When to Introduce a Pillow

Whilst the American Academy of Paediatrics recommends waiting until after 2 years of age, they also state “Research has not shown us when it’s 100% safe to have these objects in the crib; however, most experts agree that these objects pose little risk to healthy babies after 12 months of age.” (American Academy of Paediatrics, June 2022).

Here at The Sleep Store we suggest waiting until your toddler is 18 months to 2 years of age before you introduce a pillow. Before this age, children are still developing the head and neck control needed to move freely if their breathing is restricted during sleep. This is why pillows and other soft bedding are not recommended for babies and the cot should remain clear of loose items until baby is at least 1 year old.

After around 18–24 months, many toddlers are developmentally ready for a pillow but this can vary widely from child to child. If you’re toddler is asking for a pillow or moving to a big bed, then it makes sense to introduce a pillow, but if not, you can easily wait until they show more interest or move them to a big bed.

If you’re unsure whether your toddler is ready for a pillow, these simple guidelines can help.

1. Age is a guide only, not a deadline
   You may find your toddler starts to show interest in a pillow off their own accord, whilst others don’t seem to show an interest at all. A pillow is about comfort, not necessity, especially under the age of 2 years. You should wait until at least 12 months of age, to follow safe sleep guidelines.
   
   
2. Look for signs your toddler may be ready
   As everything with parenting, your child may start showing signs that they’re ready for a pillow before you’ve even thought about it! Your toddler may be ready for a pillow if they:
   •   Can roll and change positions easily during sleep
   •   Sleep on their side or tummy
   •   Seem uncomfortable without head support
   •   Show interest in pillows used by older siblings or adults
   •   Have started using their comforter or a soft toy as a “pillow”
   
   If your toddler sleeps well without a pillow and particularly if they’re still in a cot, there’s no reason to introduce one yet. But it they’re moving to a big bed or a wriggling around a lot and you want to try to “anchor” them to a position in bed, a pillow may help.
   
   
3. Choose a low-profile pillow
   A toddler’s first pillow should be low profile and gently supportive, helping keep their head and neck in a neutral position. Avoid adult-sized or very fluffy pillows. Look for a toddler or cot sized pillow to avoid overcrowding the sleep space.
   
   
4. Keep the sleep space simple and safe
   Even once a pillow is introduced, it’s best to keep the sleep environment uncluttered. Stick with one pillow only and avoid lots of bedding, or soft toys. You can avoid lots of bedding by using a sleeping suit, which has the added benefit of keeping your little one warm when they’re still learning to use blankets.
   
   
5. Introduce the pillow gradually
   You can start by offering a pillow at nap time or during quiet time. If your toddler seems comfortable, you can then introduce it at bedtime. If they push it away or don’t use it, that’s a sign they may not be ready yet, give it some more time and try again in a few weeks, remember there’s no rush.

Many parents wonder if toddlers really need a pillow at all. As adults, we would likely find it hard to sleep without one, but the toddlers don’t need a pillow and plenty of toddlers sleep happily and safely without a pillow for years. Only introduce when they’re showing signs of being interested and it’s developmentally appropriate.

If your child is ready for a pillow, choosing the right one can help make the transition easier.

As a general guide:
•   Look for a specific toddler, cot or kids pillow; these are generally smaller and thinner, which is a safer option for their first pillow.
•   Choose a low-profile pillow; Young children don’t need the height of a fuller pillow and a low profile pillow is safer.
•   Choose a filling that’s breathable & temperature-regulating; If you’re looking for natural fibre, a 100% wool pillow is great option, whereas a Tencel/polyester blend will keep its shape/loft well with the Tencel component aiding airflow. Latex is another option, but generally firmer than wool or Tencel.

A toddler-appropriate pillow should feel soft and cosy, offering gentle support without lifting the head too high.