Safety
Swaddling Safety
Swaddling (wrapping baby snugly) can calm fussy babies and improve sleep. Mimics womb environment and prevents startle reflex from waking baby.
MUST be done safely: Hips loose, not too tight around chest, always on back, stop when baby shows signs of rolling.
Unsafe swaddling increases risk of hip dysplasia (tight around hips) and SIDS (if baby rolls to stomach while swaddled).
What to Do
- Swaddle with arms down but hips loose - baby should be able to move legs freely
- Use thin breathable fabric (muslin) - prevent overheating
- Leave room for chest expansion - should fit 2-3 fingers between swaddle and chest
- ALWAYS place swaddled baby on BACK - never stomach or side
- Stop swaddling when baby shows signs of rolling (rocking to side, rolling during tummy time)
- Transition out of swaddle by 2-4 months or when rolling begins (whichever comes first)
- Transition gradually: One arm out for few nights, then both arms out, then sleep sack
- Never swaddle for tummy time - baby needs free arms to push up
- Watch for hip problems: If baby's legs can't spread apart or hip clicks, call doctor
- Alternative: Use swaddle with wing wrap that allows hip movement
When to call a doctor
STOP swaddling immediately when baby shows ANY signs of rolling over (usually 2-4 months). A swaddled baby who rolls to stomach cannot easily roll back and is at high SIDS risk.