What are the dos and don'ts of swaddling? (2024)

Swaddling may help soothe your baby and make them feel more secure and settled for sleep. It’s important to swaddle safely though, to protect your baby’s hips and minimise the risk of sudden infant death syndrome (SIDS). Read on to find out whether you should swaddle and the dos and don’ts of swaddling your baby.

What are the benefits of swaddling?

Swaddling may encourage your baby to sleep by creating gentle pressure around their body. This sensation mirrors the pressure they once felt in your womb (uterus) to make them feel secure. They’re also less likely to be disturbed by the jerks they do in their sleep, known as the startle reflex (Nelson 2017, ISPID 2020).

Swaddling may also help your baby to calm down if they are over-stimulated. But bear in mind that some babies don't enjoy the sensation of being swaddled. Your little one will soon let you know (Nelson 2017, ISPID 2020)!

When is swaddling unsafe?

If you decide to swaddle, only do it from birth, and swaddle your baby every time they sleep, day or night. Don’t introduce swaddling when the risk of SIDS is highest, at two months to three months (Nelson 2017, ISPID 2020).

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You should stop swaddling your baby as soon as they show signs of being able to roll over (Lullaby Trust nd). This is because if they are swaddled and then roll onto their front, they may not be able to turn themselves back over. Babies should always sleep on their back as it’s hard for them to breathe if they’re lying on their front (Lullaby Trust nd).

How do I swaddle my baby safely?

To swaddle your baby follow these tips:

  • Spread a thin cotton sheet or muslin out flat, with one corner at the top folded over to a depth of about 15cm (6in).
  • Lie your baby on their back on the sheet, with their neck resting against the fold of the sheet.
  • Wrap the top left-hand corner of the sheet across your baby's body and tuck it under their left arm.
  • Pull the bottom left-hand corner up over their body, tucking it in over their left shoulder and arm.
  • Take the right corner and wrap it around your baby’s back, making sure to leave their head and neck uncovered. You can roll your baby slightly to get the material around them.
  • Allow enough room for your baby to move their hips and knees freely, so they can bend their hips up and outwards.
  • Some babies prefer to have their arms free. If your baby prefers this, simply follow the instructions for swaddling as above, but tuck each blanket corner under their armpit instead of over their shoulders.
    (NCT 2018).

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If your baby is cared for by someone else, make sure they know how to swaddle them correctly too. Take some time to show them how you do it and make sure they know to put your baby down to sleep on their back (ISPID 2020).

Don't swaddle your baby too tightly, as this may affect their physical development. Always make sure they have plenty of room to move their legs up and out at the hips. If you swaddle your baby too tightly, with their legs pressed together and straight down, they’re more likely to develop problems with their hips (hip dysplasia) (NCT 2018, Shaw and Segal 2016).

Only use a thin cotton sheet or a muslin for swaddling and don't cover your baby's neck or face. The idea is to make them feel secure, not keep them warm. In fact you need to check your baby’s neck frequently to make sure it’s not hot to the touch, so they’re comfortable and don’t overheat (Lullaby Trust nd).

How long can my baby stay in their swaddle?

As long as your baby is happy and content, and their hips and legs have lots of room to move, how long they stay in their swaddle each time is up to you. You may prefer to remove their swaddling during breastfeeding, so that you can both enjoy some special skin-to-skin time.

Look for your baby’s cues for when it’s time to stop too. If your baby begins to kick off the swaddle day after day, it’s probably a sign they no longer appreciate it!

Check out this video for three simple and safe ways to swaddle your baby.

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What are the dos and don'ts of swaddling? (2024)

FAQs

What are the dos and don'ts of swaddling? ›

Don't swaddle your baby above their shoulders – their neck and head should never be swaddled. Ensure any material is secure and won't come loose as your baby moves, to avoid suffocation (The Lullaby Trust, 2021). Use hip-healthy swaddling techniques to reduce the chance of hip dysplasia.

What not to do when swaddling? ›

Don't's
  1. Never place a swaddled baby on their stomachs.
  2. Don't swaddle your baby too tightly. Babies who are swaddled too tightly may develope problems with their hips. ...
  3. Do not leave loose blankets in the baby's bed.
  4. Don't cover your baby's face while swaddled to avoid overheating and suffocation.
Nov 2, 2016

Why is swaddling not recommended anymore? ›

Some child care centers may have a policy against swaddling infants in their care. This is because of the increased risks of SIDS or suffocation if the baby rolls over while swaddled, in addition to the other risks of overheating and hip dysplasia.

What is the wrong way to swaddle a baby? ›

Improper swaddling is wrapping the baby with the legs straight out and pressed together in a tight bundle. When in the womb the baby's legs are in a fetal position with the legs bent up and across each other.

What is a common swaddling mistake? ›

The 'Too Tight' Wrap

One common error is swaddling too tightly. While snugness is key, an overly tight wrap can restrict proper hip development and cause discomfort for your baby.

What are signs to stop swaddling? ›

5 Signs It's Time To Stop Swaddling Your Baby
  • Startle reflex starts to go away. ...
  • Baby starts waking up more frequently throughout the night. ...
  • Baby breaks out of the swaddle. ...
  • Baby starts showing signs of rolling over. ...
  • Baby starts fighting being swaddled.

At what age is it unsafe to swaddle? ›

It's important to stop swaddling once your baby starts trying to roll over. This can be as early as 2 months of age. Sleep sacks or wearable blankets that don't compress your baby's arms and chest can be worn up to about the age of 2 or about 30 lbs.

Does not swaddling increase SIDS? ›

The bottom line. While you should use caution — such as not swaddling when your baby begins to roll over, and not swaddling them too tightly or in a blanket that's too warm — evidence suggests that your biggest risk factor for SIDS will be putting your baby to sleep on their stomach or side.

What to do instead of swaddling? ›

Here are a few options:
  • Sleep Sacks or Wearable Blankets: Sleep sacks or wearable blankets are designed to provide a cozy and secure sleeping environment while allowing freedom of movement for your baby's arms and legs. ...
  • Baby Sleeping Bags: Baby sleeping bags are a popular alternative to traditional blankets.
Aug 11, 2020

How many hours can a newborn be swaddled? ›

The American Academy of Pediatrics recommends parents keep their babies swaddled for 12–20 hours per day for the first few weeks after birth. This relaxes babies. Swaddling a baby correctly also protects her from overheating, injuries and sudden infant death syndrome, or SIDS.

Should baby's legs be bent in a swaddle? ›

When babies are swaddled, care should be taken to swaddle properly so the baby is safe and healthy. There are many ways to swaddle babies by using blankets or commercial products designed for swaddling. In order for swaddling to allow healthy hip development, the legs should be able to bend up and out at the hips.

When to stop sleep sacks? ›

After a year old, if your child is ready, you can start to transition from a sleep sack to a blanket. At this point, the risk of SIDs has significantly decreased as your child has the mobility to roll over easily from any direction.

How do I make sure my swaddle is safe? ›

Don't swaddle your baby too loosely, as the blanket could come undone and cause suffocation. Overheating increases a baby's risk of SIDS. Use lightweight pajamas under a swaddle. You might swaddle your baby for several weeks or several months.

When to stop burping baby? ›

Most babies will outgrow the need to be burped by 4-6 months of age. You can often tell that a baby needs to be burped if he or she is squirmy or pulling away while being fed. This being said, the American Academy of Pediatrics recommends that parents try to burp their baby: When a nursing mother switches breasts or.

Why shouldn't you swaddle a baby at night? ›

Some babies have trouble with sleeping on their backs because they startle themselves awake; when they are swaddled, that's less likely to happen. But there are downsides to swaddling. Because it keeps the legs together and straight, it can increase the risk of hip problems.

What are the safety tips to consider when swaddling a baby? ›

How do I safely swaddle my baby?
  1. Make sure your baby is flat on its back.
  2. Avoid soft bedding/blankets.
  3. Don't overdress your baby. ...
  4. Stop swaddling when your baby shows signs of rolling over.
  5. Make sure your baby's nose and mouth are not covered.

What to do when baby gets arms out of swaddle? ›

Try Tightening The Swaddle. The secret of a successful swaddle is keeping your baby's arms snug, while leaving the blanket loose around the knees and hips so they can bend and open easily.

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