DarlingMe
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With all due respect, sometimes you need to look beyond PubMed and look at the common sense of it - if you are 4+ months, and you are facing forward, and you are tired, your head is going to dangle forward rather than rest back on your mother's chest or back. If you are overstimulated by your surroundings, you cannot turn away. I have worn my boy since day 2 for several hours daily, he is now 13 months, I've got almost a dozen slings including a Baby Bjorn. I've tried them all. Believe me, you can get much better slings than that.
Have you ever read https://www.thebabywearer.com ? It is a massive website about babywearing. Companies that want to sell you a sling will tell you that FFO is good. People who teach babywearing and who have born many babies for many years will say that there are far more ideal options that are more comfortable for babies and for your back. Make of that what you will and do what you want.
There's really no point in buying a sling that can't be used for back carry if you want to wear at 4+ months anyways. Get your money's worth.
The sling I am questioning has a back carry option with a max weight of 42 lbs.