That was the message from the info I read - if there is a predisposition to hip dysplasia, swaddling with the legs firmly together will not help.  Whereas having their legs in a frog like position can help the hips form properly.  Apparently the African mothers who have their newborn babies sitting on their hip in those sling kind of things have virtually no cases of hip dysplasia.  Obviously if there are no risk factors a tight swaddle won't hurt, but like in lots cases of late diagnosis' the mums were unaware of a family history or other risk factors wer not present.  It might be interesting to ask my orthopeadic (spelling?) surgeon to see his thoughts on this.  One US ortho states swaddling can lead to waddling.

I guess it's food for thought.

Kylie





From: "Marijke Eastaugh" <[EMAIL PROTECTED]>
Reply-To: [email protected]
To: <[email protected]>
Subject: Re: [ozmidwifery] hip dysplasia and swaddling
Date: Sun, 9 Oct 2005 17:53:47 +0930

This is really interesting, I recently birthed with a woman and she had a friend who was an osteopath and said that it was not good to lift babies up by their legs to put a nappy on. The idea being that it was pressure somewhere on the neck region so to change a nappy rolling side to side was recommended. I'd never heard of this before, or the swaddling causing hip dysplasia. It could be possible that if you swaddle with disposable nappies especially and you do it really firm it could cause problems if there was already disposition in this direction. Anyone else have ideas on this.
----- Original Message -----
Sent: Friday, October 07, 2005 1:38 PM
Subject: [ozmidwifery] hip dysplasia and swaddling


Recently my 18 month old was diagnosed with CDH.  We have since discovered that there is a family history (my father-in-law had a hip replacement before 50, and the specialist says it was probably a case of undiagnosed CDH), but I am also wondering about swaddling.  I have swaddled all of my children and always touting the benefits to my friends who are new mothers.  Now I am wondering whether in fact this is not such a good thing.  I have read that in cultures where there is no swaddling CDH is unheard of.  As midwives,what are everyones thought?

Kylie Carberry

 
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