It is not recommended for babies to sleep with pacifier clips. Pacifier clips can pose a potential risk of choking or strangulation if they become loose or if the baby pulls them too hard while sleeping. The American Academy of Pediatrics recommends that babies be placed on their back to sleep, on a firm and flat surface without any loose bedding or soft objects, to reduce the risk of Sudden Infant Death Syndrome (SIDS). Therefore, it is important to remove the pacifier and clip when the baby is sleeping and to supervise the baby when they are using the pacifier clip during awake time. It is always best to follow safe sleep guidelines to ensure your baby’s safety while sleeping.