The Swaddling Controversy: Should You Stop Swaddling Your Baby?

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  • April 24, 2013

Swaddling-  A Comprehensive Guide (3)When your baby is in the hospital, your nurse hands her to you neatly swaddled, peaceful, and (most importantly), rested baby. Many parents take a class before their baby is born to learn how to properly care for baby, and the majority of these classes teach proper swaddle technique. That may all be about to change with some new research (and opinion) that has come to light.

According to a recent Huffington Post article Swaddling Ban: Why Are Daycares Banning Baby Burritos?, there is a growing trend toward NOT swaddling babies as a result of the release of the American Academy of Pediatrics and American Public Health Association released its third edition of “Caring For Our Children”, which advised caretakers against swaddling.

An article in The Globe and Mail states, “Several studies have linked swaddling to a higher risk of respiratory infections and, if done improperly, hip dysplasia. Swaddled babies may overheat, especially if their heads are partially covered, which can cause hyperthermia and even death. There is ongoing debate over whether swaddling prevents infants from waking easily, hinders weight gain or, most troubling, increases the chance of SIDS.

In yet another study, researcher, Mohrbacher, has published a well-researched and contemplated critique of swaddling. In her critique, she found that “Swaddling newborns delays the first breastfeeding and leads to less effective sucking. Swaddling during the early months puts an infant at risk for respiratory illness, hip dysplasia, overheating and SIDS.

Now, before you jump to conclusions and throw your swaddle blankets out with the trash, consider that it has been shown that swaddling is very helpful to some parents in soothing their fussy baby sleep better.

In fact, Dr. Harvey Karp of The Happiest Baby on the Block is often credited with the reemergence of swaddling as a common practice is less than happy with this new advice. In fact, in an article for Parents magazine, Karp stated “In 2011, the group decided swaddling (even in gossamer thin blankets) was unnecessary and risky and should not be used after a couple of weeks or months. They said swaddling might hurt a baby’s hips—but while there has been a connection between improper swaddling and hip dysplasia (with legs wrapped tightly while straight), it’s safe when swaddling allows legs to bend up and out at the hips. The group also said that swaddling might overheat a baby (no study shows overheating from swaddling, unless the head is covered or the room is hot), or might cause SIDS if loose blankets wrap around the baby’s face (studies show that only loose bulky bedding—like comforters—are a SIDS risk, not light muslin ones).

With all of this conflicting information, what’s a responsible parent to do?


Do Your Research


It’s important to remember that these new recommendations are targeted at childcare facilities, such as daycares, and that as a parent; you need to consider the facts and make a decision based on your baby’s needs and temperament.

It’s also important that you use proper swaddle technique. New research suggests that instead of swaddling with baby’s arms at his sides (as was traditional), that swaddling with baby’s hands near his face is not only safer, but will assist him with self-soothing. Putting your baby’s hands up may also help if your baby happens to flip himself over in the night.


Do Not Swaddle Too Tightly


When you’re swaddling your little one, be sure that the swaddle is not too tight. You do not want to restrict breathing. You also want to be sure that your baby is able to bend her legs while swaddled to help prevent hip dysplasia.


Consider a Video Monitor


If you choose to swaddle your infant, it’s a good idea to keep an eye on him with a video monitor. You can also pop in to check on him, or consider roomsharing to ensure that his sleep is supervised.


swaddled baby

Do Not Overheat Your Child


Much of the concern regarding swaddling (besides the possible suffocation risk), is the fact that your baby may overheat. In a recent article the Breastfeeding Reporter found that swaddling is not always a positive thing for newborn babies. This study compiled findings from 176 mothers and babies, some who were swaddled, and others who were just put in clothes. They found that “When swaddling is added to other newborn stressors, it appears to worsen their negative effects.” This report goes on to state that skin-to-skin contact seemed to have the most positive results, and that those infants who experienced skin-to-skin contact instead of swaddling actually had higher body temperatures.


Breastfeed Unswaddled


Breastfeeding is a great opportunity to gain additional skin-to-skin contact with your baby, and as the previous research suggests, it may raise your baby’s body temperature. Err on the side of caution and (if you chose to) swaddle your baby after they have been fed and burped.


Rethink a Traditional Swaddle


If you want to ensure that your baby feels loved and secure, consider a sleep sack rather than a swaddle, which will prevent loose blankets in the crib. You may also want to look into options that only restrict the hands, which are often the source of night awakenings as a result of newborn’s startle reflex.


Consider Other Options


According to neurologist Richard Restak, MD, “Physical holding and carrying of the infant turns out to be the most important factor responsible for the infant’s normal mental and social development.” Look for other ways to soothe your baby, such as shushing, patting, holding, and rocking.

I realize that this is a lot of information for anyone to process. The important thing is that you do what is best for your family. Do I think swaddling is bad? Not really. But I do think it is important that you make an informed choice.

If you have any questions about swaddling your baby, be sure to check out my Sleep Lady Facebook Page, where we have Gentle Sleep Coaches available to answer your questions every day!

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photo credit: jspawStarMama via photopin cc

Kim West
Kim is a Licensed Clinical Social Worker who has been a practicing child and family therapist for more than 24 years, and the creator of the original gentle, proven method to get a good night’s sleep for you and your child. She is the author of The Sleep Lady's Good Night Sleep Tight, its companion Workbook and 52 Sleep Secrets for Babies. Click here to read more about her.

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