If you’re wondering when your little one can start using a pillow, you’re definitely not alone. It’s a common question many parents have as they watch their babies grow. Let’s chat about what’s best for your child at different ages when it comes to sleeping with a pillow.
- Under 1 year – no pillow—keep the crib empty for safety.
- 1 to 2 years – consider waiting, but watch for signs your child might be ready.
- 2 years and up – it’s usually safe to introduce a toddler-sized pillow.
Birth to 12 Months
For the first year, it’s best to keep your baby’s sleep area as bare as possible.
Babies under 12 months shouldn’t sleep with a pillow! Their neck muscles are still developing, and they can’t move away easily if something is blocking their airway. Soft bedding can increase the risk of Sudden Infant Death Syndrome (SIDS).
A firm mattress with a fitted sheet is all they need! Babies are comfortable sleeping flat. Their proportions are different from adults, so a pillow isn’t necessary for spinal support.
18 Months to 2 Years
This is the age when some parents start thinking about adding a pillow.
Signs your child is ready for a pillow?
If your child is trying to rest their head on stuffed toys or bunching up blankets, they might be ready.
How to choose the right pillow for this age?
- Go for a small, thin pillow made for toddlers.
- A firm pillow is safer than a soft, fluffy one.
- Hypoallergenic materials are a good choice to avoid allergies.
2 Years and Older
Most experts agree that after 2 years old, it’s generally safe for a child to sleep with a pillow.
- By this age, kids can move themselves if they’re uncomfortable.
- Some children might love having a pillow, while others might not use it much – and that’s okay!
Tips for Introducing a Pillow
- Try using the pillow during daytime naps to see how your child reacts.
- Let your child pick out their pillowcase to get them excited.
- Keep an eye on them initially to ensure they’re using it safely.
Safety Tips!
- Even with a pillow, avoid adding extra toys or heavy blankets.
- Make sure the pillow stays in good condition—no rips or loose stuffing.
- A consistent bedtime routine helps your child feel secure and sleep better.
These are general guidelines. Your child might be ready a bit earlier or later. You know your child best. If you’re unsure, it’s okay to wait.
Types of Pillows for Your Child
1. Flat pillows
- What are they? These are thin pillows specifically designed for toddlers.
- Why they’re great: They’re a perfect starter pillow because they’re not too thick, reducing the risk of neck strain.
- Good for: Kids transitioning to their first pillow who need just a little extra comfort.
2. Memory foam pillows
- What are they? Pillows that mold to the shape of your child’s head and neck.
- Why they’re great: They offer good support and can help with proper spinal alignment.
- Keep in mind: Make sure it’s not too soft. You want it to support, not envelop their face.
3. Hypoallergenic pillows
- What are they? Made with materials that are less likely to cause allergic reactions, like synthetic fibers or special fabrics.
- Why they’re great: If your child has allergies or sensitive skin, these can help them sleep without irritation.
- Good for: Kids prone to allergies or asthma.
4. Feather or down pillows
- What are they? Filled with feathers or down from ducks or geese.
- Why they’re great: They’re super soft and moldable.
- Keep in mind: Not the best choice for toddlers—they can be too soft and might cause allergies.
5. Cooling gel pillows
- What are they? Pillows that have a layer of cooling gel or breathable materials.
- Why they’re great: If your child tends to get hot at night, these can help keep them comfortable.
- Good for: Hot sleepers or warm climates.
How to choose the Right Pillow?
- Look for a pillow that’s the right size for your child. Toddler pillows are smaller than standard pillows, making them a better fit for little heads.
- You want a pillow that’s firm enough to hold its shape but soft enough to be comfy.
- Let’s face it—kids can be messy. A pillow that’s machine washable or has a removable cover is a big plus.
- Always check what the pillow is made of. Natural materials like cotton are breathable, while synthetic materials might be better for allergies.
If you have questions or concerns, your doctor can offer personalized advice.
References
Moon, R. Y., Darnall, R. A., Feldman-Winter, L., Goodstein, M. H., & Hauck, F. R. (2016). SIDS and Other Sleep-Related Infant Deaths: Updated 2016 Recommendations for a Safe Infant Sleeping Environment. Pediatrics, 138(5), e20162938. https://doi.org/10.1542/peds.2016-2938
Jullien, S. Sudden infant death syndrome prevention. BMC Pediatr 21 (Suppl 1), 320 (2021). https://doi.org/10.1186/s12887-021-02536-z
“New Safety Standards Adopted for These Commonly Used, But Sometimes Dangerous Baby Products” in Parents.com
“A Call to Moms: Throw Away Your Infant Sleep Positioners” in Children’s Hospital Los Angeles