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5 important facts about baby pillows
New Parent

5 important facts about baby pillows

2 min read
Key takeaways
2 min
  • Avoid using pillows for babies under 12 months as they significantly increase SIDS risk and suffocation hazards.
  • Wait until your child transitions to a toddler bed (typically 18-24 months) before introducing their first pillow.
  • Skip sleep positioners and flat pillows with side rolls as they may increase rather than decrease SIDS risk.
  • Keep cribs bare with only a fitted sheet to create the safest sleep environment for infants.
  • Consult your pediatrcalls before making any changes to your baby's sleep setup or introducing new bedding items.

Babies under 12 months should never use pillows as they increase SIDS risk and suffocation hazards. Pillows are safe to introduce around 18-24 months when transitioning to a toddler bed, as babies' neck proportions develop enough to benefit from pillow support.

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When your little one starts to wiggle around, show interest in toys and act more like an older baby, you may think it’s time to put them in a big kid bed, and maybe buy a pillow for them. Here's what we want to share with you regarding pillows for infants:

  1. The first pillows in the world, known to archaeologists, appeared in Mesopotamia 7,000 years before our era. People slept on the ground and used stone pillows so insects wouldn't crawl into their noses or mouths [1]. Infants already slept in suspended cradles back then, so they managed without pillows.
  2. Mass production and use of pillows began in the 19th century. And they only started putting them in baby cribs in the mid-20th century.
  3. From a medical point of view, babies under a year old don't need pillows or blankets. Experts consider that these objects increase the risk of sudden infant death syndrome (SIDS) [2].
  4. Pillows are especially dangerous for children who have just learned to roll over. The most common cause of suffocation in children over four months old is their nose sinking into the pillow when they turn over in their sleep [3].
  5. Sleep positioners (flat pillows with rolls on the sides) are often advertised as helpful accessories that may protect babies against SIDS and flat head syndrome. But experts now believe they may increase the risk of both [3].

Frequently asked questions

Babies can safely use pillows after 18-24 months when they transition to a toddler bed. Before this age, pillows increase the risk of SIDS and suffocation.

Pillows can cause suffocation when babies roll over and their nose sinks into the pillow. They also increase the risk of Sudden Infant Death Syndrome (SIDS).

No, sleep positioners and flat pillows with side rolls are not safe. Experts believe they may actually increase SIDS risk rather than prevent it.

A safe crib should only contain a firm mattress with a fitted sheet. Remove pillows, blankets, bumpers, and toys to reduce suffocation risks.

No, babies don't need pillows for comfort or proper sleep. Their proportionally larger heads provide natural neck support when lying flat.

Medical Disclaimer

This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or qualified health provider with any questions you may have regarding a medical condition.

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Medically reviewed content

Reviewed by healthcare professionals · Updated September 1, 2024

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