Does a Baby Need a Pillow? Truth About Infant Sleep Safety

Many parents wonder whether their newborn or infant should sleep with a pillow. While soft bedding may seem cozy, experts have clear recommendations when it comes to safe sleep. Here’s what you should know – and what alternatives make sense.

1. What do pediatricians recommend?

  • No pillow is recommended for babies under 12 months due to the risk of overheating, suffocation, or poor neck alignment.
  • ✅ The safest choice is a firm, breathable mattress with a fitted baby sheet.
  • ✔️ A small pillow may be introduced after the baby turns 1 year, depending on their individual development.

2. What to use instead of a pillow?

  • Swaddle wraps – help with positioning and calming newborns
  • Sleeping bags – keep your baby warm without loose blankets
  • Fitted baby sheets – soft, natural materials for comfort and hygiene

3. A flat pillow – only if you choose to

If you'd like a coordinated baby bedding set for a cradle or bassinet, we offer a feather-light pillow and duvet set with a very flat profile – suitable for supervised rest or as a gentle addition.

🛒 View pillow and duvet set for cradle

  • ✔️ Can be used with just the duvet for regular sleep
  • ✔️ Flat pillow adds gentle support during daytime or supervised naps

4. Myths vs. reality

  • 🧠 “Babies need something under their head” – not true. A flat surface is best.
  • 🧠 “A pillow prevents flat head syndrome” – not without specific advice from your pediatrician.
  • 🧠 “Without a pillow, baby will be cold” – body warmth and appropriate clothing are key.

5. What we recommend at Kaarsgaren

  • 🛏️ Merino sleeping bags – breathable and thermoregulating
  • 🤱 Organic swaddles – ideal for newborns and as baby gifts
  • 🧺 Baby mattress sheets – elastic, soft, and perfect for baby beds
  • 🧸 Flat pillow + duvet set – gentle comfort for cradle or bassinet

Conclusion: Comfort without a pillow

Babies need a safe and calming environment – which means no loose pillows, soft toys, or blankets. A firm base, soft sheet, and wearable bedding are all you need. A flat pillow can be a stylish or cozy addition – but it’s optional, not essential.

👉 See our cradle pillow + duvet set here