
Many new parents wonder when it is safe to introduce a blanket for their newborn to sleep with. While it may seem like a harmless way to keep a baby warm and comfortable, blankets can increase the risk of suffocation and sudden infant death syndrome (SIDS). The American Academy of Pediatrics (AAP) advises that it is not safe for a baby to sleep with a blanket while they are less than a year old. However, some parents introduce blankets earlier, and in some countries, it is a normal practice.
| Characteristics | Values |
|---|---|
| When can a newborn sleep with a blanket? | The American Academy of Pediatrics advises that it is not safe for a baby to sleep with a blanket while they are less than a year old. Most medical experts feel that soft bedding poses little danger in the crib to healthy babies after 12 months of age and ideally when they're 18 months or older. |
| Alternative ways to keep a baby warm | Swaddling, layering their clothing, footie pajamas, sleep sacks, or wearable blankets. |
| Risks of a baby sleeping with a blanket | Sudden infant death syndrome (SIDS), suffocation, entrapment, or strangulation. |
| Safe practices for reducing the risk of SIDS | Keeping the baby's crib in the same room as the parents, placing the baby on their back to sleep, and keeping the baby's head uncovered. |
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What You'll Learn

The risks of blankets for newborns
The American Academy of Pediatrics (AAP) recommends that parents keep their baby's crib free of blankets until they are 12 months old. This is because blankets can increase the risk of sudden infant death syndrome (SIDS) and accidental suffocation. SIDS is the most common cause of infant death, and soft bedding is a contributing factor. Blankets can also increase the risk of entrapment or strangulation.
The ideal sleeping environment for a baby is a bare crib with only a fitted sheet that is tucked in tightly on all sides. This is because babies can suffocate under a blanket or become entangled in it. Even if a baby is placed on top of a blanket, soft bedding can still become wrapped around them as they move in their sleep or get stuck in the crib corners at night. Overheating may also increase the risk of SIDS, so it is important to maintain a cool and consistent temperature in the baby's room, ideally between 68 and 72 degrees Fahrenheit.
Swaddling, or wrapping a baby snugly in a blanket, can be a safe alternative to using a loose blanket. Swaddling can help to calm a cranky baby and promote good sleep. However, it is important to ensure that the baby's hips are loose and that only their head is exposed. Swaddling is only recommended until the baby starts trying to roll over, which usually happens around 3 to 4 months but may occur earlier. After this, a sleep sack or wearable blanket can be used to keep the baby warm and secure.
In summary, it is important to wait until a baby is old enough to handle the transition to a blanket, which is typically around 12 to 18 months of age. Introducing a blanket too early can pose a serious risk to the baby's safety.
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Alternatives to blankets
The American Academy of Pediatrics (AAP) advises that it is not safe for a baby to sleep with a blanket if they are less than a year old. This is because blankets can increase the risk of sudden infant death syndrome (SIDS), suffocation, entrapment, or strangulation.
- Swaddling: This refers to the practice of snugly wrapping a baby in a blanket for warmth and security, leaving only the child's head exposed. Swaddling can be safer than giving your baby a loose blanket, especially when the infant has not yet tried to roll over. It can help your baby feel comforted without direct parental contact and promote healthy sleep. Make sure to stop swaddling once your baby starts trying to roll over to avoid the risk of suffocation.
- Sleep Sacks or Wearable Blankets: These are closed gowns that have holes for the baby's arms but no casings for their legs. They usually have zipper or Velcro closures and are easy to put on and take off. Sleep sacks provide warmth and security similar to blankets but without the risk of suffocation. They come in different thicknesses and sizes, so you can choose one that suits your baby's needs.
- Layering Clothing: Instead of using a blanket, you can keep your baby warm by layering their clothing. Adjust the number of layers according to the room temperature, ensuring it's comfortable and not too hot.
- Adjust Room Temperature: Maintain a thermostat setting between 68 and 72 degrees Fahrenheit in your baby's room. An ideal sleeping temperature helps babies sleep through the night, and overheating may increase the risk of SIDS.
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Safe sleep positions for newborns
As a new parent, it's normal to wonder when your baby can sleep with a blanket. While blankets can be a hazard in the crib, there are safe sleep positions you can follow to ensure your newborn sleeps comfortably and securely. Here are some guidelines to follow for safe sleep positions for newborns:
Room and Crib Setup
It is recommended to keep your newborn in the same room as you when they sleep, ideally for the first six months and up to one year. This allows you to monitor them closely and provides easy access in case you need to respond to any issues. The room temperature should be comfortable, ideally between 68 and 72 degrees Fahrenheit (16 to 20 degrees Celsius). Avoid overheating the room, as this can increase the risk of sudden infant death syndrome (SIDS). Ensure that your baby's crib is placed in a safe area of the room, away from direct sunlight, heaters, or radiators.
Sleep Surface
Always place your newborn on a flat, firm surface for sleep. Use a firm, well-fitting baby mattress that is clean and waterproof. Cover the mattress with a single, tightly tucked-in sheet. Avoid soft and plush surfaces, such as pillows, quilts, or sheepskin, as these can increase the risk of suffocation. The crib should be empty, free of any soft toys, crib bumpers, or positioners that could pose a hazard.
Sleep Position
The recommended sleep position for newborns is on their back. Sleeping on their side or stomach increases the risk of suffocation, especially if they haven't developed enough head control. This back-sleeping position should be maintained consistently for both naps and bedtime. Once your baby can roll over independently, it's not as much of a concern if they turn onto their tummy or side during sleep.
Swaddling
Swaddling, or snugly wrapping your newborn in a blanket, is a safe practice recommended to promote warmth and security. It is generally considered safe from birth until your baby starts trying to roll over, usually around 3 to 4 months. Ensure that only your baby's head remains exposed, and never layer another blanket over a swaddled baby, as this can increase the risk of suffocation.
Blanket Usage
It is generally recommended to wait until your baby is at least 12 months old before introducing a blanket. Blankets can pose a risk of accidental suffocation if introduced too early. If using a blanket, ensure it is lightweight and securely tucked in under your baby's arms to prevent it from covering their head.
Remember, every baby is unique, and you may need to adjust these guidelines based on your baby's specific needs and preferences. Always consult with your healthcare provider if you have any concerns or questions about creating a safe sleep environment for your newborn.
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Safe swaddling practices
Swaddling is a traditional practice of wrapping a baby snugly in a light, breathable blanket to provide warmth, security, and comfort. It is intended to mimic the snugness of the womb and help the baby feel calm and sleepy. While swaddling can be an effective technique to calm infants and promote sleep, it is important to follow safe practices to reduce the risk of suffocation and overheating. Here are some safe swaddling practices to follow:
- Ensure that only the baby's body is wrapped, leaving the neck, and head exposed to reduce the risk of suffocation.
- Use thin, breathable materials such as a small cotton sheet or muslin square to prevent overheating.
- Consider the baby's temperature and environment to maintain a comfortable temperature and prevent overheating. Regularly check their temperature and adjust their clothing and the room temperature as needed.
- Do not swaddle a baby if they are unwell or have a fever.
- Stop swaddling as soon as the baby shows signs of trying to roll over to avoid the risk of suffocation and hip problems.
- Do not place any additional material, such as a blanket, on top of a swaddled baby, as this can cause overheating and increase the risk of suffocation.
- Always put a swaddled baby to sleep on their back, avoiding front or side positions.
- Ensure that anyone else caring for the baby, such as a babysitter or grandparent, is also informed about safe swaddling practices.
It is important to note that while swaddling can be a safe and effective technique for newborns, it should be discontinued as soon as the baby starts showing signs of rolling over to reduce potential risks. Additionally, if you are concerned about the baby's sleep environment or temperature, consult a pediatrician for specific advice and guidance.
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When to introduce a blanket
It is important to note that there is no official age that is deemed 100% safe for a baby to sleep with a blanket. However, according to the American Academy of Pediatrics (AAP), it is not safe for a baby to sleep with a blanket while they are less than a year old. The AAP's guidelines also include a strong recommendation against having blankets in your baby's crib. Introducing a blanket into your infant's sleep space too early increases the likelihood of accidental suffocation.
To prevent this, it is recommended to keep your baby's crib empty during the early days and instead layer their clothing for additional warmth. You can adjust the thermostat to between 68 and 72 degrees Fahrenheit in your baby's room. An ideal sleeping temperature helps babies sleep through the night.
Swaddling your baby is another way to provide added warmth and security. It involves snugly wrapping a baby in a blanket, leaving only the child's head exposed. This practice is recommended until your baby starts trying to roll over (at around 3 or 4 months, but sometimes earlier). Once your baby can roll over onto their front and then back onto their back by themselves, there is no need to worry if they turn onto their tummy or side while sleeping.
If you are looking for an alternative to swaddling, you can try a sleep sack or a wearable blanket that zips shut. These provide similar warmth and security to swaddling but without the risk of loose fabric that can create a choking hazard.
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Frequently asked questions
It is recommended that newborns sleep without a blanket until they are at least 12 months old. The American Academy of Pediatrics advises that it is not safe for a baby to sleep with a blanket while they are less than a year old.
The biggest risk associated with a newborn sleeping with a blanket is sudden infant death syndrome (SIDS). Other risks include suffocation, entrapment, and strangulation.
Some alternatives to using a blanket to keep a newborn warm include swaddling, layering their clothing, using a sleep sack or wearable blanket sleeper, and adjusting the thermostat to between 68 and 72 degrees Fahrenheit in the baby's room.
Some sources mention that it is acceptable for a newborn to sleep with a blanket if they are being supervised and the blanket is tucked in securely under the baby's arms so that it cannot slip over their head.











































