
The use of pillows for newborns is a highly debated topic among parents and caregivers. While some argue that pillows can help prevent flat head syndrome, it is generally recommended that newborns sleep on a firm, flat, non-inclined surface without any pillows, blankets, or other bedding. This recommendation is based on concerns regarding the potential risk of suffocation, strangulation, and sudden infant death syndrome (SIDS). Nursing pillows, in particular, have been associated with breathing difficulties and asphyxia in infants. To prevent flat head syndrome, it is suggested to alternate the direction of the baby's head while sleeping and provide supervised tummy time during the day. Introducing pillows and other soft bedding items is generally advised against until the child is at least 12 months old or older.
Can newborns sleep with a pillow?
| Characteristics | Values |
|---|---|
| Recommended sleeping position for newborns | On their back, with their feet at the end of the crib |
| Recommended sleeping surface for newborns | Firm, flat, non-inclined surface without pillows, blankets, or other bedding |
| Pillow usage for newborns | Not recommended due to the risk of suffocation, strangling, and sudden infant death syndrome (SIDS) |
| Pillow usage for older babies | Some parents introduce pillows for babies around 7-9 months old |
| Pillow usage for toddlers | Recommended to wait until the child is a toddler and can move around in their sleep |
| Alternative methods to prevent flat head syndrome | Change the baby's head position while they sleep, provide supervised tummy time, and keep them upright instead of letting them recline |
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What You'll Learn
- Newborns should sleep on their back to reduce the risk of SIDS
- Nursing pillows are unsafe for sleeping infants
- Babies should sleep on a firm, flat, non-inclined surface
- Babies should sleep without pillows until they are over two years old
- Crib bumpers should be avoided as they pose a suffocation or strangulation hazard

Newborns should sleep on their back to reduce the risk of SIDS
It is recommended that newborns sleep on their back to reduce the risk of SIDS. SIDS, or sudden infant death syndrome, is the sudden, unexpected, and unexplained death of a healthy child under the age of one. It is the leading cause of infant mortality between one-month-olds and one-year-olds, with more than 90% of cases occurring during sleep.
To reduce the risk of SIDS, it is important to create a safe sleep environment for newborns. This includes placing them on their back for every sleep session, including naps, on a firm, flat, non-inclined surface. The crib should be free of pillows, blankets, crib bumpers, and other soft bedding items, as these can create the potential for suffocation or strangling, increasing the risk of SIDS. Instead of a pillow, newborns should sleep on a firm mattress with only a fitted sheet.
Additionally, it is recommended to alternate the direction of the baby's head, from left to right, to prevent flat head syndrome. Supervised "tummy time" can also help to prevent this and is safe to do with newborns for 3-5 minutes, two to three times a day, gradually increasing the sessions to an hour.
While it is important to prioritize the baby's safety and follow safe sleep practices, it is also normal for parents to consider their baby's comfort. Some babies may benefit from sleeping on a thin pillow to maintain a level head position and avoid a forward position, but this should only be introduced when the child is older and able to move around on their own while sleeping. Most sources recommend waiting until the baby is at least 12 months old, while others suggest waiting until they are over two years old.
By following these guidelines and prioritizing safe sleep practices, parents can help reduce the risk of SIDS and create a safe and comfortable sleeping environment for their newborns.
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Nursing pillows are unsafe for sleeping infants
The use of nursing pillows for sleeping infants is unsafe and not recommended. While nursing pillows can be helpful for caregivers during feeding time, they are not designed to be slept on or next to.
Firstly, nursing pillows are not flat and can cause suffocation by blocking the infant's mouth and nose. The soft fabric can also cause positional asphyxia, where the infant's chin drops to their chest, compromising their airway. This can lead to breathing difficulties and even death. Secondly, if an infant falls asleep on a nursing pillow, they may roll over onto their stomachs and turn their heads, blocking their airway and risking their survival.
Federal regulations have been tightened to ban unsafe sleep products, but nursing pillows remain available on the market. It is important for parents and caregivers to be aware of the risks associated with using nursing pillows for sleeping infants and to follow safe sleep guidelines.
The American Academy of Pediatrics (AAP) recommends that babies sleep on a firm, flat, non-inclined surface, such as a crib, bassinet, or pack-and-play that meets current federal safety standards. It is also recommended to place babies on their backs for every sleep session, including naps, and to keep soft objects away from the baby's sleep area, including pillows, blankets, bumpers, soft toys, and mattress toppers.
It is important to prioritize the safety of infants over any potential comfort or convenience that a nursing pillow may provide during sleep.
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Babies should sleep on a firm, flat, non-inclined surface
It is recommended that babies sleep on a firm, flat, non-inclined surface. This means that newborns should sleep without pillows, which can increase the risk of sudden infant death syndrome (SIDS) and positional asphyxia.
Pillows, blankets, and other soft bedding items can create the potential for suffocation or strangulation. Nursing pillows, in particular, are not flat and can cause suffocation by blocking the infant's mouth and nose. They can also cause positional asphyxia by causing the infant's chin to drop to their chest, compromising their airway.
Babies should sleep on their backs, with their feet at the end of the crib. It is also important to alternate the direction in which their heads are turned to prevent flat head syndrome (plagiocephaly). This can be done by turning their heads from left to right, then back to left on different nights.
While some parents choose to introduce pillows to their babies' cribs before they are 12 months old, this is not recommended by experts. It is best to wait until a baby is older and in a toddler bed before introducing pillows.
To reduce the risk of SIDS, it is also recommended that babies sleep on a flat surface, covered with only a fitted sheet. This means no pillows, blankets, or other bedding. It is also important to avoid exposing babies to smoke, nicotine, alcohol, and drugs during and after pregnancy.
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Babies should sleep without pillows until they are over two years old
It is recommended that babies sleep without pillows until they are over two years old. This is because pillows can be a potential health hazard, creating the risk of suffocation, strangulation, and sudden infant death syndrome (SIDS). Babies are especially susceptible during their first six months, and if they were born prematurely or with a low birth weight.
The American Academy of Pediatrics (AAP) recommends that babies sleep on a firm, flat, non-inclined surface. Nursing pillows, which are not flat, can cause suffocation by blocking the infant's mouth and nose, or positional asphyxia by dropping their chin to their chest, compromising their airway. It is also dangerous to let infants fall asleep on nursing pillows as they may roll over onto their stomachs and turn their heads onto the soft fabric, blocking their airway and risking their survival.
To reduce the risk of SIDS, it is recommended that babies sleep on their backs, with their feet at the end of the crib. It is also important to alternate the direction in which their heads are turned to prevent flat head syndrome. This can be done by scheduling periods of supervised tummy time during the day and keeping them upright instead of letting them recline in a crib, baby swing, or car seat.
While it may seem like a plush, fluffy headrest would provide comfort for a baby, they are better off without it, at least until they are well into toddlerhood. Babies have been sleeping on nothing but a mattress since birth, and reducing their chances of developing SIDS is far more important.
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Crib bumpers should be avoided as they pose a suffocation or strangulation hazard
It is recommended that newborns sleep on a firm, flat, non-inclined surface without pillows, blankets, or other bedding. This is because soft objects in a baby's sleep environment can increase the risk of sudden infant death syndrome (SIDS) and pose a suffocation or strangulation hazard. Crib bumpers, in particular, have been banned in the US due to these risks.
Crib bumpers are soft, padded materials that line the inside of a crib and are typically used to prevent a baby's arms or legs from getting stuck between the crib slats or to protect their head from hitting the crib rails. While they may seem like a safe and comfortable addition to a crib, they actually pose a serious risk of suffocation and strangulation.
Babies, especially those under six months old, born prematurely, or with low birth weight, are at a higher risk of SIDS. Soft objects such as crib bumpers can block a baby's mouth and nose, causing suffocation, or drop their chin to their chest, compromising their airway and leading to positional asphyxia. This is particularly dangerous for newborns, who tend to sleep in one position and may not have the strength or motor skills to move their heads or bodies if they become trapped or unable to breathe.
Furthermore, crib bumpers can create a gap between the crib mattress and the sides of the crib, allowing a baby to become trapped or wedged in this space. This can restrict their movement and ability to breathe, leading to serious injury or death. It is important to remember that a baby's crib should be a safe and hazard-free environment, and crib bumpers only serve to introduce potentially deadly risks.
Instead of using crib bumpers, parents can ensure their baby's safety by following safe sleep practices recommended by organizations like the American Academy of Pediatrics (AAP). This includes placing babies on their back to sleep, using a firm and flat mattress, and keeping the crib free of pillows, blankets, toys, and other soft objects until the baby is at least one year old. Additionally, supervised "tummy time" during the day can help strengthen a baby's neck and motor skills, reducing the risk of plagiocephaly or flat head syndrome.
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Frequently asked questions
No, it is not safe to let a baby sleep with a pillow. Pillows and other soft bedding items can create the potential for suffocation or strangulation and increase the risk of sudden infant death syndrome (SIDS).
It is recommended to place your baby on a firm, flat, non-inclined surface without any pillows, blankets, or other bedding. The baby should be placed on their back, with their feet at the end of the crib.
Flat head syndrome, or plagiocephaly, can be prevented by changing your baby's head position while they sleep. Alternate between the left and right sides and place them on their stomach during the day for "tummy time".
Yes, it is important to create a safe sleep environment for your baby. Remove any crib bumpers, mobiles, or other hanging objects that may pose a hazard. Avoid exposing your baby to smoke, nicotine, alcohol, and drugs during and after pregnancy.
It is generally recommended to wait until your baby is at least 12 months old before introducing a pillow. Some sources suggest waiting until the baby is over two years old, as pillows may increase the risk of suffocation and strangulation.











































