
There are several factors to consider when deciding whether a one-year-old child should sleep with a pillow. While some parents introduce pillows to their toddlers' beds as early as 12-18 months, primarily for comfort and better spine alignment, it is generally recommended to wait until the child is at least 18 months old, and ideally closer to three years old. This is because pillows and other soft bedding can pose a risk of suffocation and strangulation for young children, especially if they are still sleeping in a crib or co-sleeping with their parents.
| Characteristics | Values |
|---|---|
| Recommended age | 18 months-3 years |
| Pillow type | Small, firm, breathable, hypoallergenic, machine washable |
| Benefits | Better spine alignment, prevents pain, comfort, inspires independence |
| Risks | Suffocation, strangulation, positional asphyxia, SIDS |
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What You'll Learn

The recommended age for pillows
The recommended age for introducing pillows to a child's sleeping environment is a subject of debate among parents and caregivers. While some parents provide their toddlers with pillows before they turn one, others wait until their children are older.
Several sources, including the American Academy of Pediatrics, recommend that toddlers under the age of two should not use pillows. This is primarily due to the risk of suffocation and positional asphyxia, which can result from the extra material in the bed. Pillows can also get caught in crib walls, obstructing a toddler's breathing and providing a step to climb out of the crib.
Other sources suggest that introducing pillows when a child is older than 18 months or 24 months may be more appropriate. This reduced risk of Sudden Infant Death Syndrome (SIDS) and suffocation, as the child has likely transitioned out of a crib and into a toddler bed.
To ensure safety, parents can choose small, firm pillows designed for toddlers, which support their necks and aid in spine alignment. Hypoallergenic pillows can also reduce the risk of allergic reactions. Additionally, it is important to ensure that the pillow is washable and that there are ample pillowcases available to maintain hygiene.
Some parents introduce pillows to their toddlers' beds when they notice their children using blankets or stuffed animals to prop up their heads. This indicates that the child may be ready for a pillow. However, it is crucial to remember that each child's development is unique, and the decision to introduce a pillow should consider their individual needs and sleeping habits.
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Safe sleeping practices
The following safe sleeping practices can help protect your child while they sleep:
For children under 18 months:
- It is recommended to wait until your child is at least 18 months old to introduce a pillow. Pillows and blankets may seem harmless, but they can pose a risk of strangulation or suffocation.
- The American Academy of Pediatrics recommends placing your baby on their back to sleep. For safety, continue to do this until your child is about 12 to 18 months old.
- Keep bedding products, such as blankets, sleep positioners, and stuffed animals, out of your child's sleeping area until they are 18 months old.
- Make sure your child's crib or bed is away from any objects with ties or strings, such as window blind pulls, curtains, or electrical cords.
For children transitioning to a toddler bed:
- If your child is moving around and transitioning to a bigger child-size bed, you can introduce pillows and bedding.
- Choose a small, firm pillow that is specifically marketed for toddler use and from a trusted brand.
- Ensure the pillow is durable, machine washable, and has a breathable pillowcase.
- If your child has allergies, use a hypoallergenic pillow to reduce the risk of reactions.
- Avoid using alternatives like blankets or towels as they could unfold and pose a suffocation risk.
- Make sure the pillow is not too big, as your child could use it as a step stool to climb out of their crib.
Remember, every child is different, and you should consider your child's development before introducing a pillow. Safe sleeping practices are essential to protect your child, so always prioritize their safety and comfort.
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Benefits of toddler pillows
While there is no definitive answer to the question of when a toddler should start using a pillow, there are several benefits to toddler pillows that can aid parents in making an informed decision.
Promotes Better Spine Alignment
A pillow that is appropriately sized for a toddler can aid in keeping their spine in the proper position for healthy development. This can help prevent future spinal issues and promote overall comfort while sleeping.
Pain Prevention
Before introducing a pillow, toddlers may use their arms or other objects as a headrest while sleeping. This position can lead to shoulder pain and discomfort. A toddler pillow provides a comfortable alternative, reducing the likelihood of pain and allowing for a more restful sleep.
Enhanced Comfort
As toddlers grow and transition to toddler beds, they may seek additional comfort. Toddler pillows are designed to provide a sense of security and improve sleep quality. They are typically smaller, firmer, and made with breathable materials to regulate temperature and ensure safe and comfortable sleep.
Reduced Suffocation Risk
The use of toddler pillows can help reduce the risk of suffocation associated with adult pillows. Toddler pillows are smaller and firmer, making it easier for toddlers to move their heads if they experience breathing difficulties. It is important to ensure that the pillow is not too thick and that the toddler is supervised to prevent any potential hazards.
When considering introducing a pillow to a toddler's sleep environment, it is generally recommended to wait until they are at least 18 months old, and ideally closer to age 3. However, there is no one-size-fits-all approach, and parents should observe their child's sleeping patterns, behaviours, and level of comfort to determine the appropriate time.
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Choosing the right pillow
While some parents introduce a pillow to their child's sleeping arrangement when they are one year old, experts recommend waiting until your child is at least 18 months old to reduce the risk of SIDS.
When choosing the right pillow for your toddler, there are several factors to consider. Firstly, the pillow should be the right size for your child. Junior pillows are typically 16 inches by 22 inches in size, providing enough space for your child's head and neck while accommodating their small frame. This size also ensures that your child's spine remains in a neutral position, reducing the likelihood of strain or pain. The loft, or thickness, of the pillow is also crucial, with a lower loft of around 2 to 3 inches being suitable for younger children to support their necks without causing strain. As your child grows, you can consider a slightly higher loft of around 3 to 4 inches to provide optimal alignment and comfort.
The material of the pillow is another important consideration. Look for materials that are free from chemicals and pesticides, such as organic cotton or bamboo. Memory foam pillows are a good option as they mould to your child's contour, providing support and comfort. However, memory foam pillows should also have cooling properties to counteract their heat retention. Hypoallergenic pillows are a good choice if your child has allergies, as they reduce the risk of allergic reactions.
In addition to these factors, it is essential to consider your child's individual needs and preferences. Include your child in the decision-making process and take into account their choices. The pillow should provide the right level of comfort and support for your child's developing body and encourage proper sleeping practices and posture.
Some popular options for toddler pillows include the Avocado Organic Toddler Pillow, which is made from GOTS-certified organic cotton and GOLS-certified organic latex, providing structure and temperature control. The KeaBabies' My Little Dreamy Pillow is another option that comes with its own pillowcase and features a fun, customisable design with different animals. The Little Sleepy Head pillow is a hypoallergenic, down-alternative pillow made with a soft and breathable 100% organic cotton shell and a cloud-like cluster fibre filling.
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Alternatives to pillows
While some parents choose to give their 1-year-olds pillows, it is generally recommended to wait until a child is older to introduce pillows. Infant deaths have occurred due to suffocation or strangulation by pillows and blankets, so it is important to be cautious. The American Academy of Pediatrics (AAP) suggests waiting until a child is at least 2 years old before giving them a pillow.
If you are looking for alternatives to pillows to provide comfort or support for your 1-year-old while they sleep, here are some options:
- Toddler Bedding: There are special toddler beds and mattresses designed to provide a comfortable and safe sleeping environment for young children. These can be a good alternative to using a pillow in a crib, which is not recommended due to safety concerns.
- Thin Blankets: Once your child reaches 18 months, you can introduce a thin blanket for added warmth and comfort. Make sure the blanket is not too big or bulky to avoid any potential risks.
- Loveys: A lovey is a small, soft object that a child can hold or cuddle while sleeping. It can provide comfort and a sense of security without the risks associated with pillows or blankets.
- Adjustable Pillows: If you do choose to introduce a pillow, look for one that is specifically designed for toddlers. Some toddler pillows have adjustable fill, allowing you to control how fluffy or flat it is. This way, you can start with a flatter pillow and adjust it as your child gets older.
- Natural Fibers: Opt for pillows made with natural fibers, such as organic cotton or kapok fibers, as they breathe well and are less likely to contain undesirable chemicals. Look for certifications like Global Organic Textile Standard (GOTS) and Global Organic Latex Standard (GOLS) to ensure the pillow is safe and free from harsh substances.
- Hypoallergenic Pillows: If your child has allergies, choose a hypoallergenic pillow to reduce the risk of any reactions.
- Small and Firm Pillows: When selecting a toddler pillow, look for smaller, thinner, and firmer options. These provide better support and safety compared to standard-sized pillows, which may pose a higher risk of suffocation due to excess material and thickness.
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Frequently asked questions
It is generally not recommended for children under 18 months old to sleep with a pillow due to the risk of suffocation and strangulation. However, some parents have introduced pillows to their children earlier than this, at around 12-16 months, especially if the child is no longer sleeping in a crib.
A pillow can promote better spine alignment, prevent shoulder pain from using the arm as a headrest, provide comfort, and foster a sense of independence.
If you do decide to give your 1-year-old a pillow, choose a small, firm, and breathable pillow specifically designed for toddlers. Hypoallergenic pillows can reduce the risk of allergic reactions. Make sure the pillow is not too thick or fluffy, and ensure it is machine washable.




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