Introducing a pillow into your toddler’s sleep environment requires careful consideration.
As a father of four, my kids didn’t want to sleep with a pillow until they reached preschool age (3+), which reduced a pretty big decision on my part. My wife and I always believed that our kids would decide when they were ready for a pillow based on their comfort, and we never pushed the issue. However, talking to some of my friends, I learned that their kids wanted pillows at younger ages, and it was an issue they had to seek advice about before deciding on a plan of action.
Experts unanimously agree that timing and pillow selection are crucial for your child’s safety and comfort. While your child may appear ready, I always recommend talking to your child’s pediatrician to ensure you are making the right decision for your child.
Here’s what I learned when investigating when a toddler can safely have a pillow.
At What Age Can Toddlers Use A Pillow?
According to pediatricians, toddlers can generally start using pillows safely around two years old, which coincides with the transition from crib to toddler bed. Before this milestone, the American Academy of Pediatrics (AAP) strongly advises against introducing pillows due to risks of suffocation and increased likelihood of Sudden Infant Death Syndrome (SIDS).
In the UK, the NHS similarly recommends avoiding pillows, quilts, or blankets in a baby’s sleep area until the child is at least one year old, emphasizing that safe sleep practices should always be maintained.
Signs Your Toddler Might Be Ready For A Pillow
While age is a critical factor, individual readiness is also essential. Common signs your toddler might be ready for a pillow include consistently using toys or blankets as makeshift pillows, restlessness at night, or directly asking for a pillow. Toddlers ready for a pillow usually have the motor skills to independently move bedding away from their faces.
According to sleep experts from Huckleberry Care, observing your child’s sleep habits closely can help determine readiness. For example, toddlers who bunch up blankets under their heads or who mimic adults by trying to lay their heads on pillows may benefit from using one.
Choosing A Toddler Safe Pillow
Selecting an appropriate pillow for a toddler is critical. It should be specifically designed for toddlers—typically smaller (around 13×18 inches), thinner, and firmer than adult pillows. A suitable pillow helps support your toddler’s developing spine and neck while significantly reducing suffocation risks. Hypoallergenic materials are also recommended to minimize potential allergic reactions or irritation.
Experts strongly advise against using adult-sized pillows or pillows stuffed with feathers, pellets, or foam pieces due to the increased risk of suffocation and choking hazards. Care should also be taken to avoid pillows with loose fabrics or decorative items that could pose additional safety risks.
The pillow in the photo above is a good example of a small pillow that is less likely to cause suffocation.
Potential Risks And Safety Considerations
The primary safety concern of early pillow use is the increased risk of suffocation. Adhering to safe sleep guidelines is essential even after your child has reached the recommended age of two. According to What to Expect, toddlers should always use firm, toddler-sized pillows and avoid overly soft bedding and plush items in their sleep space.
Additionally, pillows in cribs can be hazardous and should be avoided altogether. They may help a toddler climb out, posing a risk of falls and injury. Thus, pillows should only be introduced once your child moves to a bed and no longer sleeps in a crib.
Expert Recommendations And Safe Sleep Practices For Toddlers
Dr. Harvey Karp from Happiest Baby emphasizes that maintaining a safe sleep environment is crucial even once your toddler uses a pillow. This includes regularly checking that the pillow remains intact, firm, and free from wear and tear.
It’s also wise to introduce the pillow gradually, first allowing your toddler to use it during supervised naps or quiet time. This practice can help you monitor how your child interacts with the pillow before fully incorporating it into nighttime sleep routines.
Always consult with your pediatrician if you have any doubts or questions about introducing a pillow to your child’s sleep environment.
The information provided is for educational purposes only. It should not be a replacement for medical care or advice. This info is not intended to diagnose or replace medical treatment. Consult your doctor if you have any questions about providing your toddler with a pillow.