When can babies sleep with pillows and blankets?

Welcoming a new baby into your life is an incredible journey filled with joy, challenges, and a multitude of decisions to make. One crucial aspect of your baby’s well-being is ensuring a safe and comfortable sleep environment. While pillows and blankets might seem like cozy additions to your baby’s crib, it’s important to remember that their safety always comes first. In this guide, we’ll explore when it’s safe for babies to sleep with pillows and blankets, and we’ll provide you with essential guidelines to follow to create a secure sleep environment for your little one.

Guide: When Can Babies Sleep with Pillows and Blankets?

  1. First Year Safety: During the first year of life, the American Academy of Pediatrics (AAP) recommends that babies sleep in a bare crib. This means no pillows, blankets, stuffed animals, or any other loose items. The risk of sudden infant death syndrome (SIDS) and accidental suffocation is higher when these items are present in the crib.
  2. Follow the ABCs: To ensure your baby’s safety during sleep, remember the ABCs:
  • A for Alone: Babies should sleep alone in their crib, bassinet, or play yard. Co-sleeping in the same bed increases the risk of accidental suffocation.
  • B for Back: Always place your baby on their back to sleep. This position reduces the risk of SIDS.
  • C for Crib: Babies should sleep in their own crib or designated sleep space. Avoid using adult beds, sofas, or armchairs for sleep.
  1. Transitioning Period: Around the age of one, many babies start showing signs of being ready for a toddler bed or crib with a toddler rail. This is a transitional phase where you might consider introducing a small, flat, firm pillow specifically designed for toddlers. However, ensure it’s free of loose covers, and the pillowcase fits snugly. Keep blankets out of the crib during this period.
  2. Safe Sleep Environment: When transitioning to a toddler bed, prioritize your child’s safety:
  • Choose a pillow designed for toddlers to minimize the risk of suffocation.
  • Opt for a lightweight blanket that is securely tucked around the mattress or use a sleep sack to keep your child warm without the need for loose blankets.
  • Make sure your toddler’s sleep environment is free from cords, strings, and other potential hazards.
  1. Individual Readiness: Every child is different, and their readiness for pillows and blankets can vary. Some children might not be comfortable with a pillow until they’re older, while others might adapt earlier. Pay attention to your child’s development, preferences, and any safety concerns.
  2. Consult with Your Pediatrician: Always consult your pediatrician before introducing pillows and blankets to your baby’s sleep environment. They can provide personalized guidance based on your child’s health, development, and individual needs.

Is it safe for babies to sleep with blankets?

No, it is not safe for babies to sleep with blankets during their first year of life. The American Academy of Pediatrics (AAP) recommends that babies sleep in a bare crib to reduce the risk of Sudden Infant Death Syndrome (SIDS) and accidental suffocation. Blankets, along with pillows, stuffed animals, and other soft bedding items, pose a suffocation hazard for infants, especially those who are unable to roll over or move themselves away from these items.

Babies have limited mobility and may not be able to free themselves from a blanket that has accidentally covered their face. This can lead to a dangerous situation where the baby struggles to breathe. Therefore, it’s important to create a safe sleep environment by following these guidelines:

  1. Use Sleep Sacks: Instead of blankets, consider using sleep sacks or wearable blankets. Sleep sacks are designed to keep babies warm without the risk of suffocation. They have a zipper or snap closures and provide a secure alternative to loose blankets.
  2. Maintain a Comfortable Room Temperature: Keep your baby’s room at a comfortable temperature, around 68-72°F (20-22°C), to avoid the need for heavy blankets. Dress your baby in light, breathable sleepwear that suits the room’s temperature.
  3. Avoid Loose Bedding: Keep the crib free of loose bedding, including blankets, pillows, and stuffed animals. A firm mattress with a fitted sheet is all that’s needed for a safe sleep environment.
  4. Transition with Caution: As your baby grows and is ready to move to a toddler bed, consider introducing a small, flat, firm toddler pillow and a lightweight blanket. However, make sure the pillow fits the toddler’s size, and the blanket is securely tucked in around the mattress.

Remember, the recommendation to avoid blankets in the crib is not just for the first few months; it’s generally advised for the first year of your baby’s life. Always prioritize your baby’s safety over any potential discomfort caused by lack of blankets. If you’re unsure about creating a safe sleep environment for your baby, consult with your pediatrician for personalized guidance.

When can a baby sleep with a blanket?

The American Academy of Pediatrics (AAP) recommends that babies sleep in a bare crib without blankets, pillows, or other soft bedding items for the first year of their life. This guideline is in place to reduce the risk of Sudden Infant Death Syndrome (SIDS) and accidental suffocation. However, as your baby grows and develops more physical abilities, there comes a time when introducing a blanket can be considered. Here are some general guidelines:

  1. Around Age 1: Around the age of 1, many babies are transitioning from being infants to becoming toddlers. At this point, they may have better head control, be able to roll over in both directions, and exhibit some level of mobility and independence.
  2. Developmental Milestones: Before introducing a blanket, ensure that your baby has reached certain developmental milestones, such as being able to push themselves up on their hands and knees, roll over confidently, and move objects away from their face.
  3. Choose the Right Blanket: When you decide to introduce a blanket, choose one that is appropriate for a safe sleep environment. Opt for a lightweight, breathable blanket that is not too bulky. It’s also recommended to use a blanket that is specifically designed for infants or toddlers, as these are often made with safety in mind.
  4. Secure Bedding: When you do introduce a blanket, make sure to securely tuck it around the sides and foot of the crib mattress, leaving it well below your baby’s chest level. This helps prevent the blanket from covering your baby’s face during sleep.
  5. No Loose Objects: Even after introducing a blanket, continue to avoid placing any other loose objects such as pillows, stuffed animals, or bumper pads in the crib.
  6. Monitor Comfort: Pay attention to your baby’s comfort level with the blanket. If they seem uncomfortable or restless, consider adjusting the bedding or removing it if necessary.
  7. Consult Your Pediatrician: Before introducing a blanket, it’s always a good idea to consult your pediatrician. They can provide personalized guidance based on your baby’s individual development, health, and needs.

Remember that every baby is different, and there is no one-size-fits-all answer to when a baby can sleep with a blanket. Safety should always be the top priority. If you’re unsure about the right time to introduce a blanket, it’s best to err on the side of caution and continue using safe sleep practices recommended by experts

Is Swaddling Safer for Babies Than Loose Blankets?

Swaddling can be safer for babies compared to using loose blankets, but it’s important to follow proper swaddling techniques and guidelines to ensure your baby’s safety.

Swaddling involves wrapping a baby snugly in a blanket or cloth to restrict their movement. Swaddling can provide a cozy and comforting environment for newborns and can help them sleep better by reducing the startle reflex, which can often wake them up.

Here are some points to consider when it comes to swaddling:

Advantages of Swaddling:

  1. Reduced Startle Reflex: Swaddling can help prevent the involuntary movements (startle reflex) that often wake up newborns, allowing them to sleep more peacefully.
  2. Comfort: Many babies find the snug feeling of being swaddled soothing and reminiscent of the womb, helping them feel secure.
  3. Reduced Risk of Loose Blankets: Swaddling can be a safer alternative to using loose blankets in the crib, as it wraps the baby securely and minimizes the chances of the blanket covering the baby’s face.

Important Considerations:

  1. Safe Swaddling Technique: It’s crucial to learn the proper swaddling technique to ensure the baby’s hips and legs have room to move and develop normally. Improper swaddling can lead to hip dysplasia or other issues.
  2. Temperature Regulation: Babies can easily become overheated if swaddled too tightly or if the swaddle blanket is too heavy. It’s important to monitor your baby’s temperature and avoid overdressing.
  3. Age and Development: Swaddling is generally more appropriate for newborns up to around 2 months of age. As babies start to show signs of rolling over, swaddling should be discontinued to allow for safe mobility.
  4. Safe Sleep Environment: Once a baby can roll over, it’s important to stop swaddling and transition to a safe sleep environment without any swaddling or loose bedding.
  5. Personal Preferences: Not all babies enjoy being swaddled. Some may prefer to have their arms and legs free, so it’s important to observe your baby’s cues and adapt accordingly.
  6. Consultation with Pediatrician: As with any infant care practice, it’s a good idea to consult your pediatrician before swaddling your baby. They can provide guidance based on your baby’s health and developmental needs.

In conclusion, swaddling can be a safe and effective way to soothe and comfort newborns, especially in the early weeks of life. However, it’s important to follow proper swaddling techniques, monitor your baby’s comfort and temperature, and discontinue swaddling once your baby starts to show signs of rolling over. Always prioritize your baby’s safety and consult with your pediatrician if you have any questions or concerns.


Is swaddling safe for all babies?

Swaddling can be safe when done correctly and for the appropriate age range, typically within the first two months of a baby’s life. However, not all babies enjoy being swaddled, and some may prefer having their arms and legs free. It’s important to observe your baby’s cues and comfort level when deciding whether to swaddle.

Can I use regular blankets for swaddling?

It’s recommended to use specially designed swaddle blankets or wraps, which are made to allow proper hip movement while keeping the baby snug. Regular blankets can be too thick and can increase the risk of overheating or impair proper hip development if wrapped too tightly.

When should I stop swaddling my baby?

Swaddling should be discontinued once your baby starts showing signs of rolling over, which usually occurs around 2 to 4 months of age. Rolling over while swaddled can increase the risk of suffocation. Transition your baby to a safe sleep environment without swaddling or loose bedding to ensure their safety.


Swaddling can offer comfort and security to newborns during their early weeks of life, especially by reducing the startle reflex and promoting better sleep. When practiced correctly and within the recommended timeframe, swaddling can be a safer alternative to using loose blankets in the crib.

However, it’s essential to follow safe swaddling techniques, monitor your baby’s comfort and temperature, and discontinue swaddling once your baby begins to show signs of rolling over. As with any baby care practice, consult with your pediatrician to ensure that swaddling is appropriate for your baby’s individual needs and to receive personalized guidance. Always prioritize your baby’s safety and well-being above all else.

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