
There are several factors to consider when deciding whether a 2-year-old should sleep on a pillow. While pillows can improve spinal alignment, prevent pain, and provide comfort for older children and adults, they may pose safety risks for toddlers. The American Academy of Pediatrics (AAP) recommends that children under 2 years old should not use pillows due to the risk of Sudden Infant Death Syndrome (SIDS) and suffocation. However, some parents introduce pillows earlier, especially when their toddlers transition to a bigger bed. It is recommended to choose a small, firm, and breathable toddler pillow and ensure that the child can move the pillow away from their face during sleep.
| Characteristics | Values |
|---|---|
| Recommended age for using a pillow | 2 years old |
| Risk of suffocation | High before 2 years old |
| Type of pillow | Small, firm, and breathable |
| Toddler bed | Necessary for using a pillow |
| Child's development | Important factor in the decision |
| Comfort | Not necessary for toddlers |
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What You'll Learn

The recommended age for a toddler to use a pillow
However, it's important to note that every child is different, and parents should consider their child's development before introducing a pillow. Some toddlers may be comfortable sleeping without a pillow, while others may start using pillows before they turn 2. It is recommended to wait until they are at least 24 months old before introducing a pillow, as there is a risk of suffocation due to the extra material in the bed.
When selecting a pillow for a toddler, it is essential to choose one specifically designed for toddlers and small children. These pillows are typically smaller and firmer than adult pillows, providing enough support without overcrowding the sleep space. Opt for materials that are safe, hypoallergenic, and easy to clean, such as polyester fiberfill or memory foam.
Additionally, pillows and other loose bedding should not be used in a crib. These items could become trapped in the crib walls, creating a suffocation hazard. It is recommended to wait until the toddler transitions to a toddler bed or a twin bed before introducing a pillow. This usually happens when the child is between 18 months and 3.5 years old, but it is ideal to make the switch as close to age 3 as possible.
Parents can look for signs that their toddler may be ready for a pillow, such as showing interest in or asking for a pillow, and demonstrating the ability to move pillows or blankets away from their face during sleep. It is also recommended to consult with a pediatrician before introducing a pillow to ensure the child's sleep environment is safe.
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The benefits of a toddler pillow
While pillows are designed to provide comfort, there is no physiological or health reason for a toddler to use one. In fact, the American Academy of Pediatrics (AAP) recommends that toddlers under the age of two should not use pillows. This is primarily due to the risk of Sudden Infant Death Syndrome (SIDS) and the development of motor skills that allow toddlers to maintain open airways while sleeping.
However, once your toddler reaches the age of two, there are several benefits to using a pillow. Firstly, a pillow that is appropriately sized for a toddler can aid in keeping their spine in the proper position for healthy development. This also helps prevent neck and shoulder pain, which may occur if your toddler is using their arm as a headrest. Secondly, a toddler pillow can provide comfort and a better night's sleep. Some toddlers may toss and turn at night, and a pillow can help them get a more comfortable rest.
When choosing a pillow for your toddler, opt for a small, firm pillow that is specifically designed for toddlers and small children. These pillows provide enough support without overcrowding the sleep space. Additionally, look for pillows made from hypoallergenic, breathable, and untreated materials, such as polyester fiberfill or memory foam, to reduce the risk of allergic reactions or rashes.
It is important to note that the decision to introduce a pillow to your toddler's sleep environment should also consider their developmental readiness. Some toddlers may show interest in or ask for a pillow, while others may start using blankets or stuffed animals to prop up their heads. Remember that every child is unique, and what works for one may not work for another.
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The risks of a toddler pillow
The American Academy of Pediatrics (AAP) recommends that toddlers under the age of two should not use pillows. This is because pillows can pose a suffocation risk for infants and young toddlers. The risk is reduced for toddlers over the age of two, but it is still present, especially if the pillow is thick and fluffy.
If your toddler is still sleeping in a crib, it is recommended that you do not give them a pillow. Pillows can get caught in the crib walls and obstruct your toddler's breathing. They can also be used as steps for toddlers to climb out of the crib, which poses a significant risk of falling and hurting themselves.
Even if your toddler has transitioned to a bed, it is important to choose the right pillow to reduce the risk of suffocation. A small, flat, firm pillow that cradles and supports the head without causing strain is best. The pillow should also have a snug-fitting pillowcase made from safe, hypoallergenic, and easy-to-clean materials such as polyester fiberfill, memory foam, or PLA filling.
Additionally, it is important to note that pillows are not necessary for toddlers. Most little kids sleep fine without them, and there is no need to rush to buy a pillow for your toddler. If your child is sleeping well without a pillow, you may want to hold off on introducing one.
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How to choose a toddler pillow
The American Academy of Pediatrics advises delaying the introduction of a pillow until a child is at least 2 years old, but this depends on their growth and sleeping patterns. The recommended age for using a pillow is 2 years, as the risk of Sudden Infant Death Syndrome (SIDS) is reduced by then. If your toddler is still sleeping in a crib, it is advised to keep it clear of pillows, as they can obstruct their breathing.
When choosing a toddler pillow, it is important to consider the following:
- Size: Toddler pillows are much smaller than adult pillows, usually measuring 12 x 16 inches or 13 x 18 inches. This size supports the toddler's head without being too big, which can cause suffocation.
- Firmness: Opt for a medium-firm pillow. This provides enough support without being too soft or too hard. A pillow that maintains its shape but is soft enough for a toddler is ideal.
- Material: The pillow should be made from safe, non-toxic, and hypoallergenic materials. Organic cotton is a popular choice as it is breathable, soft, and free from harsh chemicals. Polyester pillows are durable but less breathable. Memory foam pillows are also an option.
- Certifications: Look for certifications like "OEKO-TEX Standard 100" or "CertiPUR-US," which ensure the pillow is free from harmful chemicals.
- Washability: Toddlers can be messy, so choose a pillow that is machine washable or has a removable, washable cover.
- Spinal alignment: A good pillow will support the natural curve of the toddler's neck and spine, promoting good posture as they grow.
A toddler pillow that considers these factors will provide the right amount of support and comfort for your child, ensuring a restful night's sleep.
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Signs your toddler is ready for a pillow
The recommended age for a toddler to start using a pillow is 2 years old. However, there is no "right time" for a toddler to have their first pillow, and it is dependent on several factors. Here are some signs that your toddler may be ready for a pillow:
They are 2 years old or older
The American Academy of Pediatrics (AAP) recommends that toddlers under 2 years old should not use pillows. This is because there is a risk of suffocation due to the extra material in the bed. Once your toddler turns 2, you can consider introducing a pillow to their sleep environment.
They show interest in or ask for a pillow
If your toddler expresses interest in having a pillow or specifically asks for one, it could be a sign that they are ready for this transition. However, it is important to consider other factors as well before making a decision.
They can move pillows or blankets away from their face during sleep
Demonstrating the ability to move pillows or blankets away from their face shows that your toddler has the motor skills to maintain open airways while sleeping. This is an important consideration for reducing the risk of Sudden Infant Death Syndrome (SIDS).
They are having trouble finding a comfortable sleeping position
If your toddler is no longer sleeping in a crib and is having difficulty getting comfortable in their new bed, it might be a good time to introduce a pillow. Toddlers may try to use stuffed animals, blankets, or even their arms to find comfort. A pillow can help them find a body position that aligns their spine and relieves pressure on their neck, back, or hips.
They have transitioned to a toddler or big-kid bed
When your toddler moves out of their crib and into a bigger bed, it is generally considered safe to introduce a pillow. This is usually between the ages of 2 and 3 years old, when toddlers have the necessary musculature and maturity to handle the additional item in their bed.
It is important to prioritize your toddler's safety and comfort when making this decision. Consult with your pediatrician if you are unsure, and choose a pillow that is specifically designed for toddlers, such as a small, firm pillow made from safe, hypoallergenic, and easy-to-clean materials.
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Frequently asked questions
It is generally recommended that children under the age of 2 do not use pillows. Pillows can pose a suffocation risk and a risk of positional asphyxia for children under 2. The American Academy of Pediatrics does not recommend letting a toddler under the age of 2 use a pillow.
A pillow can promote better spine alignment, prevent pain, and provide comfort. A pillow can also make a child feel more independent and special.
A small, firm, and breathable pillow is ideal for toddlers. Finding pillows that support their necks will help with their development. Opt for materials that are safe, hypoallergenic, and easy to clean, such as polyester fiberfill or memory foam.
Signs that your toddler may be ready for a pillow include showing interest in or asking for a pillow, and demonstrating the ability to move pillows or blankets away from their face during sleep. If your toddler is regularly tossing and turning at night, they may be more comfortable with a pillow.











































