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Yes, a 1-month-old can use a sleep sack. Sleep sacks are safe and recommended for infants from birth. They provide a secure sleep environment, reducing the risk of suffocation from loose bedding. Choose the appropriate size and a lower TOG rating suitable for room temperature to prevent overheating. Follow safe sleep guidelines for the best sleep practices for your newborn.

Most experts recommend transitioning your baby from swaddling to a sleep sack around 2-3 months old. By this age, the startle reflex that makes swaddling useful has diminished. Sleep sacks provide the containment benefits of swaddling while still allowing for healthy hip and arm movement. Look for a transitional swaddle sack to start, with arms-out options. Then move to a sack with free arm movement by 3-4 months old, or once your baby can start rolling over.

Sleep sacks are generally considered safer and better than swaddling after 2-3 months. While swaddling can soothe newborns, sleep sacks reduce the risks of hip dysplasia, overheating, and SIDS associated with keeping arms bound. Sacks provide the snugness and security of swaddling but allow for healthy movement and self-soothing. They are also easier to use than wrapping a swaddle blanket. Parents report an easier transition from swaddling with a sack.