6 Best Toddler Pillows, for a Comfy Night of Sleep, Tested by Little Ones
In a nutshell:
Based on its balanced loft, breathable, skin-friendly materials and consistently strong performance across the board during our hands-on product testing, we chose the Avocado Organic Toddler Pillow as the overall best toddler pillow. It stood out for its “just-right” height, comfort and reliable support for little sleepers, meeting key expert-recommended criteria like appropriate loft, breathability and gentle support by pediatric experts for proper alignment. The Avocado also carries more certifications than any other pillow we tested, including MADE SAFE® and OEKO-TEX® STANDARD 100.
When my one-and-a-half-year-old hit her worst sleep patch yet, a toddler pillow crossed my mind. We were in full Hail Mary mode—but a little research stopped me. Still in her crib and not yet asking for one, she simply wasn’t ready. But if your little one is in a toddler bed and starting to bunch stuffies under their head, they might be. Introducing a pillow too soon carries more risk than reward––most experts recommend waiting until at least 18 to 24 months and until your child has transitioned out of the crib, but age alone isn’t the deciding factor. Pediatric occupational therapist Liz Kidney says developmental readiness and sleep patterns matter more than a specific age.
Even once your child’s ready, you want to choose right. Unlike adult pillows, the best toddler pillows are thinner, firmer and sized for a smaller body—keeping the head, neck and spine in neutral alignment throughout the night. The right fit can even make bedtime feel cozier, offering gentle compression that Kidney describes as a “light hug.” More support, more comfort, better sleep—for both of you.
To find the best options, we tested nine top picks with five toddlers, preschoolers and their parents in real bedtime conditions. We also consulted pediatric experts to better understand when toddlers are ready for a pillow and what to look for. The picks below passed the pickiest panel around and are the ones I’ll be looking at for my daughter when she’s ready.
You don’t need to lose sleep choosing a toddler pillow—we already did that part for you. Here are the steps we took to select our recommended toddler pillows:
- We enlisted five real families with toddlers ranging from 2 to 5 years old. Despite falling within the recommended age range, one toddler turned out not to be ready—a good reminder that age is a guideline, not a guarantee. That experience provided valuable insight into what developmental readiness actually looks like in practice. If your little one rejects a pillow too, you’re not alone—we address this in our FAQs below.
- We identified the most popular and highly rated toddler pillows on the market, ultimately selecting a shortlist of nine for hands-on product testing.
- Our testers evaluated each pillow on ease of setup, support, comfort, style, ease of cleaning, materials and value. Loft height and fill materials were also assessed, as these play a key role in toddler comfort and safety. Each pillow was rated on a scale of 1 to 10 across all criteria—anything that didn’t meet our standards was excluded from our final recommendations.
- We consulted the American Academy of Pediatrics (AAP) safe sleep guidelines to ensure every recommendation meets current standards.
- We consulted a panel of experts, including pediatricians, an occupational therapist, a pediatric sleep consultant and a pediatric nurse, to better understand when toddlers are developmentally ready for a pillow and what makes a design safe and supportive.
- We conducted additional research, including reviewing feedback in parenting forums and community discussions to understand real frustrations like pillowcase sizing, loft preferences and material sensitivities, to ensure our picks address real-life needs and common pain points around toddler pillows.
- As parents ourselves, we drew from our own experience navigating toddler sleep transitions, where new needs and milestones rarely arrive on anyone’s schedule but your kiddo’s.
Editorial integrity is at the heart of everything we publish. Read more about how The Bump develops our product reviews.
Overall best toddler pillow
- 100-day trial period
- Affordable for an organic option
- Expert recommended
- Pillowcase is sold separately
- Pillow and cover are spot clean and air dry only
The best toddler pillows strike a careful balance: supportive without being too firm, soft without going flat, and comfortable enough that a picky toddler will actually use them. The Avocado Organic Toddler Pillow delivers on all three. “My 2-year-old, who is incredibly choosy, tried an arsenal of pillows but kept coming back to this one,” says our tester, Korin M. “It even beat out options with more obvious toddler appeal, like pillows with animal themes.” It also comes recommended by Laura Hunter, a pediatric nurse and mom of five based in Atlanta Georgia.
At 3.5 inches, it sounds lofty—but a blend of kapok (a silky plant fiber that doesn’t clump) and latex (springy, bouncy) means it compresses beautifully under a little head to provide gentle support without feeling too high or bulky. “It feels slightly squishy yet firm when you press down on it. However, it bounces back immediately,” Korin says. Our testers found it worked well for keeping little heads and necks properly supported. “I think this pillow is the perfect size and height for my toddler and she sleeps more peacefully,” says tester Brittany F., mom of a 2-year-old. She even ran it by her pediatrician and got the thumbs up on alignment.
It doesn't come with a cover, but our testers strongly recommend Avocado’s waterproof option, which is made from GOTS-certified organic cotton. “The cover of this pillow is incredibly soft. I can see why my daughter wanted to put her face on it,” Korin says. It’s nice to not lose sleep over what your little one is lying on. Dr. Sandra Oska, MD, a board-certified dermatologist, recommends smooth, breathable cotton for sensitive skin. The Avocado also carries the most certifications of any pillow we tested. “Certifications like OEKO-TEX STANDARD 100 and MADE SAFE involve testing for harmful substances including known irritants and allergens that could affect sensitive skin,” Dr. Oska explains.
The only downside: the pillow is spot-clean only and air dry only––and drying takes longer than you’d expect. “We couldn’t use it one night because it wasn’t fully dried after spot cleaning two hours before,” Korin says. With the cover doing its job, though, you’re unlikely to need to spot clean often. If you’re on the fence, the 100-night trial makes it easy to commit.
Dimensions: 12" (L) x 20" (W) | Loft (height): 3.5" | Material: (shell) 100% organic cotton (fill) Organic kapok fiber/organic latex | Care instructions: Spot clean and air dry only | Hypoallergenic Material?: Y | Certifications: MADE SAFE, OEKO-TEX STANDARD 100, GOLS/GOTS certified filling and cover
Our product tester says
“The price of this pillow is definitely worth it. I would love to get a 2nd one for my daughter and am willing to pay the price for it. This is a great investment for her sleep and her age in the stage of life that she is in right now.”
Best budget-friendly toddler pillow
- Exceptional value for two
- Standard size makes pillowcases easy to find
- Ideal for older toddlers and preschoolers
- Pillowcase is sold separately
- Pillow is spot clean and air dry only
For under $16, you get not one but two Utopia Bedding Toddler Pillows. Before you assume that means cutting corners, know this: the cotton-blend pillows are OEKO-TEX STANDARD 100 certified, meaning they’ve been independently tested against harmful substances. “That’s a good thing, especially when you think about how many hours little ones spend sleeping,” Hunter says. And those hours? Our tester’s daughter logged plenty of them on these pillows. “My toddler gravitated toward it right away, resting her head repeatedly even outside of nap or bedtime,” says tester Khadijah H., mom of a 5-year-old.
Like our top pick, these pillows feature a 3.5-inch loft, but the polyester fill gives it a fluffier, softer feel. “Compared to an average adult pillow, it is only slightly flatter,” Khadijah says. That’s worth noting for younger toddlers: Kidney recommends graduating to a fluffier pillow around ages 3 to 4, making this a better fit for older toddlers or preschoolers. At five, Khadijah’s daughter is squarely in the sweet spot. “Overall, I am very satisfied with the size, as it balances comfort, support and proportion perfectly for my little one’s bed,” Khadijah says.
The two-pack is a genuine win—at this price, stocking up for multiple kids is an easy yes. (Or keeping one on the bed while the other is being cleaned.) The pillow is spot clean only, though Khadijah found the surface easy to wipe down for minor spills. Pillowcases aren’t included, but standard 13" x 18" toddler pillowcases are widely available at Amazon, Target and Walmart.
Dimensions: 13" (L) x 18" (W) | Loft (height): 3.5" | Material (shell): Pollycotton | Material (fill): Polyester | Care instructions: Spot clean and air dry only | Hypoallergenic Material?: N | Certifications: OEKO-TEX STANDARD 100
Our product tester says:
“Considering the high-quality cotton cover, soft yet supportive fill, durable stitching, and OEKO-TEX certification, it feels like a premium pillow built to last.”
Best first toddler pillow
- Low loft is ideal for first-time pillow users
- Naturally hypoallergenic
- Sustainable and environmentally friendly
- Expensive
- Hand wash only and air-dry only
- Pillowcase is sold separately
- May need regular fluffing
The transition from crib to toddler bed is a big milestone—if your little one is starting to bunch blankets or stuffed animals under their head, they may be ready for their first pillow. But you don't want to rush into the fluffiest thing you can find. In fact, you want to keep their head pretty low to the mattress at first. So when those signs are there, the Woolino Premium Wool Toddler Pillow—which had the lowest loft of any pillow we tested—is where I’d start.
At under two inches, it keeps little heads close to the mattress without sacrificing comfort. “It feels kind of like a cloud but with a little firmness in the middle,” says tester Korin M., adding, “My daughter enjoyed resting her head on it and the loft seemed ideal for someone of her size.” Wool fill is this pillow’s secret weapon––breathable, temperature-regulating and naturally hypoallergenic, yet without that “wooly” smell, Korin notes. “The pillow didn’t feel sweaty or damp after my toddler slept on it,” says Brittany F., who tested this pillow with her 2-year-old. For her daughter, who has sensitive skin, the wool’s hypoallergenic properties and the super-soft sateen cotton shell were added bonuses. “My toddler didn’t show any signs of irritation, redness or itchiness,” she adds. As a longtime Woolino fan myself––we use their sleep sacks for my daughter, who has eczema—this pillow was already on my radar before testing began.
Washing requires a little more attention: soak in cold water with liquid detergent, rinse without wringing, lay flat to dry. "It washed up nicely," Korin says. "It needed a little fluffing afterward, but that was easily handled." The pillowcase is sold separately, but Woolino's 100% organic cotton options—think little goose and Milky Way prints — make the whole setup feel like a proper big kid bed moment. At $45 it’s the priciest pick on our list, but as Korin puts it: “It has good certifications that you can feel comfortable with your child laying on this, night after night.”
Dimensions: 14" (L) x 19" (W) | Loft (height): 2" | Material (shell): Sateen cotton | Material (fill): 100% Australian wool | Care instructions: Hand wash and air dry only | Hypoallergenic material?: Y | Certifications: OEKO-TEX STANDARD 100, GOLS/GOTS, Responsible Wool Standard, Woolmark
Our product tester says:
“I would recommend this pillow to parents who want to find a wool pillow. It's comfortable and just fluffy enough to make a range of kids happy.”
Best toddler pillow to encourage apprehensive sleepers
- Affordable
- Sweet design
- Machine washable
- Needs to be fluffed regularly
- May not provide enough support for all toddlers
For a toddler who is ready for a pillow but just needs a little extra encouragement to get excited about bedtime, a fun design can be a genuinely useful tool—and what wouldn’t parents do for a smoother bedtime routine? You have plenty of options for toddler pillows, but Choc Chick’s version stood out for its playful, toddler-friendly design.
Choc Chick offers a few sweet designs. Our tester, Korin, chose the bunny for her daughter, complete with a painted-on face and floppy ears. “The pillow is adorable. It's a subtle design that works in most decor and isn’t cheesy,” she says. The ears are the real draw for little ones—and while every child's sensory preferences are unique, for some kids a fun, tactile design element like ears could be the thing that makes bedtime feel safe and inviting. Fair warning though: they can also be a little distracting. Korin’s daughter needed a few reminders that the bunny was for sleeping, not playing—but once the novelty wore off, bedtime went smoothly.
At 2.7 inches of loft and a polyester fill, it has a soft, squishy feel that sets it apart from the more structured options on our list. “It has some serious squish to it and seems to have less fill than others,” Korin says. Gentle compression of a soft, plush pillow can feel organizing and comforting for some toddlers—like a little hug for the head, as Kidney puts it. That said, this softer, less structured feel may not be the best fit for toddlers who need more support. Every toddler is different, and their reaction will be your best guide.
The pillow is machine washable and held up well in the wash. “It did just fine with our other laundry,” Korin says, though she notes it needed a little fluffing afterward. There’s a seam across the center, likely to prevent fill from bunching, that her daughter didn't mind at all. One small detail that caught Korin's eye: the pillow reads “sweet dream” in the corner––singular, not plural. Her daughter didn't notice, but mom did.
Dimensions: 12" (L) x 20" (W) | Loft (height): 2.7" | Material (shell): 100% organic cotton | Material (fill): Polyester | Care instructions: Machine wash | Hypoallergenic Material?: N | Certifications: OEKO-TEX STANDARD 100
Our product tester says:
“The pillow is well-priced, especially if you have a toddler who loves animals. I would buy this as a gift for someone.”
Best toddler pillow for convenience with included pillowcase
- Includes organic cotton pillowcase
- Available in nearly 70 prints
- Case and pillow are machine-washable
- Expert recommended
- Needs time to fully expand
- Fun design may be distracting for some toddlers
A properly fitted pillowcase is just as important as the pillow itself. A too-large one can bunch, twist, or come off during the night—uncomfortable and distracting for little sleepers, Hunter says. The KeaBabies My Little Dreamy Pillow takes the guesswork and the extra expense out of the equation, arriving with a well-fitting organic cotton pillowcase already included. It's one of Hunter's personal recommendations and Dr. Aubrie DeBear, PsyD, a pediatric sleep consultant and doctor of clinical and forensic psychology, says her own children have used and loved it for years. “They've stood the test of time,” she says. And with a wide range of kid-friendly designs to choose from—nearly seventy prints that cover everything from dinosaurs and rainbows to mermaids and construction vehicles––your toddler gets a say too.
The pillow itself is straightforward-––a cotton shell with cotton, fiber ball fill that arrives vacuum sealed and puffs up to a medium-soft 3.5 inches. That fiber ball fill is what gives it its shape retention over time—something Dr. Mona Amin, a board-certified pediatrician and founder of PedsDocTalk, specifically applauds. “The KeaBabies pillow is a basic pillow, but it gets the job done,” Korin says. “My daughter liked it, which is half the battle in anything with her.” Korin chose an alphabet with animal print for her daughter––and that pillowcase turned out to be the real star. “She loved pointing to each one and asking me what the animals were”––a bedtime game that made the whole routine feel a little more fun for both of them. The pillow itself is soft and fluffy without being so lofty that little heads get lost in it.
When the pillow inevitably gets dragged around, slobbered on or loved a little too hard, cleanup couldn’t be easier. “Just toss both (the pillow and its case) in the wash,” Korin says. A little fluffing after the dryer and it’s good as new. “This is a great option for kids who like to play with their pillow or drag it around, given how easy it is to clean,” she adds.
Dimensions: 13” (L) x 18” (W) | Loft (height): 3.5” (H) | Material (shell): 100% cotton | Material (fill): 100% cotton | Care instructions: Machine wash | Hypoallergenic Material?: Y | Certifications: OEKO-TEX STANDARD 100, GOLS/GOTS
Our product tester says:
“The included pillowcase is really fun. It is kind of loud, but KeaBabies gives you a huge range of patterns to choose from, making it highly likely that there is something in there for every family and bedroom decor.”
Best toddler pillow for soft support
- Customizable fill sizes
- Available in original or organic
- Highly compressible with a cloud-like feel
- Machine washable
- Affordable
- May be extra fluffy after washing
- Pillowcase bundle costs extra
If your toddler has been sleeping with a pillow for a while and is starting to make their preferences known—softer, fluffier, more like yours—it might be time to level up. Kidney says that around ages 3 to 4, toddlers can likely start trialing slightly fluffier pillows, and the Little Sleepy Head Original Toddler Pillow is exactly where we’d send them.
What sets this pillow apart is the customization. Little Sleepy Head offers three fill options—less fill, classic, and more fill—a level of flexibility you don’t see in many toddler pillows. For younger toddlers or those just being introduced to a pillow, the less fill option is worth considering. We tested the classic fill, which has a 4-inch loft. It looks high and Korin admits she was nervous at first, but its compressibility is the highlight. “It has a cloud-like feel. You can squish it nearly flat before it bounces back,” she says. Her daughter enjoyed the feel of it too. “She didn't sleep any differently on it and had fun pressing it when it wasn't time to sleep.”.
Under the weight of a toddler's head it behaves like something much lower, offering a plush, cushioned feel while still maintaining light support. The 100% cotton shell is soft and breathable, and the cluster fiber fill gives it that satisfying squish that older toddlers and preschoolers with a preference for softness will love. The less fill version brings the loft down to 3.5 inches, a better starting point for first-timers while still offering that signature soft, compressible feel. There’s also an organic cotton shell version available for about $10 more, if materials are a priority.
At under $20 for the classic version, it's one of the most affordable pillows on our list––and one of the easiest to care for. The pillow is fully machine washable and came out of the dryer well, needing only a little fluffing before it was ready to use again. For parents who want a soft, customizable option that's easy to clean and won’t break the bank, this one is hard to beat.
Dimensions: 13" (L) x 18" (W) | Loft (height): 4" | Material (shell): 100% cotton or organic cotton | Material (fill): Polyester cluster fiber | Care instructions: Machine wash | Hypoallergenic material?: N | Certifications: OEKO-TEX STANDARD 100
Our product tester says:
“It’s a great option for kids who prefer a softer sleep surface. It's very squishy and the option to customize your fill is nice.”
Toddler Pillows Comparison Chart
| Overall best toddler pillow | Best budget-friendly toddler pillow | Best first toddler pillow | Best toddler pillow to encourage apprehensive sleepers | Best toddler pillow for convenience with included pillowcase | Best toddler pillow for soft support | |
|---|---|---|---|---|---|---|
Overall Best ![]() Avocado Organic Toddler Pillow | ![]() Utopia Bedding Toddler Pillow | ![]() Woolino Premium Wool Toddler Pillow | ![]() Choc Chick Toddler Pillow | ![]() KeaBabies My Little Dreamy Pillow | ![]() Little Sleepy Head Original Toddler Pillow | |
| Price | $$ | $ | $$$ | $ | $$ | $ |
| Dimensions | 12" (L) x 20" (W) | 13" (L) x 18" (W) | 14" (L) x 19" (W) | 12” X 20” | 13" (L) X 18" (W) | 13" (L) x 18" (W) |
| Height/loft | 3.5" | 3.5" | 2" | 2.7” | 3.5" | 4" (classic) |
| Material | 100% organic cotton (shell); Organic kapok fiber/organic latex (fill) | Polycotton (shell); polyester (fill) | Sateen cotton (shell); 100% wool (fill) | 100% organic cotton | Material (fill): polyester | 100% cotton (shell); 100% cotton (fill) | 100% organic cotton (shell); polyester cluster fiber (fill) |
| Machine washable | ||||||
| Buy NowRead Full Review | Buy NowRead Full Review | Buy NowRead Full Review | Buy NowRead Full Review | Buy NowRead Full Review | Buy NowRead Full Review |
The AAP recommends keeping the crib completely clear of anything but a fitted crib sheet—no blankets, pillows or stuffed animals—until at least 12 months. And even after that, most experts still recommend waiting until at least age 18 to 24 months, and ideally once your child has transitioned out of the crib and to a toddler bed before introducing a pillow.
“Most families introduce a pillow around age 2 and older, often closer to 2-and-a-half to 3 years,” Kidney says, and there’s good reason not to rush. “Before age 2, the risk of suffocation is higher because younger toddlers may not yet have the motor control or awareness to move their head away from an obstruction during sleep,” says Dr. Jean Moorjani, a pediatrician at Orlando Health Arnold Palmer Hospital for Children. “Even after age 2, a pillow is not strictly necessary—many toddlers sleep comfortably without one.”
Age, though, is just a guideline. The biggest clue your toddler is ready won’t come from the calendar but from them—they might bunch blankets or stuffed animals under their head, or just ask for a pillow. When in doubt, your pediatrician is always a good first call. “Keeping the sleep environment simple is always the safest choice,” says Dr. Moorjani.
Signs your toddler might be ready for a pillow
Many toddlers probably won’t say "I’d like a pillow, please,” and honestly, they may not even realize that’s what they’re looking for. But their behavior can still tell you. Once your little one has made the transition to a toddler bed, watch for these signs that a pillow might be the next step:
- Bunching up blankets, stuffed animals or clothing under their head during sleep
- Seeking out your pillow or the couch cushions to rest their head on
- Consistently sleeping through the night without positional disruptions
- Asking for more comfort items at bedtime
And if your toddler isn’t showing any of these signs? That’s okay too. “A pillow is a comfort item, not a requirement,” Hunter says. “There’s no benefit to rushing its introduction,” Dr. Moorjani agrees, adding that many toddlers sleep comfortably without one.
If your toddler is having trouble sleeping, a pillow isn’t necessarily the answer. Restless sleep is more often tied to developmental changes, sensory needs, temperature regulation or overall routine than to head support, Kidney says. Instead of introducing a pillow right away, it’s worth looking at the bigger picture of your child’s sleep environment and habits first.
Loft (height). This is the most important factor. For a first toddler pillow, lower is safer. “The head should barely lift from the mattress—approximately one to two inches with a low fluff level,” Kidney says. A pillow that’s too high can push the head forward, throwing the neck and spine out of alignment and increasing the chance of the pillow bunching toward the face.
Firmness. Toddlers develop a fondness for flat, firm surfaces early—it’s the safest sleep environment for them as babies, and that preference doesn’t disappear overnight. The assumption that “toddlers need a soft pillow for comfort ultimately isn’t true,” says Dr. DeBear. Smaller, firmer pillows are preferable to large, fluffy ones because they reduce the risk of suffocation and provide proper support for the head and neck. Around ages three to four, toddlers can try something slightly fluffier, Kidney says. Even then, a pillow that compresses well under the weight of a little head is always preferable to one that holds its height.
Fill material––which affects both softness and breathability––will tell you a lot about firmness, which is doubly helpful when most of our shopping happens on a screen rather than hands-on:
- Polyester fiber: The most common and budget-friendly option. Soft and lightweight, but may bunch or clump over time and isn’t as breathable as natural alternatives, which can mean more heat retention overnight.
- Polyester cluster fiber: A fluffier, more compressible take on standard polyester that bounces back well and holds its shape better than traditional polyester fiber.
- Cotton: Tends to compress more than polyester over time and may need occasional fluffing, but a good natural option for families avoiding synthetics.
- Kapok: A plant-based fiber that’s silky, lightweight, and doesn’t clump. Compresses gently and tends to feel softer than polyester while remaining breathable.
- Latex: Offers springy, responsive support that compresses under pressure and bounces back quickly. Holds its shape well over time for consistent loft. True latex allergies are generally uncommon in children, Dr. Oska says. However, she notes that they are more prevalent in kids with certain medical histories, including spina bifida or multiple surgeries. If this applies to your child, check with your pediatrician before introducing a latex fill pillow.
- Wool: Naturally temperature-regulating and moisture-wicking. Compresses softly without losing structure.
Size. A standard adult pillow measures 20 x 26 inches — too large for a toddler’s small frame and too much bulk for a toddler bed. A standard toddler pillow measures around 13 x 18 inches, which is sized to support a little head and neck without taking up most of the sleeping surface. This size works well from about ages two to four or five. “You’ll know when it’s time to move on [to a youth pillow] when their shoulders look wider than the pillow, their head isn’t comfortably supported anymore or they are migrating off the pillow consistently,” Hunter says.
Certifications. Certifications aren’t required, but “we love seeing companies raise the bar,” Hunter says. “You don’t have to overthink every purchase, but when something is well made, thoughtfully designed and meets strong safety standards, that’s always a win.” Certifications you might see when shopping for the best toddler pillow include:
- OEKO-TEX STANDARD 100: Independently tested against harmful substances including known irritants, allergens and chemical residues
- MADE SAFE: Screens for chemicals of concern across the full ingredient list, going a step further than OEKO-TEX
- GOTS (Global Organic Textile Standard): Certifies that organic cotton claims meet verified environmental and social standards
- GOLS (Global Organic Latex Standard): Certifies that organic latex claims are verified from source to product
According to Dr. Oska, certifications such as these are not a guarantee for sensitive skin but can help reduce reactions to known irritants, allergens and chemical finishing agents like dyes and formaldehyde resins that can drive textile-related skin reactions. “Their role is best understood as exposure reduction,” she says. For families with eczema-prone or sensitive-skinned toddlers, that layer of confidence can be worth having.
Shell and pillowcase material: Your child is going to spend many hours with their face pressed against their pillow. Look for soft, breathable fabrics like 100% cotton or organic cotton. Percale and sateen weaves are particularly good choices for sensitive skin. “Rougher materials like wool or heat-trapping synthetics such as polyester can aggravate eczema by increasing friction and heat,” Dr. Oska says. Avoid anything with chemical finishes or synthetic dyes if your toddler has sensitive or eczema-prone skin, and always wash new pillowcases before use to remove any manufacturing residue.
Ease of cleaning. Many toddler pillows are spot clean only. This is manageable, but it helps if a well-fitted, machine washable or waterproof pillowcase is doing the heavy lifting between washes. For toddlers with sensitive skin or eczema, Dr. Oska recommends washing pillow covers at least once or twice per week, noting that spot cleaning alone isn’t sufficient. “Irritants like sweat, saliva, dust mites and skincare residue can accumulate across the whole surface,” she says.
Frequently Asked Questions
What if my toddler doesn’t like a pillow?
There's no need to force it. If your toddler is rejecting a pillow, you can switch to a lower loft option or try a different cover texture. “Something as simple as pillowcase material can change the entire sleep experience,” Kidney says. However, pillows are not necessary for sleep. If your child isn't ready, you can put it away and bring it back out when they are. This is common––we even saw it in testing! In one of the families we sent a pillow to, the child just wasn't ready.
Can my toddler use a regular pillow?
No. “Adult pillows are not ideal for toddlers,” Dr. Moorjani says. “They are typically too large, too soft, and too thick, which can affect neck alignment and increase safety risks. A toddler-specific pillow is a better choice if one is used at all.”
What size pillow is best for toddlers?
The most common toddler pillow size is 13" x 18", which is smaller than an adult pillow and more proportional to a toddler's body. Most of the pillows we tested fall within this range, and it's the size we'd recommend starting with. It also pairs with the most widely available toddler pillowcases, making it easy to find a proper fit.
How do I introduce a toddler pillow without disrupting sleep?
Keep the routine exactly the same and present the pillow casually — no big buildup. “The routine is the anchor, not the pillow. Keep the anchor steady and the rest falls into place,” Hunter says. From there, let your toddler lead. “Most toddlers will either use it, ignore it or sleep sideways with their feet on it — let them explore,” she adds.
About the writer:
Janelle Leeson is a journalist, regular contributor to The Bump and mom to one opinionated toddler. She knows firsthand that a good night of sleep matters as much for caregivers as it does for kids — and she brings the same rigor to her research as she does to her bedtime routine. Janelle follows the most up-to-date AAP safe sleep recommendations and backs every recommendation with expert interviews, so you can feel confident about our picks without losing a wink of sleep over them.
Plus, more from The Bump:
Expert interviews:
Mona Amin, MD, is a board-certified general pediatrician, parenting coach and mother. Through her brand PedsDocTalk, her goal is to provide relatable and easy-to-digest education for the modern parent regarding the health, safety and wellness of their child. She launched “The New Mom’s Survival Guide,” the first online digital e-course created by a pediatrician and mom to guide mothers and their baby through their first year.
Aubrie DeBear, PsyD, is a pediatric sleep consultant, doctor of clinical and forensic psychology and a mom of two little ones. As a sleep consultant, she loves working with families to encourage health and wellness that provide the most successful foundation for children. For DeBear, sleep is the key to well-being, and a parent and child’s well-being is important to her
Laura Hunter, LPN, is a pediatric nurse, co-founder of Moms on Call, podcast host and mom of five.
Liz Kidney, OT, is a pediatric occupational therapist and founder of Tiny Tots Big Senses, a platform dedicated to helping families navigate sensory needs and developmental milestones. Kidney received her bachelor's degree from Kean University and her MS in occupational therapy from Springfield College in Massachusetts.
Jean Moorjani, MD, FAAP, is a board-certified pediatrician at Orlando Health Arnold Palmer Hospital for Children in Orlando, Florida. She received her medical degree from Virginia Commonwealth University School of Medicine in Richmond, Virginia, and completed her residency at Orlando Health.
Sandra Oska, MD, is a board-certified dermatologist. She specializes in general adult and pediatric dermatology, surgical dermatology and cosmetic procedures, with a strong focus on skincare.
Product testers:
Brittany F., mom of a two-year-old.
Khadijah H., mom of a five-year-old.
Korin M., mom of a two-year-old.
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