Is swaddling safe?
When parents first see a baby all wrapped up tight in a blanket, they sometimes start to wonder, “Is swaddling safe for newborns?” It 100% is! Although, like anything with babies there are safe and unsafe ways to swaddle. Not following swaddling safety guidelines can cause your baby harm, even death.
You can easily reduce the risk of harm by following safe sleep practices and swaddling techniques.
Here are the most important safe swaddling tips to remember:
- Make it snug (but not too snug). To know whether or not you’ve swaddled your baby too tightly, try the “two-finger test.” This is when you attempt to fit two to three fingers between the swaddle blanket and your baby’s chest. If your fingers easily fit, you’re good! If you can’t fit your fingers, you need to loosen the swaddle.
- Keep the hip area loose. The top of the swaddle should be snug across your baby’s chest, but make sure the bottom is loose enough for your little one’s legs to stay bent and flared out. This promotes healthy hip development and decreases their chances of developing issues such as hip dysplasia.
- Be sure to make sure the baby's not too hot. Swaddling in too many layers can lead to overheating. This increases the risk of sudden infant death syndrome (SIDS). To avoid this, keep the room your baby sleeps in at a comfortable temperature (preferably between 68°-72° Fahrenheit) and avoid extra layers. For most babies, a onesie or cotton pajamas under a swaddle blanket are enough.
- Never swaddle above the shoulders. Your baby’s neck and face should never be covered by the swaddle. In general, nothing should be in the crib that would obstruct your baby’s ability to breathe or constrict around their neck.
In addition to these, you need to make sure you are still following safe sleep practices set by the AAP. This includes:
- Always placing a baby on their back to sleep whether or not they’re swaddled
- Sleeping your baby in a bassinet or crib with a firm mattress and fitted sheets.
- Room share for the first 6 months to a year
- For the first 12 months, making sure the sleep area is clear of loose blankets and toys.
Here are some of the most common questions parents have about safe swaddling techniques: