Baby bedding departments are full of accessories, but most are optional and several should never be placed in an infant’s sleep space. The safest shopping strategy is to buy the sleep surface first, confirm its exact dimensions, and add only items with a clear, age-appropriate purpose.
The baby bedding accessories that matter
Begin with what a baby actually needs, then assess each accessory against that minimal setup.
Firm mattress
Buy the exact size specified for the cot or bassinet. It should be flat, level, supportive and tight against every side without an improvised gap filler.
Fitted sheets
Keep two or three washable sheets in rotation. Elastic must hold every corner securely and the fabric should lie smooth without folds.
Mattress protector
A thin, tight-fitting waterproof protector can help with spills if the mattress instructions permit it. It must not add padding or loosen the sheet.
Sleep clothing
Use season-appropriate clothing or a correctly sized, unweighted sleep sack instead of a loose blanket. Keep baby’s head uncovered indoors.

Place baby on their back for every nap and night sleep. Keep the cot empty apart from the fitted sheet. A separate infant sleep surface in the caregiver’s room is recommended ideally for at least the first six months; room sharing is different from placing baby among adult bedding.
Accessories that can be useful outside the cot
Some products marketed as bedding are useful when used for their intended purpose. A washable changing mat protects a changing surface, but changing should remain supervised. Muslin cloths help with feeding and burping, but remove them before sleep. A play mat supports supervised floor time and tummy time while baby is awake.
A laundry basket with airflow keeps soiled sheets separate, and labelled storage can prevent different mattress sizes being mixed up. A dim night light may help caregivers feed and change baby without fully waking the household; place it and its cord well outside reach. A room thermometer can guide clothing choices, but baby’s chest and neck remain the better comfort check.
Baby monitors are convenient, not a substitute for safe sleep. Secure all wires at least well beyond the cot, follow the manufacturer’s mounting instructions and never clip a corded unit to the rail. Products that claim to monitor breathing or prevent SIDS do not replace the firm-flat-empty sleep setup.
Accessories that do not belong in an infant sleep space
- Pillows and head-shaping cushions: unnecessary and soft near the airway.
- Quilts, duvets, razais and loose blankets: can cover the face or trap heat.
- Cot bumpers and liners: add entrapment and strangulation hazards.
- Nests, pods and loungers: padded surfaces are not a safe substitute for a cot mattress.
- Wedges and positioners: can cause sliding, slumping or trapping; do not incline for routine reflux.
- Weighted sleep products: can restrict movement and place pressure on the chest.
- Stuffed toys and decorative cushions: keep them outside the cot during sleep.
- Extra mattress toppers: soften the surface and can create gaps or unsafe height.
How to check fit, construction and condition
Measure before opening packages. Compare the cot’s internal dimensions and manufacturer instructions with the mattress and sheet labels. A sheet that technically stretches over the mattress may still be wrong if it pulls up corners or compresses the mattress edge.
Inspect seams, elastic, zips and fasteners. Avoid tassels, ribbons, beads, sequins, loose buttons and appliqué pieces that can detach. Washable cotton is practical, but fibre type does not compensate for poor fit. Colourfast dye and a clear care label matter for repeated laundering.
For second-hand items, check recall history, damage and storage conditions. Do not use a mattress that sags, smells musty, contains mould, has exposed foam or no longer fits tightly. Never repair a cot with improvised screws or pack a mattress gap with towels.
Warm weather, cool nights and mosquito protection
In hot and humid weather, choose light sleepwear and safe airflow rather than adding soft padding. Keep fans and air-conditioners from blowing directly onto baby, and secure every cable outside reach. Sweating, damp hair, flushed skin or a hot chest may signal overheating.
On cooler nights, add a light wearable layer rather than a loose quilt. Do not place hot-water bottles, electric blankets or portable heaters beside the cot. Check the chest or back of the neck; cool hands and feet alone do not mean baby is cold.
A mosquito net must be attached so it cannot detach, sag or fall into the cot. Do not tuck loose netting around the mattress or hang fabric where baby may reach it. Use window screens and environmental mosquito control where practical, following local paediatric advice on repellents.
Washing and storing accessories
- Wash new sheets and clothing before first use unless the label says otherwise.
- Use the recommended detergent amount; excess residue can irritate skin.
- Choose fragrance-free products for sensitive skin and avoid bedding sprays.
- Wash contamination promptly at the warmest setting the fabric permits.
- Dry every layer fully before returning it to storage or the cot.
- Inspect elastic and seams during each change and replace damaged items.
- Store by mattress size in a dry cupboard away from chemicals.
Do not stack several sheets and protectors for quick nighttime changes. Extra layers can alter firmness or become loose. Make the cot with one permitted protector and one fitted sheet. Clean the mattress according to its instructions rather than soaking it.
How to spend the budget wisely
Spend first on a safe cot and correctly fitted mattress. Next buy fitted sheets, a permitted protector and suitable sleepwear. Decorative matching pieces come last and may offer no sleep benefit. Use the safe bedding-set guide to compare the price of individual essentials with a set after removing items that cannot be used in the cot.
Plan for growth without buying unsafe items early. The baby-versus-toddler bedding guide explains when needs change. A toddler pillow or light cover can wait until the child has moved beyond the infant cot stage and is developmentally ready. Meanwhile, decorative quilts can be used for supervised floor play or stored away from the sleep space.
Keep receipts, note product model numbers and register durable products when the manufacturer offers safety notifications. Recheck hardware and mattress fit as the cot height is adjusted and baby’s mobility changes.
Frequently asked questions
How many fitted sheets should I buy?
Two or three correctly sized sheets are usually enough for rotation. Use only one at a time.
Does a baby need a pillow?
No. Infants should sleep on a firm, flat mattress without a pillow or head-positioning cushion.
Is a waterproof protector safe?
Use only a thin, tight-fitting protector permitted by the mattress instructions. It must not bunch, loosen the sheet or add padding.
Can a baby sleep under a mosquito net?
Only if the net is securely installed outside the sleep space and cannot sag, detach or be reached. Loose netting must never enter the cot.
What if my baby has reflux?
Keep the sleep surface flat and place baby on their back. Do not use wedges or incline the mattress without specific medical instructions.
Can I reuse accessories for another baby?
Sheets and protectors may be reused when clean, intact and exactly fitted. Reassess mattresses, cots and wearable products for condition, size and current safety guidance.
Reliable sources
- CDC: Helping Babies Sleep Safely
- American Academy of Pediatrics: Safe Sleep
- CPSC: Safe Sleep and Infant Products
This guide provides general safety information. Follow the cot and mattress instructions and ask your paediatrician about individual medical or developmental needs.