M
MrJoeBoy
Guest
Taken from Official Journal of the American Academy of Pediatrics:
Swaddling has been recognized to be a risk factor for DDH.11,1315 In randomized clinical trials that have compared crying rates of swaddled and unswaddled infants, newborns considered to be at risk for DDH were excluded.5,6 Several studies have found a history of swaddling to be one of several risk factors for DDH1618 in addition to the well-known risk factors of breech delivery and family history. For certain cultures in which swaddling has been especially prevalent, a higher rate of DDH has been observed, including in Saudi Arabia,18 Japan,15,19 Turkey,13 and the Navajo Indian.2022 Although it is not clear if this is a result of ethnic variations in DDH or a result of the swaddling technique, a population-wide program to decrease swaddling and promote wide diapers has been shown to decrease the rate of DDH. In Japan, a nationwide program to avoid prolonged extension of the hips and knees in swaddling resulted in a more than fivefold reduction in the rate of DDH.15,19
No mention of awake swaddling only here, it's an interesting article: https://pediatrics.aappublications.org/cgi/content/full/121/1/177
the footnote says:
If the screening ultrasound findings are normal, then swaddling can be safely allowed. For all infants who are swaddled, monitoring of the swaddling technique to ensure that their hips are allowed to flex and abduct in a safe position for hip development may lessen the risk of DDH.
Seems like more research still needs to be done, no conclusive evidence that swaddling is bad. But I'm still going to air on the side of caution. I'd hate to have swaddled and then in 10 years research proves it is bad, I'd feel really guilty!
Swaddling has been recognized to be a risk factor for DDH.11,1315 In randomized clinical trials that have compared crying rates of swaddled and unswaddled infants, newborns considered to be at risk for DDH were excluded.5,6 Several studies have found a history of swaddling to be one of several risk factors for DDH1618 in addition to the well-known risk factors of breech delivery and family history. For certain cultures in which swaddling has been especially prevalent, a higher rate of DDH has been observed, including in Saudi Arabia,18 Japan,15,19 Turkey,13 and the Navajo Indian.2022 Although it is not clear if this is a result of ethnic variations in DDH or a result of the swaddling technique, a population-wide program to decrease swaddling and promote wide diapers has been shown to decrease the rate of DDH. In Japan, a nationwide program to avoid prolonged extension of the hips and knees in swaddling resulted in a more than fivefold reduction in the rate of DDH.15,19
No mention of awake swaddling only here, it's an interesting article: https://pediatrics.aappublications.org/cgi/content/full/121/1/177
the footnote says:
If the screening ultrasound findings are normal, then swaddling can be safely allowed. For all infants who are swaddled, monitoring of the swaddling technique to ensure that their hips are allowed to flex and abduct in a safe position for hip development may lessen the risk of DDH.
Seems like more research still needs to be done, no conclusive evidence that swaddling is bad. But I'm still going to air on the side of caution. I'd hate to have swaddled and then in 10 years research proves it is bad, I'd feel really guilty!