

1. Suffocation and Sudden Infant Death Syndrome (SIDS)

Pillows and other soft bedding are a major suffocation risk for infants. Babies lack the strength to move their heads or necks if their face presses against a pillow, which can block their airway and trap exhaled air, leading to carbon dioxide rebreathing—a significant factor in SIDS.

In fact, the CDC reports that in 2022, around 3,700 Sudden Unexpected Infant Death (SUID) cases were recorded in the United States, including 1,529 cases of SIDS and 1,040 cases of accidental suffocation due to soft bedding.

2. Overheating

Pillows can also cause overheating, another critical factor linked to SIDS. Babies are unable to regulate their body temperature as efficiently as adults. Snuggling against a pillow traps heat around their face and head, increasing the risk of overheating.

3. Climbing and Fall Risks for Toddlers

Once your baby becomes a toddler and begins exploring, giving them a pillow in their crib can increase the chances of them using it to help themselves climb out. This is an added risk, as toddlers are notorious for attempting to escape their cribs, and a pillow could make it easier for them to do so. Falling from a crib can lead to serious injuries, which is another reason why it's best to wait until your toddler is in a toddler bed and ready for that transition.

What Should I Use Instead of a Pillow for a Young Baby?

While pillows are off-limits for babies, creating a safe and comfortable sleep space is easier than you think. Experts, including the American Academy of Pediatrics (AAP) and the National Institutes of Health (NIH), stress that a simple, bare setup is best for infants.

A Firm, Flat Mattress with a Snug Fitted Sheet

Start with a flat, firm crib mattress and a tightly fitted sheet—nothing more. Avoid any pillows, toys, quilts, comforters, mattress toppers, crib bumpers, fur-like materials, or other soft surfaces, as they increase the risk of suffocation. The AAP emphasizes that a firm mattress reduces the chances of Sudden Infant Death Syndrome (SIDS).

Swaddle Blankets for Newborns (if appropriate)

For babies under 2 months old, a lightweight, breathable swaddle blanket can help them feel secure, much like being in the womb. Just ensure it's snug around the body but loose at the hips to avoid hip dysplasia. Stop swaddling once your baby starts rolling over.

Wearable Blankets or Sleep Sacks

If you're concerned about your baby staying warm at night, consider using a sleep sack or wearable blanket of the correct size. These are great alternatives to blankets because they fit securely around your baby and can't be kicked off or pulled over their face. Plus, they come in different materials and thicknesses for year-round use, so you can easily find one that works for the season.

Tips for Introducing a Pillow Safely

Once your toddler is ready for a pillow, usually after transitioning to a toddler bed around 18 months to 3.5 years, it's important to take a thoughtful and gradual approach. Here are some helpful tips for introducing a pillow safely:

Wait Until Your Toddler Moves to a Toddler Bed

As mentioned earlier, the ideal time to introduce a pillow is after your child has moved from a crib to a toddler bed. This typically happens between 18 months and 3.5 years. The transition to a toddler bed provides more space and freedom for your child, making it easier to safely use a pillow.

Choose a Firm, Low Pillow

When you do introduce a pillow, opt for one that is firm and low-profile. Avoid thick, fluffy pillows that can cause your toddler's head to sink too deep, which can block their airways. A small, firm pillow that supports their head and neck without elevating it too much is the safest option. There are pillows specifically designed for toddlers that are made to be safe and appropriate for their size and needs.

Observe Your Toddler's Sleep Patterns

Every child is different, so keep an eye on how your toddler adapts to using a pillow. Watch for signs of comfort, such as them resting their head naturally on the pillow or seeming more relaxed during naps and nighttime sleep. If your toddler resists using the pillow, they may not be ready yet, and that's okay. You can always give it another try in a few months.

Create a Peaceful Sleep Environment

To help your toddler adjust to their new pillow, it's crucial to create a calm and peaceful sleep environment. Keep the room cool and dimly lit to help signal that it's time for bed and consider using a white noise machine or bedtime story player to create a soothing atmosphere.

One great option is the Alilo Bunny baby music player. Preloaded with 76 rich pieces of content, including white noise, nature sounds, nursery rhymes, bedtime stories, and lullabies, this music player can help lull your little one to sleep. With features like adjustable volume, Bluetooth connectivity, voice recording, and a rechargeable battery, it allows you to customize the sound environment or even record your own lullabies for a personal touch.

Additionally, you can consider the Alilo Smarty Bunny baby rattle. This versatile rattle not only helps develop your toddler's fine motor skills but can also play calming music or white noise to help your baby relax and fall asleep naturally. With an automatic shut-off feature after 30 minutes, it's a hassle-free way to provide soothing sounds and make the transition smoother.

Conclusion

So, when can babies sleep with a pillow? The answer really depends on your baby's development. According to the AAP's guidelines, babies should sleep on a firm, flat crib mattress—free of pillows, blankets, and other soft bedding—until at least age 1. Even then, it's recommended to wait until they're at least 18 months old, and have transitioned to a toddler bed to make sure they're ready. In the meantime, less is more. As always, trust your instincts and consult with your pediatrician if you're unsure. With a little patience and care, you'll know when the time is right to introduce a pillow—and when you do, you can do it safely.

FAQs

Can my 1 year old sleep with a pillow?

It's generally not recommended for a 1-year-old to sleep with a pillow. At this age, babies are still developing their neck and head control, and using a pillow could increase the risk of suffocation. It's best to wait until your baby is at least 18 months to 2 years old. Once your toddler moves to a toddler bed and shows signs of needing extra head support, you can consider introducing a small, firm pillow designed for toddlers.

Is it okay to elevate baby's head while sleeping?

Elevating your baby's head using pillows or wedges is not safe unless medically prescribed. According to the AAP, a firm, flat sleep surface without pillows, blankets, or other soft bedding is the safest option to reduce the risk of suffocation and SIDS until at least age 1.

When can babies sleep with pillows and blankets?

Babies can use pillows and blankets safely once they transition to a toddler bed, typically between 18 months and 3.5 years. Before then, keep their sleep space clear and minimal.

How do you know your baby is ready for a pillow?

Signs that your baby is ready for a pillow include moving more during sleep, using stuffed animals or blankets to prop their head, side sleeping or sleeping on their arm, and showing interest in using a pillow. Once they are over 2 years old and have transitioned to a toddler bed, a small, firm pillow can be safely introduced.