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 journalArticle

  • 120 Citations

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
LanguageEnglish
Pagese1097-e1106
JournalPediatrics
Volume120
Issue number4
DOIs
StatePublished - 2007

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Crying
Neonatal Abstinence Syndrome
Prone Position
Rickets
Hip Dislocation
Aptitude
Middle East
Sudden Infant Death
Massage
Supine Position
Child Care
Breast Feeding
Premature Infants
Respiratory Tract Infections
Netherlands
Weight Gain
Leg
Sleep
Fever
Parents

Keywords

  • METIS-303746
  • IR-91200

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. DOI: 10.1542/peds.2006-2083
van Sleuwen, Bregje E. ; Engelberts, Adèle C. ; Boere-Boonekamp, Magdalena M. ; Kuis, Wietse ; Schulpen, Tom W.J./ Swaddling: A Systematic Review. In: Pediatrics. 2007 ; Vol. 120, No. 4. pp. e1097-e1106
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van Sleuwen, BE, Engelberts, AC, Boere-Boonekamp, MM, Kuis, W & Schulpen, TWJ 2007, 'Swaddling: A Systematic Review' Pediatrics, vol 120, no. 4, pp. e1097-e1106. DOI: 10.1542/peds.2006-2083

Swaddling: A Systematic Review. / van Sleuwen, Bregje E.; Engelberts, Adèle C.; Boere-Boonekamp, Magdalena M.; Kuis, Wietse; Schulpen, Tom W.J.

In: Pediatrics, Vol. 120, No. 4, 2007, p. e1097-e1106.

Research output: Contribution to journalArticle

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AU - van Sleuwen,Bregje E.

AU - Engelberts,Adèle C.

AU - Boere-Boonekamp,Magdalena M.

AU - Kuis,Wietse

AU - Schulpen,Tom W.J.

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M3 - Article

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JF - Pediatrics

SN - 0031-4005

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ER -

van Sleuwen BE, Engelberts AC, Boere-Boonekamp MM, Kuis W, Schulpen TWJ. Swaddling: A Systematic Review. Pediatrics. 2007;120(4):e1097-e1106. Available from, DOI: 10.1542/peds.2006-2083