A pillow adds a very nice touch to a bed. It makes it look cozy and inviting – especially to adults who have warm memories of peaceful slumber. But, for a baby, it’s another story. A pillow can suffocate a baby – which is why doctors recommend not using one until your child is two years old. But suffocation is far from the only safety problem with pillows, whether your child is newborn, two years old, or twenty.

What are the other elements of a pillow that can affect health and safety? Primarily, the materials with which they’re made. Interesting enough, almost all of the materials are of the same type used in adult, toddler and crib mattresses.

• Feathers and down. Down is the fine, soft, fluffy feathers on baby birds, and underlying the regular feathers of adult birds. Down is more expensive than regular feathers. Some pillows are made only of down, some are a mixture of down and other feathers, and some mix down or feathers with synthetic materials. The problem? Many people are allergic to feathers, whether down or otherwise, and feathers can really collect and hold dust – another common allergen.
• Polyester. Polyester in itself may not be particular hazardous, but the same is not true of the chemicals with which polyester is treated. Polyester pillows could contain formaldehyde or dangerous fire-retardants. If you’re going to go with polyester, make sure you contact the manufacturer to find out all the details about every chemical used in processing. Unfortunately, the information will not be on the label.
• Polyurethane foam. Many of the new pillows that conform to your shape are made with polyurethane foam – a petro-chemical that the National Association of State Fire Marshals calls ‘solid gasoline.’ Breathing solid gasoline all night is bad enough, but polyurethane foam can also contain toxic chemicals used as fire retardants. If you’re in California, where the addition of fire retardants to some polyurethane items is required by law, there’s not much chance of finding a polyurethane pillow without those chemicals. Fire retardants in polyurethane pillows are also common in other states, but you have to check with the manufacturer of the product. All in all, it’s probably best to avoid polyurethane foam pillows – they’re not quite the breath of fresh air you expect from a healthy, relaxing sleep.
• Wool. Wool pillows may be okay for adults, but they’re not recommended for a baby. Wool is a common allergen and your baby, if not outright allergic, could develop a sensitivity to wool without you being aware of it.
• Latex. Again, allergy is the primary issue. And, as with wool, latex sensitivity can develop with long-term exposure.

The other option is organic cotton – which is we use to make both our toddler and crib mattresses and our adult, toddler and baby pillows. Organic cotton is not an allergen and hasn’t been grown with synthetic pesticides, herbicides or fertilizers. Nor have any dangerous chemicals been added in processing.

When your baby’s ready for a pillow, make sure you choose one that is safe all around. As with all baby products, health and safety are the primary concerns.