The UK press was abuzz with headlines screaming about the damage parents are doing to their children by swaddling. Here’s a summary of what’s been going on…
Why is this in the news?
An orthopaedic surgeon in the UK, Prof Clarke, published an opinion piece in Archives of Disease in Childhood highlighting some potential issues with swaddling.
Clarke, N.M.P., 2014. Swaddling and hip dysplasia: an orthopaedic perspective. Archives of Disease in Childhood, 99(1), pp.5-6.
What’s the worry about swaddling?
That the position some babies are put in for swaddling predisposes them to hip dysplasia.
Swaddling forces babies to lie with their hips extended and their legs ADducted rather than in the more natural flexed and ABducted position.
The suggestion from previous studies is that there is an association between swaddling and developmental dysplasia of the hips. Babies who are born with hip dysplasia may have persistent dysplasia if swaddled rather than allowing it to resolve.
Is swaddling all bad?
No, and if you’ve ever had a baby yourself, you’ve probably done it, as stats show that the vast majority of people do swaddle. In fact, studies cited by Clarke demonstrated that swaddled infants sleep longer and, in preterm babies, swaddling improves neuromuscular development.
What is the right way to swaddle a baby?
This video by the International Hip Dysplasia Institute explains nicely how to swaddle whilst reducing the risk of harm to the hips:
But essentially, don’t swaddle too tightly, as it can encourage dysplasia and possibly dislocation. The hips should be free to allow some movement, but you can swaddle tightly around the arms.
What’s the medical community’s take on this?
It’s been reported pretty much everywhere, and there has been vocal professional support. Spokespeople from Great Ormond Street Hospital, the Royal College of Midwives, and the Institute of Child Health are in agreement that swaddling isn’t good for hips. Some are even advising against swaddling completely.