Hi, I'm new to Lactnet, I'm a young pediatrician and mother who has been
completely rethinking everything I learned in residency since I entered the
breastfeeding community. Its interesting how the discussions on Lactnet and
the ABM listserve are often paralell. I find this discussion about swaddling
very interesting. All the hospitals I worked in as a resident and
attending, always swaddled the infant very tight, arms and legs inside, we
would "show" the infant to its mother and then wisk it away to the nursery
where they would invariably give a test feed! I could never wrap the baby as
well as the nurses (they would be anoyed at me after my exams) but, look
newborns naturally want to be flexed not extended ! We all know this. When I
was handed my daughter after her birth, my first instinct was to unwrap her
and see her body! My thoughts on swaddling is that is provides warmth, and
contact or pressure, feeling that they are up against something. I agree,
definitely limits hunger cues of fist in mouth! I think skin to skin free
cuddling works better. When infants are swaddled, if its not too tight,
they often kick it off, because they don't like having their hips and knees
extended (definitely bad for the hip development) then they get cold, they
probably also don't like the feeling of being free in the air, nothing up
against them. I bet that sling wearing and kangaroo care work better in
soothing than swaddling and swinging- any way to do a RTC? Maybe one already
exists, I'll try "kangaroo care and colic" in pubmed. I know with my own
daughter, who was born in the winter, no matter how many blankets she was
swaddled in she was always much colder than when we were breastfeeding with
just a diaper and a tee. Even now if she's not sleeping with me, she has to
be up against something. The problem is, we live in a low touch society. I
am looking at the Professional Breastfeeding Resource Center Membership
pamphlet from LLLI right now and the picture on the cover is a mother
holding a well swaddled infant (can't tell if its breastfeeding or not) just
wanted to ad my thoughts on the discuccion
Amy Kotler MD pediatrician and mother to very avidly BF 19 mo old
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