This is where the conversation gets more nuanced. The research on white noise for infant sleep is overwhelmingly positive when it comes to helping babies fall asleep and stay asleep. But a few studies raise questions about continuous or prolonged exposure that are worth understanding.
A 2024 scoping review published in Sleep Medicine found that continuous noise exposure above 50 dB may affect auditory development in infants. The key word is "above 50 dB" — if you're following the guidelines, this finding supports your approach rather than contradicting it.
Benedetto et al. (2018) found a possible association between white noise exposure during infancy and reduced speech recognition ability at age 4. This was a single study and the effect was modest, but it reinforces the importance of limiting white noise to sleep time only and ensuring rich language exposure during waking hours.
Cochlear synaptopathy, sometimes called "hidden hearing loss," is a form of auditory damage that doesn't show up on traditional hearing tests but affects the ability to process speech in noisy environments. Animal studies suggest that prolonged exposure to moderate noise levels can contribute to this. No human infant studies have confirmed this link at white-noise-machine volumes, but it's a reason to be conservative with volume.
The practical takeaway: The evidence strongly supports using white noise for infant sleep when you follow the safety guidelines — below 50 dB, 7+ feet away, sleep time only. The risks researchers have identified are associated with higher volumes, closer placement, or continuous all-day exposure. If you're doing it right, the benefits clearly outweigh the theoretical concerns.
The one thing every researcher agrees on: your baby needs rich, varied sound exposure during waking hours. Talk to your baby, read to them, sing to them, let them hear the sounds of daily life. White noise during naps and night doesn't limit this — but white noise all day might.