Medical Conditions

PFAS "Forever Chemicals" in Baby Products

Editorially reviewed | Sources: EPA, AAP, NIH|Updated June 2026

The short answer

PFAS (per- and polyfluoroalkyl substances), often called "forever chemicals," are a group of over 12,000 synthetic chemicals used in water-resistant, stain-resistant, and non-stick products. They have been found in car seats, strollers, bibs, clothing, food packaging, and drinking water. PFAS are called "forever chemicals" because they do not break down in the environment or the body. Research links PFAS exposure to immune system effects, thyroid disruption, developmental delays, and increased cancer risk. While completely avoiding PFAS is difficult, parents can take practical steps to reduce exposure.

Parents everywhere have the same worry. You are doing the right thing by looking into it.

By Age

What to expect by age

0-6 months

Infants may be exposed to PFAS through breast milk (PFAS accumulate in the mother's body and are excreted in milk), formula mixed with contaminated water, and direct contact with treated products. Despite PFAS in breast milk, health organizations including the AAP and WHO still recommend breastfeeding because the benefits outweigh the risks. To reduce exposure: test your drinking water for PFAS (contact your local water utility or use a certified testing service), use a water filter certified to remove PFAS (reverse osmosis or activated carbon filters with NSF/ANSI 53 certification) for formula preparation, and choose untreated cotton clothing and bibs when possible.

6-18 months

As babies become mobile and spend time in car seats and strollers, PFAS in fabric treatments become more relevant. Studies have found PFAS in the fabric of some car seats, strollers, and highchairs, particularly those marketed as water-resistant or stain-resistant. Babies mouth everything, including car seat straps and stroller fabrics. Practical steps: choose products without stain-resistant or water-repellent marketing, consider placing a cotton cover over car seat straps (check car seat manufacturer guidelines for safety compliance), and avoid microwave-popping popcorn bags and fast food packaging, which often contain PFAS.

18-36 months

Toddlers face PFAS exposure through food (especially from food packaging), water, household dust, and consumer products. Studies have found PFAS in many children's products including waterproof clothing, shoes, carpeting, and upholstered furniture. While the science is still evolving and regulation is increasing, practical risk reduction includes: using PFAS-free alternatives when available (look for OEKO-TEX or PFAS-free certifications), filtering drinking water, reducing consumption of food from PFAS-treated packaging, and vacuuming regularly with a HEPA filter to reduce household dust (a significant source of PFAS exposure).

What Should You Do?

When to take action

Probably normal when...
  • You are taking reasonable precautions to reduce PFAS exposure such as filtering water and choosing PFAS-free products when available.
  • Your child is developing normally and you are incorporating PFAS reduction into your routine without excessive anxiety.
  • You understand that some PFAS exposure is unavoidable in modern life and you are focusing on practical, actionable steps.
Mention at your next visit when...
  • You live in an area with known PFAS water contamination and want guidance on protecting your family.
  • You are concerned about cumulative chemical exposures and want to discuss evidence-based risk reduction.
  • You want to discuss whether PFAS blood testing is appropriate for your family.
Act now when...
  • Your drinking water has been found to contain PFAS levels above EPA limits and you are using it for infant formula preparation - switch to filtered or bottled water immediately.
  • You are concerned about acute chemical exposure from a product your child has been mouthing or ingesting.
  • Your child has unexplained health issues and you live in an area with significant PFAS contamination.

Sources

Trust your instincts. If something feels wrong, reach out to your pediatrician.

Worrying about your baby means you care. That is a good thing.

Lead Exposure in Children - Prevention and What to Know

There is no safe level of lead exposure for children. Even low blood lead levels can cause irreversible harm to brain development, behavior, and learning. The CDC reference value for blood lead is 3.5 micrograms per deciliter, and children under 6 are most vulnerable because their developing brains absorb lead more readily and they frequently put hands and objects in their mouths. The most common sources of lead exposure are lead-based paint in homes built before 1978, contaminated water from lead pipes, certain imported products, and some baby foods. Blood lead testing is recommended at ages 1 and 2, or earlier if risk factors are present.

Infant Formula Safety and Contamination Concerns

Commercially manufactured infant formula in the United States is strictly regulated by the FDA and is a safe, nutritionally complete option for feeding babies. However, proper preparation, storage, and handling are essential to prevent bacterial contamination. Powdered formula is not sterile, and in rare cases can harbor bacteria such as Cronobacter sakazakii, which can cause serious infections in young infants. Following preparation guidelines, staying aware of recalls, and proper storage are the most important safety measures parents can take.

Nursing Pillow Suffocation Risk and Product Recalls

Multiple nursing pillows and infant lounging products have been recalled after being linked to infant suffocation deaths. The most notable recall was the Boppy Company's Newborn Lounger in 2021, linked to at least 8 infant deaths. These products were never intended for sleep but were frequently used that way. In 2022, the CPSC issued a final rule requiring that all infant sleep products meet federal safety standards for cribs. If you own a recalled product, stop using it immediately and contact the manufacturer for a refund. The safest sleep surface for a baby is always a firm, flat mattress with a fitted sheet.

My Baby's Head Shape Looks Abnormal

Many babies develop temporary head shape irregularities that are completely normal. A cone-shaped head from vaginal delivery reshapes within days. Mild positional flattening (plagiocephaly) from sleeping on the back is very common and usually improves with repositioning and tummy time. However, head shape changes involving ridges, a persistently bulging fontanelle, or rapid head growth changes should be evaluated to rule out craniosynostosis.

Achondroplasia (Dwarfism) in Babies

Achondroplasia is the most common form of short-limbed dwarfism, affecting about 1 in 15,000 to 40,000 births. It is caused by a mutation in the FGFR3 gene and is usually apparent at birth with characteristic features including short limbs, a larger head, and a prominent forehead. Intelligence is normal. With monitoring for specific complications and supportive care, children with achondroplasia lead full, active, and independent lives.

Adenoid Hypertrophy and Breathing

Adenoids are lymphoid tissue located behind the nose that help fight infection in young children. When adenoids become enlarged (adenoid hypertrophy), they can block the nasal airway, causing chronic mouth breathing, snoring, nasal speech, and sleep-disordered breathing. Enlarged adenoids are most common between ages 2-7 and are a leading cause of obstructive sleep apnea in young children. Treatment ranges from watchful waiting and nasal steroids to surgical removal (adenoidectomy) if breathing or sleep is significantly affected.