Swaddling: A Systematic Review

Bregje E. van Sleuwen, Adèle C. Engelberts, Magdalena M. Boere-Boonekamp, Wietse Kuis, Tom W.J. Schulpen

Research output: Contribution to journalArticleAcademicpeer-review

137 Citations (Scopus)
190 Downloads (Pure)

Abstract

Swaddling was an almost universal child-care practice before the 18th century. It is still tradition in certain parts of the Middle East and is gaining popularity in the United Kingdom, the United States, and the Netherlands to curb excessive crying. We have systematically reviewed all articles on swaddling to evaluate its possible benefits and disadvantages. In general, swaddled infants arouse less and sleep longer. Preterm infants have shown improved neuromuscular development, less physiologic distress, better motor organization, and more self-regulatory ability when they are swaddled. When compared with massage, excessively crying infants cried less when swaddled, and swaddling can soothe pain in infants. It is supportive in cases of neonatal abstinence syndrome and infants with neonatal cerebral lesions. It can be helpful in regulating temperature but can also cause hyperthermia when misapplied. Another possible adverse effect is an increased risk of the development of hip dysplasia, which is related to swaddling with the legs in extension and adduction. Although swaddling promotes the favorable supine position, the combination of swaddling with prone position increases the risk of sudden infant death syndrome, which makes it necessary to warn parents to stop swaddling if infants attempt to turn. There is some evidence that there is a higher risk of respiratory infections related to the tightness of swaddling. Furthermore, swaddling does not influence rickets onset or bone properties. Swaddling immediately after birth can cause delayed postnatal weight gain under certain conditions, but does not seem to influence breastfeeding parameters
Original languageEnglish
Pages (from-to)e1097-e1106
JournalPediatrics
Volume120
Issue number4
DOIs
Publication statusPublished - 2007

Keywords

  • METIS-303746
  • IR-91200

Fingerprint Dive into the research topics of 'Swaddling: A Systematic Review'. Together they form a unique fingerprint.

  • Cite this

    van Sleuwen, B. E., Engelberts, A. C., Boere-Boonekamp, M. M., Kuis, W., & Schulpen, T. W. J. (2007). Swaddling: A Systematic Review. Pediatrics, 120(4), e1097-e1106. https://doi.org/10.1542/peds.2006-2083