Our sleep team answers your most frequently asked questions about swaddling your baby...
Does my baby need to be swaddled?
That depends on baby’s age and whether they still have the startle (Moro) reflex. This reflex can cause baby to startle awake often until it fades, usually between 4-6 months old. So, most newborns will need to be swaddled to address that startle reflex, especially when they are out of your arms and flat on their back. Swaddling also serves to mimic the feeling of being cozy in the womb, helping baby calm if they are overstimulated and/or need to fall asleep.
Are weighted swaddles safe?
As with many baby products marketed to parents, there is simply not enough safety data surrounding weighted products to consider them safe to use. Federal data reports that weighted products may have been linked to at least five deaths from 2022-2024 of babies one to six months old and there are plenty of experts who are concerned enough to caution parents against use and make an effort to ban any and all weighted products for babies. Products like the Nested Bean and Dreamland Baby weighted sleep sacks are raising enough concern that major retailers like Amazon, Target, Walmart, Nordstrom, and Babylist have stopped selling them in the interests of safety. The concerns among medical experts, safe sleep advocates and lawmakers are that weighted products or panels within a product can restrict baby's breathing, circulation and/or mobility.
What is the “best” swaddle?
Babies have their preferences (as do parents), but these are worth considering. Bonus points for “easy change” versions that give you easy access for those wee morning hour diaper changes.
Whichever you go with it, be sure to purchase several since poo happens and
laundry
often needs to wait!
I’m swaddling at night. Do I need to swaddle for naps too?
If your newborn needs a swaddle, they will very likely need it for all sleep periods. Their sleep cycles are quite short (about 45-50 minutes long) and they spend the majority of sleep (as much as 75%) in light sleep. The combination leads to being easily roused or startled out of sleep. Without the arms being contained, baby is more likely to wake often, resulting in shorter naps and restless nights.
Is swaddling safe for my baby’s hips?
When
swaddling properly, the lower portion of baby’s body still has freedom of movement. It is important to allow the hips to spread apart and bend up while the arms are tightly contained. Hip dysplasia is a risk when baby is swaddled in a way that the legs and hips cannot flex which may not allow for healthy hip development. You can learn more about safe swaddling techniques
here. If your baby is wearing a Pavlik Harness, Denis Browne Bar (DDB) or Rhino Brace, check out the
Swaddle Up Hip Harness
made by Love to Dream which is designed to accommodate those braces.
What if my baby is busting out of the swaddle?
Swaddling will only bring the desired benefit if baby’s arms are tightly contained and you want to be sure to prevent loose bedding in the sleep space. So, if your baby is busting out of the swaddle, you may need to
work on your technique
or switch to a type of swaddle that doesn’t require fancy wrapping and has Velcro, snaps or a zipper to prevent baby from wriggling out. If you are leaving babies arms up by their chin, try placing the arms down by baby's sides instead. Most babies will bust out when their arms are positioned at the top of the swaddle. If you have a Houdini baby that can still bust out, check out this great
double swaddle technique. The
Swaddlou, created by a local Mom, aims to make that technique easier for you. Or your baby may be ready for greater freedom of movement and wanting access to their hands, so you can consider weaning out of the swaddle as described below.
My baby hates being swaddled. Help!
We get this on a LOT. If your baby fights the swaddle but sleeps much better in one, then congrats...you get to make one of your first executive parenting decisions and use it anyway. They don’t enjoy getting diapered either but we can’t let that one go. Similarly, if the swaddle brings better sleep for the family, use it. Also try getting baby swaddled before they are overtired – at that point they hate everything! If you’ve been waiting until baby is already fussing and crying, swaddle at the
earliest signs of tiredness
or, if no better, keep an eye on the clock and start sooner than you did last time and ahead of any signs of tiredness. Newborns can go from 0-60 in a blink!
When do I need to stop swaddling and how do I do that?
For safety reasons, the AAP recommends weaning from use of a swaddle by 2 months of age but, more important than age, you'll need to do so as soon as your baby shows an interest in trying to roll. Some babies, whose Moro reflex has disappeared, can go cold turkey. Those that still have the reflex will need a more gradual transition. If cold turkey proves to be too much for yours, consider these alternatives:
* Ditch the swaddle at night but continue to use it for naps when you can keep an eye on baby. Once nights are going well, then eliminate it from naps as well.
* Leave one arm out only and swaddle the other arm and torso as per usual. If baby seems to manage that for a few nights, swaddle the torso only and leave both arms out for a few. From there you can switch to a traditional sleep sack. The
Love to Dream Swaddle Up 50/50
is a great option as it allows you to unzip one arm at a time and then becomes a sleep sack. Other makers are now following suit by offering convertible options.
* Switch to a swaddle transition product such as the
Zipadeezip
or
Merlin’s Magic Sleep Suit. These allow baby to acclimate to more freedom of movement but still dampen that startle reflex. They also allow baby to access their hands which is helpful for self-soothing. As a safety side note, you will need to stop using the Merlin Suit once baby learns to roll while wearing it. The
Love to Dream 5 in 1 Transition Suit allows baby to adjust to less arm containment very gradually and also serves as a wearable blanket for extra warmth without a sack bottom that often tangles baby up when learning to roll.
Regardless of how you transition your baby out of the swaddle, expect a period of adjustment where sleep is temporarily disrupted. Like learning to sleep without your pillow, it feels strange! Also, baby will be excited about the newly found freedom so sleep may take the backseat to exploration. Like all other phases, this too shall pass. In the meantime, just decide whether you feel comfortable letting baby work through that new feeling on their own or prefer to offer support until they adjust.
If you need help with this or any other sleep transition, we would be happy to chat about working together!
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