Gina Johnson
Should your 17-month-old sleep with a blanket? This is a question that many parents ask, and the answer is not always clear. While some sources suggest that it is safe for a child over 12 months old to have a blanket, others recommend waiting until they are 18 months old or even older. The American Academy of Pediatrics (AAP) advises that babies under one year old should not sleep with loose blankets, and there is no official age deemed 100% safe by the AAP. The risk of SIDS and accidental suffocation is the main concern, with soft bedding blamed for nearly 70% of sleep-related suffocation deaths in babies. To keep your baby warm, it is recommended to use a sleep sack, wearable blanket, or swaddle until they are old enough for a blanket.
| Characteristics | Values |
|---|---|
| Recommended minimum age for sleeping with a blanket | 12 months |
| Risks of sleeping with a blanket before 12 months | Accidental suffocation, strangulation, entrapment, sudden infant death syndrome (SIDS) |
| Safe alternatives to blankets | Swaddling, sleep sacks, dressing in layers, firm mattress, pacifier |
| Safe sleeping position | On their back |
| Safe sleeping environment | Crib, bassinet, playpen, or bedside sleeper; no soft or loose items such as pillows, toys, or crib bumpers |
| Considerations for introducing a blanket | Child's development, ability to move the blanket away from their face, understanding of how to adjust the blanket |
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What You'll Learn
The risk of SIDS and suffocation
To reduce the risk of SIDS, it is recommended that infants sleep in the same room as their parents but on a separate sleeping surface, such as a crib or bassinet, for at least the first six months of their lives. This practice can reduce the risk of SIDS by up to 50%. Additionally, it is advised that babies be placed on their backs to sleep, as stomach or side sleeping increases the risk of SIDS.
Suffocation is another serious risk factor for infants. Soft objects and loose bedding in the crib, such as blankets, pillows, crib bumpers, and stuffed animals, can obstruct an infant's nose and mouth, leading to an obstructed airway and posing a risk of suffocation. Therefore, it is recommended to keep the crib clear of these items and to use a firm mattress that fits snugly in the crib, reducing the risk of suffocation and ensuring a safe sleep environment.
According to the American Academy of Pediatrics (AAP), soft objects and loose bedding should be kept out of the sleeping area for at least the first 12 months of an infant's life. Introducing a blanket too early, during the first year of life, increases the likelihood of accidental suffocation. Swaddling, or snugly wrapping an infant in a blanket, can be a safer alternative in certain circumstances, such as when the baby has not yet tried to roll over. However, once a baby shows signs of rolling over, swaddling should be discontinued to prevent the risk of suffocation.
In summary, the risk of SIDS and suffocation can be mitigated by following guidelines such as room-sharing without bed-sharing, placing babies on their backs to sleep, and avoiding soft objects and loose bedding in the crib, including blankets, during the first year of life. By adhering to these recommendations, parents can help create a safer sleep environment for their young children.
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Safe alternatives to blankets
Since your child is 17 months old, it is generally considered safe for them to sleep with a blanket. However, it is important to choose the right type of blanket and follow certain guidelines to ensure your child's safety. Here are some safe alternatives to traditional blankets:
- Swaddling: Swaddling is a technique where you snugly wrap your baby in a blanket, leaving only their head exposed. It can provide warmth and security, and in certain circumstances, it may be safer than using a loose blanket. However, it is important to stop swaddling when your baby starts showing signs of rolling over to prevent them from rolling onto their face while wrapped in the blanket.
- Sleep Sacks or Wearable Blankets: The American Academy of Pediatrics (AAP) recommends sleep sacks, also known as wearable blankets, as a safer alternative to loose blankets. These sacks are designed to be worn by the baby, preventing the risk of suffocation associated with loose blankets. They come in different weights for different seasons and are sleeveless to prevent overheating.
- Dressing in Layers: You can keep your baby warm by dressing them in layers of clothing. However, be careful not to over-bundle them, as this can increase the risk of SIDS. As a general rule, dress your baby in one more layer than you would wear in the same situation.
- Firm Mattress and Crib: Using a firm mattress in your baby's crib can help reduce the risk of suffocation and keep them comfortable. Ensure the mattress fits snugly in the crib with no gaps, and avoid using memory foam, which can be too soft and pose a safety hazard.
- Safe Sleep Position: Always place your baby on their back when putting them down to sleep. This position has been shown to reduce the chances of SIDS. Once your baby can roll independently, they may turn onto their stomach or side during sleep, and you don't need to move them back onto their back.
- Temperature Control: Maintain a comfortable temperature in your baby's room, ideally between 68 to 72 degrees Fahrenheit. Avoid overheating, as this is a risk factor for SIDS.
- Breathable and Lightweight Blankets: If you choose to introduce a blanket, opt for lightweight and breathable materials such as organic cotton or muslin. Ensure the blanket is relatively small, covering your baby from the torso down, to prevent tangling and reduce the risk of suffocation.
Remember, age is not the only factor to consider when introducing a blanket. It is also important to assess your baby's individual development, such as their muscle strength and ability to roll over and push objects away from their face. Always follow safe sleep practices and guidelines to ensure your baby's safety.
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The ideal sleep environment
For babies under 12 months old:
The American Academy of Pediatrics (AAP) recommends that you do not let your baby sleep with a blanket during their first year of life. Blankets and other soft, loose items in the crib, such as pillows, toys, and stuffed animals, increase the risk of sudden infant death syndrome (SIDS) and accidental suffocation. Instead of a blanket, you can swaddle your baby or use a sleep sack or wearable blanket that zips shut. These provide warmth and security without the risk of covering your baby's face. Make sure to stop swaddling once your baby starts rolling in any direction to avoid the risk of suffocation. It is also important to ensure that your baby sleeps on their back on a firm mattress in a crib, bassinet, or playpen made for infant sleep. The mattress should fit snugly in the crib, with no space between it and the crib's walls. The crib should be free of loose items and have a fitted sheet that stays snugly on the mattress without bunching up or coming loose.
For toddlers over 12 months old:
Once your child reaches 12 months old, the risk associated with blankets decreases significantly as their motor skills develop. However, some experts suggest waiting until your toddler is 18 months old before introducing a blanket, especially if they were born prematurely. At this age, it is generally considered safe for your toddler to sleep with a thin blanket and a small pillow. However, make sure that the blanket and pillow are not too big, as your toddler may use them as a step stool to climb out of their crib. If your toddler is still in a crib, keep the mattress on the lowest setting and avoid placing objects nearby that they could use to climb out, such as stuffed toys or crib bumpers. Most children move to a toddler bed between 18 months and 3.5 years old, but it is recommended to wait until they are as close to 3 years old as possible.
General tips for a safe sleep environment:
- Dress your baby in layers to keep them warm, but be careful not to over-bundle them, as this can increase the risk of SIDS.
- Maintain a comfortable room temperature. Overheating may increase the risk of SIDS.
- Breastfeed your baby or offer a pacifier, as this has been shown to lower the risk of SIDS.
- Avoid second-hand and third-hand smoke exposure.
- Keep the crib or bed away from objects with ties or strings, such as window blind pulls, curtains, or electrical cords.
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When to introduce a blanket
To keep your baby warm without a blanket, you can dress them in layers, ensuring you do not over-bundle them, as this can also increase the risk of SIDS. You can also rely on swaddling or sleep sacks during colder nights. Swaddling involves snugly wrapping your baby in a blanket, leaving only their head exposed. It is important to stop swaddling when your baby shows signs of trying to roll over.
Once your baby is older than 12 months, their motor skills are typically sharp enough that they can roll over and push objects away from their face if they are having trouble breathing. At this age, it is generally accepted that you can introduce a blanket. However, some experts suggest waiting until your baby turns 18 months, especially if they were born prematurely.
It is important to consider your child's unique development before introducing a blanket. Ensure your child has the ability to move the blanket away from their face and that they understand how to adjust it if necessary.
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How to introduce a blanket
Introducing a blanket to a 17-month-old toddler can be done in a few ways, but it is important to remember that this transition can be gradual, and there is no need to rush. Here are some steps to help with the process:
Choose the Right Blanket
Select a blanket that is made of lightweight, breathable material to keep your toddler warm without causing them to overheat. Bamboo, for example, is an ultra-soft, absorbent, and environmentally friendly option. It is also important to choose a blanket that is machine-washable and easy to care for. Pick a blanket with a design that your toddler likes and that is comfortable for them to snuggle with. Additionally, ensure that the blanket is not too large, as a smaller, toddler-sized blanket will be easier for them to handle and will reduce the risk of suffocation. Avoid choking hazards such as loose or dangling threads, buttons, or sequins.
Encourage Familiarity and Positive Reinforcement
Introduce the blanket during playtime so your toddler can become familiar with it. Show them how to wrap up in it, and provide positive reinforcement when they use it correctly. Encourage them to associate the blanket with sleep by slowly incorporating it into their nap time routine. Once they are comfortable with the blanket during nap time, you can start tucking them in with it at bedtime.
Focus on Safety
Even when your toddler reaches 17 months, it is important to continue following safe sleeping practices. Ensure that their mattress is firm and fits snugly in the crib, with no space between it and the crib's walls. Avoid using memory foam, as it may be too soft and pose a safety hazard. Keep the crib free of loose items, such as pillows, toys, and stuffed animals, as these can increase the risk of accidental suffocation. Instead, provide a fitted sheet that stays snugly on the mattress without bunching up or coming loose.
Be Patient and Gradual
Remember that the transition to using a blanket may take time, and it is normal for toddlers to still move a lot in their sleep. They may not keep the blanket on all night, so continue to dress them warmly, but not too warmly, in case they kick off the blanket while sleeping. Be patient and allow them to adjust to the blanket at their own pace.
Consult with a Healthcare Provider
While these guidelines can be helpful, it is always best to consult with your child's healthcare provider for personalized advice. They can provide specific recommendations based on your child's unique needs and development.
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Frequently asked questions
Yes, it is generally considered safe for a child aged 12 months or older to sleep with a blanket. The American Academy of Pediatrics (AAP) recommends waiting until a child is at least 12 months old, and ideally 18 months old, before introducing a blanket. This is because blankets can increase the risk of sudden infant death syndrome (SIDS) and accidental suffocation.
To keep your baby warm without a blanket, you can dress them in layers, ensuring they are warm but not too hot. You can also rely on swaddles or sleep sacks, which are wearable items that won't cover your baby's face and risk suffocation. Additionally, make sure the nursery temperature is set to between 68 and 72 degrees Fahrenheit.
For babies under 12 months old, the AAP recommends an empty crib with no loose items such as blankets, pillows, toys, or stuffed animals. The crib should have a firm mattress and be placed in the same room as the parents for at least the first six months, ideally for the first year. Babies should always be placed on their back to sleep, with a pacifier if needed.
By 17 months old, most babies are ready to sleep with a blanket. However, some babies may still prefer a sleep sack or swaddle, especially if they are not yet rolling over independently. If your baby is trying to climb out of the crib or has outgrown their sleep sack, these may be signs that they are ready for a blanket.
