Doctors say the condition has increased threefold in babies over the age of three months since 2013.

Most newborn babies are swaddled to help them settle and fall asleep but parents are being warned about the dangers of wrapping their little ones too tight.

Although the popular cloth-wrapping method, which has been used for centuries, is used to help calm and soothe young babies, experts have warned parents to be careful with their technique, as the practice has the real potential to do more harm than good.

Unfortunately for Rob and Libby Paglia, they learnt the hard way with their daughter, Lucia.

Libby noticed her little girl was walking differently to other toddlers around her age but didn’t think too much of it.

“She had a bit of a limp and yeah, I thought it was normal,” Libby told 7 News.

That was until Lucia was diagnosed with hip dysplasia as a toddler. Doctors said it was most likely caused by being swaddled too tightly as a baby.

“She was detected quite late so we had to go through the process of realigning the hip, ” her dad, Rob, says.

Since then Lucia has undergone two surgeries and worn two full body casts which helps the hip to grow back into a normal shape.


Parents have been warned to not swaddle their babies too tightly



What is hip dysplasia?

Hip dysplasia – also known as a dislocated hip – occurs in about one in 1000 births and is most likely to happen from birth genetics or the baby being born breech.

The condition has increased threefold in the past two years in babies over the age of three months.

Although the exact causes are not known, it is widely believed that hip dysplasia is developmental because the condition is known to develop around the time of birth, after birth or even during childhood.

It is thought that the positioning of the baby in the womb can cause more pressure on the hip joints, which stretches the ligaments.

Other factors that could possibly cause the condition are birth genetics and incorrect swaddling.

The condition can be difficult for parents to detect because the babies are not usually in any pain but signs include a strong curve in your baby’s lower back, asymmetrical buttock creases and the child’s hip clicking or popping.

It is also more common in girls than in boys by a ratio of 4 to 1 and more likely to affect the first-born child.

A limp can also become obvious when the child learns to walk or when their pelvis is tilted to one side.

If treatment is delayed beyond two years old, hip deformity can lead to painful hips, waddling when walking and a decrease in strength.

If untreated altogether, osteoarthritis (a painful hip disorder) and other hip deformities can develop in young adulthood.

Mild abnormalities that need treatment occur in up to one in 100 births. Usually only one hip is affected, most commonly the left hip, but both hips are affected in 25 percent of cases.

This is thought to be because babies in a normal position in the womb have more stress on the left hip than on the right hip.

How can swaddling cause it?

Adelaide Women’s and Children’s Hospital orthopaedic surgeon, Dr Nicole Williams, says that 80 percent of babies in Australia may be swaddled inappropriately.

“Unfortunately if we are wrapping them up with their legs tightly together then that’s not safe for their hip development,” Dr Williams says.

“I recommend that if [parents] are wrapping up their baby they should avoid wrapping the legs tightly together.”

Doctors say the condition has increased three fold in babies over the age of three months since 2013

Doctors say the condition has increased three fold in babies over the age of three months since 2013

Tips on how to safely swaddle your baby:

  • The baby must be positioned on their back with the feet at the bottom of the cot
  • Make sure their arms are comfortably close to their sides
  • Wrap the baby from below their neck to avoid covering their face
  • The wrap should not be too tight and must allow for movement of the baby’s hips and chest
  • Avoid wrapping their legs tightly together
  • Modify the wrap to meet the baby’s developmental changes, e.g. arms free once ‘startle’ reflex begins to disappear at around three months; (the Moro or ‘startle’ reflex should have disappeared completely by four-or-five months)
  • When baby is able to roll from their back to their tummy and then onto their back again during supervised play (usually four-to-six months) the use of a wrap can be discontinued for settling and sleep.

Supplied by the SIDS and Kids website.

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