Kelly and all, 



I forgot to mention that I also wrote two blog posts about swaddling at: 



http://www.nancymohrbacher.com/blog/2010/12/3/rethinking-swaddling.html 

http://www.nancymohrbacher.com/blog/2010/12/22/responses-to-rethinking-swaddling.html 



As you will see from the second post, this topic really raises some people's blood pressure! 



Nancy 


I examined the literature on swaddling for Breastfeeding Answers Made 
Simple (see pp. 69-70).  I also wrote an article, "Rethinking 
Swaddling," which was published in September in the International 
Journal of Childbirth Education and cites the studies that found 
swaddled newborns have lower body temperatures than newborns kept S2S 
and swaddling results in less effective suckling and later establishment 
of breastfeeding.  It is the lead article at the following link: 
http://www.icea.org/sites/default/files/09-10%20%28Reduced%29.pdf 

Regarding S2S and thermoregulation at birth, see also: Galligan, M.   
(2006) Proposed guidelines for skin-to-skin treatment of neonatal 
hypothermia.  MCN 31(5):298-304. 

The following study also found skin-to-skin contact more effective at 
regulating body temperature in preterm babies than incubators:  Bergman, 
N, et al.  (2004).  Randomized controlled trial of skin-to-skin contact 
from birth versus conventional incubator for physiological stabilization 
in 1200- to 2199-gram newborns.  Acta Paediatrica, 93(6), 779-785. 

Warm regards, 

Nancy Mohrbacher, IBCLC, FILCA 
Lactation Consultant, Ameda Breastfeeding Products 

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