Some studies have shown an increased risk of SIDS and unintentional suffocation when babies are swaddled if they are placed on their stomach to sleep, or if they roll onto their stomach. If babies are swaddled, they should be placed only on their back and monitored so they don't roll over.
An immobilized infant can't crawl into dangerous asphyxiating environments. Also, swaddling prevents infants from pulling bedding over their heads. Both are risk factors for accidental suffocation and/or SIDS. The only evidence for an increased SIDS risk in swaddled infants comes from a non-peer reviewed abstract 9.
There are some risks when swaddling. If baby is placed on, or rolls to, the tummy while swaddled, baby may be unable to breathe. If baby is swaddled with a blanket, it could come loose and become a suffocation hazard. Swaddling could also cause baby to overheat.
Swaddling can cause baby to overheat. If baby is swaddled with a blanket, the blanket could come loose and become a suffocation hazard. Tight swaddling can make it hard for baby to breathe. There should be enough room to fit two fingers between baby's chest and the swaddle.
The most basic way to tell if a baby is swaddled too tightly is to place two fingers between the baby's chest and the swaddle. If there is just enough room to fit two fingers of space between their chest and the swaddle then the baby is swaddled correctly — not too tight, not too loose.
You should stop swaddling your baby when he starts attempting to roll over. Many babies start working on this move at about 2 months old. Swaddling once your baby can roll over may increase the risk of SIDS (sudden infant death syndrome) and suffocation.
A few important things to keep in mind: The swaddle should be snug, but not too tight. You should be able to place two to three fingers between your baby's chest and the blanket, and the blanket should be loose around her hips so she can move her legs freely.
Yes, you should swaddle your newborn at night. The startle reflex is a primitive reflex that is present and birth and is a protective mechanism. With any sudden noise or movement, your baby is “startled” and her arms will extend away from her body, she'll arch her back and neck.
Use materials such as a thin muslin or thin cot sheet, and never place any additional bedding over a swaddled baby as they could cause them to overheat. Do not use blankets to swaddle a baby.
In order for swaddling to allow healthy hip development, the legs should be able to bend up and out at the hips. This position allows for natural development of the hip joints. The baby's legs should not be tightly wrapped straight down and pressed together.
The AAP recommends that you stop swaddling your baby at the first signs of rolling which typically happens around 3-4 months of age. (The previous recommendation was 8 weeks or when they show signs of rolling or whichever comes first, but that has since been removed and signs of rolling are the current guideline).
Many Parents Swaddle Incorrectly!
Well, the most common swaddling mistake is not swaddling tight enough. Many parents are afraid of swaddling too snugly. When your baby is loosely swaddled, she will most likely bust her arms out and startle herself awake.
Babies who die of SIDS are thought to have problems in the way they respond to these stresses and how they regulate their heart rate, breathing and temperature.
Swaddling may cause health problems or even be a risk factor for SIDS for several reasons, which include: Swaddling too tight around the chest. If a baby is swaddled too tight around the chest, he may not have enough space to breathe freely.
If your baby is swaddled, keep them swaddled throughout their night feeds. Or if your baby is older, keep them in their sleeping bag. If you need to do a diaper change before or during their feed, re-swaddle them again or put them back in their sleeping bag as soon as they are changed.
Some studies have shown an increased risk of SIDS and unintentional suffocation when babies are swaddled if they are placed on their stomach to sleep, or if they roll onto their stomach. If babies are swaddled, they should be placed only on their back and monitored so they don't roll over.
Swaddling protects your baby against their natural startle reflex, which means better sleep for both of you. It may help calm a colicky baby. It helps eliminate anxiety in your baby by imitating your touch, which helps your baby learn to self-sooth.
Can I swaddle my baby with their arms out? Absolutely! Though many parents assume that you have to keep your baby's arms within the swaddle blanket, it's completely safe to have one arm or both arms out when they're sleeping.
Although swaddling has been practiced for years, recent studies show that swaddling for sleep can put your baby at risk of suffocation. If you have tried calming your baby and nothing has worked, you can try swaddling to settle your crying baby.
If it is warm outside, putting your baby in a diaper underneath the swaddle may just be enough. If however, the temperature is cold, it's a good idea to put baby in a short or long sleeved onesie or even footy pajamas to ensure that baby is kept warm.
Dressing a baby in a short sleeve bodysuit and cotton sleepsuit can be just right under a swaddle during colder nights, while just one long sleeve vest or sleepsuit is commonly worn underneath swaddles in milder temperatures.
The rate of SIDS deaths per 100,000 live births has declined in Australia since the beginning of national public education campaigns about risk factors associated with SIDS in 1991 (AIHW 2012). Between 2007 and 2017 the rate declined from 28 per 100,000 to 6 in 2017, following a peak in 2009 of 32 per 100,000.
Sleeping position: Sleeping on the stomach is a major risk factor for SIDS.