Herbie Murray
Whether or not a newborn should sleep with a blanket is a highly debated topic. Some parents believe that it is perfectly safe for a newborn to sleep with a blanket, while others argue that it poses a safety risk. The primary concern with allowing newborns to sleep with blankets is the risk of suffocation or strangulation. Newborns have weak neck muscles and may not be able to move a blanket away from their face if it obstructs their breathing. Additionally, blankets can increase the risk of sudden infant death syndrome (SIDS). However, some parents find that using a thin, breathable blanket or a cellular blanket with holes in it can help prevent suffocation. Ultimately, it is up to each parent to decide whether or not to use a blanket for their newborn, but it is essential to prioritize the baby's safety and well-being.
| Characteristics | Values |
|---|---|
| Safety | Suffocation hazard, strangulation hazard, SIDS risk |
| Temperature regulation | Newborns may not be able to regulate their temperature and can overheat |
| Crib items | Pillows, sheets, bedding, crib bumper pads, stuffed animals, and toys should not be in the crib |
| Sleep habits | Blankets may confuse newborns and make it harder to learn how to sleep without them later |
| Material | Natural materials such as cotton are recommended; fleece bedding and sheepskins are not |
| Size | Should fit snugly enough to cover the baby's arms but allow comfortable movement |
| Temperature | Should be a little warmer than room temperature |
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What You'll Learn
Safe sleep sacks vs blankets
Safe sleep sacks, also known as wearable blankets, are a great alternative to blankets for newborns. They are designed to provide a cozy, blanket-like environment that won't slip off or get tangled like a regular blanket. Sleep sacks are safer for newborns as they eliminate the risk of suffocation, a leading cause of SIDS (Sudden Infant Death Syndrome).
Sleep sacks are easy to put on and take off, and they provide a secure and comfortable fit for your baby. They come in various materials, such as lightweight and soft fabrics, making them suitable for different seasons. They also have features like zippers and snaps, making them more convenient than swaddling, especially during late-night diaper changes. Some sleep sacks even come with cute patterns and designs, adding to their appeal.
When using a sleep sack, it is important to ensure that it fits your baby properly. Most sleep sacks are designed for newborns, infants, and toddlers, but some restrict arm movement, so it's important to transition to an arms-out sleep sack once your baby starts showing signs of rolling, typically around 3 to 4 months.
Now, let's talk about blankets. While they can provide warmth and comfort, they are generally not recommended for newborns due to safety concerns. Blankets can pose a risk of suffocation, especially if they cover the baby's face or if the baby wriggles underneath them. If you do choose to use a blanket, it is essential to follow safety guidelines, such as using lightweight and breathable materials like cotton, tucking the blanket securely, and placing the baby's feet at the bottom of the bed to minimize risks.
So, which is better for newborns: safe sleep sacks or blankets? The answer is clear—safe sleep sacks offer a safer and more secure option. They provide warmth, promote better sleep, and eliminate the risks associated with loose bedding. While blankets can be used with proper precautions, sleep sacks are the preferred choice for many parents seeking peace of mind and a good night's rest.
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Safe materials and temperatures for blankets
It is recommended to keep newborn babies' room temperature between 68–72 °F (20–22 °C). This temperature range is considered safe and comfortable for infants, helping them sleep through the night. In very hot climates, temperatures of up to 75 °F (23.9 °C) are also acceptable.
Babies cannot regulate their body temperature like adults, and they are more sensitive to temperature changes. Therefore, it is important to ensure they are dressed appropriately for the room temperature. As a general rule, babies should wear one extra layer of clothing than adults in the same environment.
To maintain a comfortable temperature, you can use a fan to circulate the air and cool down the room. However, make sure the fan is not placed directly over the baby's crib. Instead, point it upwards or in the opposite direction. It is also recommended to avoid using electric blankets or hot water bottles near babies and to keep the cords of heating or cooling devices out of their reach.
When it comes to materials for newborn blankets, it is essential to choose soft and gentle fabrics that are safe and comfortable for their delicate skin. Cotton is a popular choice due to its softness, breathability, and ease of washing. Organic cotton is especially recommended as it guarantees higher quality and protection from potential skin irritation caused by additional chemicals used in non-organic cotton.
Other natural and hypoallergenic fabrics, such as bamboo, muslin, and wool, are also good options for newborn blankets. These materials are known for their softness and gentleness on sensitive skin, reducing the risk of rashes and irritation. Wool, in particular, has excellent moisture-absorbing properties, keeping newborns warm.
While fleece is a common choice for its softness, warmth, and ease of cleaning, it is important to note that it is less breathable than other fabrics like cotton. Polyester, another man-made fiber, can be used sparingly and is considered safe in its final form. However, the chemicals used in its production may cause skin irritation, so it is recommended for non-clothing purposes.
It is important to note that introducing blankets to a newborn's sleep environment too early can increase the risk of accidental suffocation and sudden infant death syndrome (SIDS). The American Academy of Pediatrics (AAP) recommends keeping blankets out of a baby's crib until they are at least 12 months old. Instead of blankets, you can use sleep sacks, swaddles, or wearable blankets that provide warmth and security while zipping shut to prevent loose fabric, reducing the risk of choking.
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Suffocation and strangulation risks
Suffocation is a significant risk when it comes to newborns sleeping with blankets. Soft and/or loose bedding is a contributing factor in many accidental suffocation deaths. Newborns do not have the strength to move heavy blankets off themselves if they are struggling to breathe. If a blanket is too tight or too large, it can become wrapped around a baby's neck or body and cause strangulation or suffocation during sleep.
Babies should be placed at the bottom of the bed or crib, with their feet at the bottom, to minimise the risk of them wriggling under the covers. Blankets should be tucked in under the mattress and under the baby's arms. The crib should be clear of pillows, toys, crib bumper pads, and stuffed animals, as these can also pose a suffocation risk.
The type of blanket is also important. Cellular blankets are designed with holes to prevent suffocation if a baby pulls it over their head. Natural materials such as cotton are more breathable and will help regulate the baby's temperature. Fleece bedding and sheepskins are not recommended as babies can overheat.
Some parents opt for a sleeping bag or sleep sack instead of a blanket, which is safer as it negates the risk of suffocation. However, these can be more expensive, and the correct size must be purchased for the baby.
Babies should not sleep with blankets as they need to learn how to sleep on their own. Sleeping with a blanket can make it harder for them to learn how to sleep without one at a later age.
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Co-sleeping and bed-sharing
The American Academy of Pediatrics (AAP) recommends room-sharing without bed-sharing. According to the AAP, having your newborn sleep in a crib, bassinet, or play yard in your room near your bed for the first six months to a year is ideal. This arrangement helps you easily see and reach your newborn for feeding or comforting. It also reduces the risk of sudden infant death syndrome (SIDS) by as much as half.
If there is no adult in bed with the baby, they should be placed in a crib, cot, or Moses basket. It is not recommended to co-sleep with your baby if they were born premature (before 37 weeks) or had a low birth weight (less than 2.5 kg or 5.5 lb). Additionally, you should never co-sleep with your baby if you are extremely tired, or your baby has a fever or any signs of illness. You should also not share a bed with your baby if you or your partner smoke, or have consumed alcohol or drugs that make you feel drowsy.
Bed-sharing increases the risk of accidentally rolling onto your baby and causing suffocation. It is also associated with a higher risk of SIDS. Soft bedding, such as blankets, pillows, comforters, quilts, and other soft or plush items, should be avoided as they pose a suffocation risk and increase the risk of SIDS.
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Swaddling and weaning off blankets
Swaddling is a technique that involves wrapping your baby in a thin blanket to help them relax and sleep. It can be an effective way to calm infants and promote sleep, especially for newborns who are adjusting to life outside the womb. It may also help to limit the startle reflex, which can wake babies from their sleep.
When swaddling, it's important to ensure that the blanket is not wrapped too tightly as this can restrict the baby's hips and increase the risk of hip dysplasia. The blanket should be tucked in securely, with the baby's hips and knees slightly bent and turned out, and the head and neck left uncovered to allow for comfortable breathing. It is recommended to place the baby on their back when swaddled, as putting them on their side or belly can increase the risk of sudden infant death syndrome (SIDS).
Swaddling is generally recommended until the baby starts showing signs of trying to roll over, which usually occurs around two months of age. At this point, it's important to wean the baby off the swaddle to prevent any potential issues with their development. You can start by transitioning to a sleep sack, which is a sleeping bag designed for infants that provides warmth without the need for loose blankets. Sleep sacks come in different thicknesses, allowing you to adjust according to the temperature.
Alternatively, you can dress your baby in layers of clothing, such as thicker vests or warm pyjamas, and use a thin blanket tucked securely into the mattress. Cellular blankets with holes in them are recommended as they prevent suffocation if the baby pulls the blanket over their head. It's important to ensure that the baby's sleep space is free of any loose bedding, pillows, or soft toys that could pose a risk of suffocation.
Remember, every baby is different, and you should follow your baby's cues. If swaddling helps your baby sleep and they don't show any discomfort or signs of wanting to roll over, it can be a safe and effective option. However, if your baby doesn't seem to like being swaddled, there's no need to force it. You can always consult your paediatrician or healthcare provider for guidance on safe sleep practices and swaddling techniques.
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Frequently asked questions
No, it is not recommended for newborns to sleep with a blanket. Newborns are not strong enough to keep themselves warm and may not be able to regulate their body temperature. They can also pose a safety hazard, as they may cause strangulation or suffocation.
Instead of a blanket, you can use a sleeping bag designed for infant sleep or dress your baby for bed using an additional layer of clothing, such as a thicker vest.
If you do choose to use a blanket for your newborn, it is important to choose the right type. The blanket should be made of natural, breathable materials such as cotton, and it should be lightweight and not too thick.
To minimise the risks associated with using a blanket, make sure the blanket is tucked in under the mattress and under the baby's arms, and place the baby's feet at the bottom of the bed. This will prevent the baby from wriggling underneath the covers.
