PRODUCT NAME:             

Love To Dream – Swaddle Up Original

 

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PRODUCT CATEGORY:

Sleep Swaddle

 

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COMPANY PRODUCT DESCRIPTION:

• The only zip-up swaddle that allows your baby to sleep in a more natural position with arms UP.

• Allows your baby access to their hands for self-soothing

• Medical research suggests that babies sleep better if they are able to self-soothe.

• Hip-healthy design allows hips and legs to flex naturally

 

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PAED PREFERRED REVIEW:

As a parent, I have traditionally been a wrapper, so came to the Swaddle UP with no experience or expectations. However, I have noticed increasing popularity amongst parents to swaddle rather than wrap.

 

Whilst most clinicians would agree that wrapping or swaddling is important for settling and soothing, there has always been concern about the risk of hip dysplasia if wrapped too tightly. The key is to contain the arms, but allow the hips to be able to flex and abduct (frog-leg). The Swaddle Up certainly does that, and complies with the recommendations for  “hip-healthy swaddling" made by the American Academy of Pediatrics (AAP), the Pediatric Orthopaedic Society of North America (POSNA), and the International Hip Dysplasia Institute (IHDI).

 

Getting sizing right (based on weight) is important, not only to avoid loose fabric in the cot, but also to ensure the right combination of arm containment without complete restriction.

 

The Swaddle UP Original is made from cotton, so easy to clean inevitable stains.

 

The only comment I would make is that I have now seen a couple of infants in my practice who presented with parental concerns that they were holding their hands up in a “winged” position, just like in the swaddle, even when they were out of the swaddle. This is not a presentation that appears to be at all common, but obviously commonsense should prevail in ensuring your growing newborn has free time out of the “arms up” swaddled position to ensure normal motor development.

 

Is there any relevant evidence for swaddling/wrapping in general?

 

1. There appears to be an increased risk of SIDS for those older swaddled infants who are not placed on their back to sleep. This is probably because older infants are more likely to roll over during sleep, and the swaddle may prevent them from moving out of a subsequently unsafe sleeping position.

2. Increased risk of hip dysplasia, as discussed above, if swaddled too tightly

3. A Dutch systematic review of the literature in 2007 showed that swaddles infants arouse less and sleep longer.