Wide swaddling photo step by step

Many parents completely refuse swaddling, which completely or partially restricts the baby’s movements. They are also supported by some pediatricians who believe that keeping a child only in a vest promotes his proper physical development. But in some situations, it is doctors who insist on wide swaddling. This occurs when newborns are diagnosed with hip dysplasia (HJ), a congenital disorder of the formation of the joint, which can cause dislocation or subluxation of the femoral head.

Pathology of mild or moderate severity responds well to conservative treatment. For the correct formation of the hip joint, it is sufficient to use special devices - Freik's pillow, Pavlik's stirrups. And swaddling for hip dysplasia is practiced when it is not possible to carry out full therapy or to treat children at risk.

Main indications

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Therapy is carried out immediately after detection of dysplasia with means that allow the newborn’s legs to be held in a position of flexion and abduction. In the treatment of newborns, exclusively soft elastic structures are used. An alternative to devices is wide swaddling. After it is carried out, the child’s legs are securely fixed in a half-bent position, necessary for the formation of the joint. Swaddling is recommended for children with hip joint immaturity, which is considered a prerequisite for the development of dysplasia, and sometimes its initial stage. It is characterized by:

delayed formation of ossification nuclei;
the presence of too much cartilage tissue in the hip joints.

Wide swaddling of the baby accelerates the maturation of the joint. Fixation of the legs in the position of flexion and abduction is the prevention of subsequent dysplastic coxarthrosis. This position is natural and physiological for a healthy newborn. The baby, who has just been released from diapers, accepts it. If dysplasia has already been diagnosed, then wide swaddling is used as the main method of therapy. It is enough to ensure that the head of the femur takes the correct position in the acetabulum and does not slip out of it during excessively intense movement. Strong and elastic ligaments with tendons are formed in the joint area, reliably stabilizing it.

Orthopedic devices for the treatment and prevention of dysplasia	Characteristics
Freyka's pillow	It is a dense cushion that is located between the child’s legs, fixing them in a physiological position. The device is equipped with a system of durable but elastic fastenings that allows the child to crawl and roll over.
Pavlik stirrups	Chest bandage made of soft fabric with shoulder and knee straps for wearing over clothing made from natural materials. Fixes the legs in the position of abduction of the femoral head

Swaddling methods

One of them, natural, is considered to be a newborn wearing only rompers and light blouses. The diaper is simply placed under the baby, without limiting freedom of movement in any way. Doctors' opinions on natural swaddling differ significantly. Some believe that this contributes to a more correct formation of the musculoskeletal system and strengthening of the ligamentous-tendon system. But many doctors also notice undesirable consequences of not wrapping the child. These include:

problems falling asleep;
impaired tactility;
frequent stressful conditions.

The resulting disturbances are explained by excessive freedom of movement, which causes a feeling of insecurity.

Loose swaddling means wrapping only the lower limbs, leaving the arms free. This method is not used in the treatment of not only dysplasia, but also immaturity of the hip joints. With a sudden movement of the leg, the femoral head can pathologically shift in relation to the acetabulum.

Tight swaddling is still widespread, although pediatricians have long explained to parents its harm and even danger. There have been repeated suggestions about this method of wrapping as the cause of “sudden infant death syndrome.” Tight swaddling provokes:

circulatory disorders;
insufficient oxygen supply to cells;
weakening of the body's defenses;
delays in physical development.

It is also not used in the treatment of dysplasia. In the position of straightened and tightly pressed legs to each other, restoration of the hip joint does not occur.

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Wide swaddling has gained popularity due to the frequent detection of dysplastic changes of varying severity. This does not mean that previously children were less likely to suffer from pathology. Modern diagnostic techniques make it possible to detect dysplasia or immaturity of joints in the first days of a child’s birth when examined by an orthopedist and immediately begin therapy. Wide swaddling is called therapeutic, painlessly correcting pathologies. Pediatricians recommend that parents use it as an auxiliary method of treatment for testicular hydrocele (accumulation of serous fluid) in boys. It is used to normalize muscle tone in weakened children.

Proper wrapping

Difficulties with wide swaddling arise at first due to the lack of necessary skills. Some parents are afraid to tightly wrap the baby's legs, believing that this will cause pain. Such fears are unfounded - the position of the “frog” is physiological. When swaddling, you should adhere to the following doctor's recommendations:

swaddle only on a flat surface, without bulges or depressions. It is best to carry out the procedure on a changing table. Before wrapping the newborn, smooth out the diaper with your hands, otherwise even a small fold can squeeze the delicate baby skin, causing discomfort;
Use only diapers made from natural materials that are highly breathable. This is chintz, calico, thin flannel, knitted fabric. The use of synthetic materials, even of high quality, will lead to increased sweating, the development of diaper rash or diaper dermatitis;
When wrapping the legs, take into account the air temperature. Before going for a walk, it is better to use thick diapers and warm onesies. At room temperature, only diapers are sufficient.

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Source

Thirty years ago, doctors advocated that mothers swaddle their children tightly. At the moment, medical workers are in favor of wide swaddling, but there are opponents to this method.

Whether or not to swaddle a child is a choice for parents.

This method cannot bend the legs and prevent colds, but when there is a medical indication for this, the baby needs to be swaddled. In this article we will consider wide swaddling, which is necessary for hip dysplasia.

Types of swaddling

All mothers encounter swaddling, as it is an important care in the first days of life and has a good effect on the baby’s nervous system. But the child’s individuality should also be taken into account.

There are many ways of swaddling:

closed;
open;
tight;
wide;
swaddling in a blanket;
head swaddling;
swaddling "diaper".

Let's take a closer look at each type.

Closed swaddling is performed using a diaper, a hat and a vest. This way you can go for a walk and feed your baby. If your baby feels uncomfortable during the wrapping process, you should sing songs or talk to him.

Put on a hat and a vest, straighten out all the folds on the back. Spread the diaper into a triangle and place the baby in the center. Throw the diaper on both sides and secure it under your back. The bottom edge should be folded and folded back.

Open swaddling is performed in the same way as closed swaddling. The only difference is that in this case your hands remain free.

Put a sweater on the baby and secure it with a diaper. Swaddling should be done over the diaper, covering the baby's belly and lower back.

How to carry out wide swaddling for hip dysplasia

Thirty years ago, doctors advocated that mothers swaddle their children tightly. At the moment, medical workers are in favor of wide swaddling, but there are opponents to this method.

Whether or not to swaddle a child is a choice for parents.

There are many ways of swaddling:

closed;
open;
tight;
wide;
swaddling in a blanket;
head swaddling;
swaddling "diaper".

Let's take a closer look at each type.

Open swaddling is performed in the same way as closed swaddling. The only difference is that in this case your hands remain free.

Put a sweater on the baby and secure it with a diaper. Swaddling should be done over the diaper, covering the baby's belly and lower back.

Open swaddling

Wide swaddling makes the baby's movements relaxed, as he is in his usual position. In this case, you can leave the child's arms or legs free.

The baby lies in the “frog” position. This method is prescribed for hip dysplasia. One diaper will not be enough, so mothers make diaper panties from several layers.

Breeding legs for dysplasia

To swaddle a baby in this way, you need to put him, fully clothed, on a thin blanket and wrap him up, as with closed swaddling. The underside of a thick blanket is needed to cover the legs. Next, you need to wrap the baby up with both sides and tie the blanket with a ribbon on the stomach. The fourth corner will become the hood.

Head swaddling is used in the first days of life. The diaper needs to be straightened and the baby laid across. The head should be positioned below the top edge of the fabric.

Wrap the free edge around the head, bring it behind the arm, wrap it tightly and tuck it behind the other side. You also need to do the same with the second edge. Most often, a second diaper is placed on top of the first one.

The technique is similar to closed.

In the first days of life, the baby is wrapped with his head

https://www.youtube.com/watch?v=J52iwD213CQ

There is also another option for a diaper - with a zipper. The baby will feel like he is in his mother's belly. If there is a need to change the diaper, you need to unzip the bottom.

Dysplasia and wide swaddling

Dysplasia is underdevelopment of the hip joints. According to statistics, it is diagnosed in 5-20% of children. Most often, it affects girls who were lying in their mother’s stomach in a breech position. Incompletely formed joint structures are divided into degrees: 1, 2, 3.

If the doctor notices dysplasia before 6 months, then by one and a half years it goes away (of course, if appropriate measures are taken). Early treatment prevents hip dislocation and subluxation and reduces the risk of complications that require surgery. If diagnosis is late, treatment may be delayed.

Freik's pillow for dysplasia

An effective method for correcting this defect is wide swaddling. Using this method, the legs are placed in the correct position from an anatomical point of view - the “frog pose”.

The head of the joint is fixed in the center of the acetabulum, and it is surrounded by ligaments and does not pop out or move.

If the degree of dysplasia is severe, the doctor prescribes special orthopedic products.

With wide swaddling, the child can see his arms and legs, suck his finger, etc. His motor activity is not limited.

Necessary equipment for wide swaddling

Depending on the choice of swaddling method, you should take:

Cloth diapers. The base is cotton fabric or wool. To secure them to the child, there are special adhesive tapes and buttons. These diapers are sold in pharmacies, and you can also choose the sizes. To do this, you need to know the distance between the knees in the apart position.
Pillow (feather bed) Freyka. This is a special device that differs from a sleeping pillow. Fixing tapes and the main part made of perforated polyurethane - this is its appearance. The pillow is placed between the child's legs and secured around the abdomen with straps. Should be worn only after the recommendation of a doctor.
The cover is an elongated rectangle with ribbons for fastening at the waist. You can do it yourself.

Splints for dysplasia

When choosing a fabric diaper for a wide swaddling method, the following conditions must be observed:

Before swaddling, you need to check how and what the baby is lying on. The surface should be smooth, without bulges. At home, you can use a stand or changing table. If this is not the case, a sofa or bed will do.
When choosing fabrics, you should pay attention to those that will allow air to pass through: chintz, flannel, knitted fabric, calico. The fabric needs to be washed and ironed.
To prevent the baby from overheating or getting too cold, the mother needs to choose the right onesie: warmer for a walk, thinner at home.

If mom decides to purchase a cover or make it herself, then you need to follow the following instructions:

Sew a fabric cover to secure the diaper between the baby's thighs. You can secure it with ties or straps with buttons.
The fabric should be cotton.

How to wrap it correctly?

If the mother has decided on choosing a device for wide swaddling, she needs to decide on the technique. There are several ways of swaddling; you can study them in more detail in a photo or video.

For example, you can wrap your baby with one or two diapers, open or closed.

Having formed the correct position, you can swaddle your hands or leave them open - it all depends on how the child will spend his time next.

If you chose panties for a wide swaddling or diaper, then the technique will be like this:

You should take three diapers: one rectangular, two almost square (80*90 cm). Lay out a rectangular one on the table, and then a second one (first fold it with a scarf, with a large angle down).
The third diaper should lie so that it forms a rectangle (width - 20 cm). It needs to be placed on top of the second one.
Place the baby on the swaddle so that the top edge is at waist level or slightly higher.
The third diaper should be passed between the baby's legs. Wrap the corners of the second diaper around the baby's hips.
The first diaper is needed to wrap the baby's belly tightly. The bottom edge should be folded, fixing the legs in the desired position. The end of the diaper is secured in the fabric folds.

When choosing a cover, the manipulations are similar. You should ask your doctor in detail about the technique of fixing Freik's feather bed. The main thing is to achieve a wide spread of the legs.

The duration of wearing the pillow or cover is at least 12 hours a day. The exact wearing time is determined by the doctor depending on the degree of dysplasia.

If a child has even the slightest signs of dysplasia, you should contact an orthopedist and do not neglect the doctor’s prescriptions. Of course, this procedure is not easy for mother and child, but the effect will pleasantly please everyone.

on the topic

Source: https://momjournal.ru/zdorove-rebenka/detskie-bolezni/pelenanie-shirokoe-pri-displazii-tazobedrennyx-sustavov.html

Dysplasia and wide swaddling

Freik's pillow for dysplasia

An effective method for correcting this defect is wide swaddling. Using this method, the legs are placed in the correct position from an anatomical point of view - the “frog pose”.

The head of the joint is fixed in the center of the acetabulum, and it is surrounded by ligaments and does not pop out or move.

What is wide swaddling?

Wide swaddling is a type of swaddling in which the baby's legs are fixed in a widely spread position. With this swaddling, the legs are bent at the knees and separated by 60-80° (the so-called “frog”), which corresponds to their natural position.

Wide swaddling is used not only for healthy children, but also for children at risk with signs of an immature joint and acts as a treatment procedure for suspected hip dysplasia, low muscle tone, and hydrocele in boys.

This type of swaddling is used from the first days of life until 6 months. In some cases, the doctor may recommend its use before reaching 1 year of age.

Did you know? Hip dysplasia (congenital dislocation of the hip) is diagnosed in newborns in 20% of cases, 80% of which are diagnosed in girls, and in 60% of cases only the left joint is affected.

Necessary equipment for wide swaddling

Depending on the choice of swaddling method, you should take:

Cloth diapers. The base is cotton fabric or wool. To secure them to the child, there are special adhesive tapes and buttons. These diapers are sold in pharmacies, and you can also choose the sizes. To do this, you need to know the distance between the knees in the apart position.
Pillow (feather bed) Freyka. This is a special device that differs from a sleeping pillow. Fixing tapes and the main part made of perforated polyurethane - this is its appearance. The pillow is placed between the child's legs and secured around the abdomen with straps. Should be worn only after the recommendation of a doctor.
The cover is an elongated rectangle with ribbons for fastening at the waist. You can do it yourself.

Splints for dysplasia

When choosing a fabric diaper for a wide swaddling method, the following conditions must be observed:

Before swaddling, you need to check how and what the baby is lying on. The surface should be smooth, without bulges. At home, you can use a stand or changing table. If this is not the case, a sofa or bed will do.
When choosing fabrics, you should pay attention to those that will allow air to pass through: chintz, flannel, knitted fabric, calico. The fabric needs to be washed and ironed.
To prevent the baby from overheating or getting too cold, the mother needs to choose the right onesie: warmer for a walk, thinner at home.

If mom decides to purchase a cover or make it herself, then you need to follow the following instructions:

Sew a fabric cover to secure the diaper between the baby's thighs. You can secure it with ties or straps with buttons.
The fabric should be cotton.

Devices for wide swaddling

Treatment of such a deviation can begin only as prescribed by a doctor. He must examine the baby and conduct a number of examinations and calculate how many days it is necessary to carry out prevention and treatment, as well as how exactly to do this.

There are several devices that can be used to treat dysplasia:

Diaper;
Freud's pillow;
Changing panties;
Changing case.

Diaper

With the diaper method, the baby needs to be placed on three diapers. Each of them must be wrapped around it using a special method.

The first layer is used for the very last stage of swaddling. In order to start swaddling, you need to fold one diaper several times into a rectangle. Then place it between the baby's legs.

The second diaper must be folded into a triangle and wrapped around the baby’s legs.

Place the third one under the child , it will complete the whole process. By wrapping this diaper around the baby's body, you can finish the swaddling. Only the hands are left free, as they may be useful for the baby to perform his small tasks. Swaddling can be considered completed at this stage.

Freyka's pillow

The pillow has the same property as other devices that are used for the treatment and prevention of dysplasia. It is made in the same way as the cover. Its main difference is that it has a hard inner layer, and the cover is an additional way of swaddling.

The Freik pillow is used if the child’s condition is mild and dysplasia is in an early stage of development.

Changing panties

In appearance, they resemble a regular reusable diaper, but are somewhat different from it.

This device can be used when the child reaches one month of age. The main thing is to monitor the baby and his condition. Usually it is comfortable for a child to be in such panties, as they are quite soft and provide a natural position for the baby’s legs.

Wide changing cover

This method is quite interesting. A wide swaddling cover is not only a way to prevent joint dysplasia, but can also be used as a form of clothing . Using special baby carriers, such as ergonomic backpacks or slings, you can carry out good prevention. This method can be very convenient, since by placing the baby in such a carrier, you can easily go for a walk or do some household chores.

A large selection of devices for the prevention of dysplasia makes it possible to choose exactly what is best for your baby. Each of them has its own specific advantages. Swaddling can replace the use of conventional disposable diapers, the Frejka pillow is used when the baby is not yet able to sit, the wide swaddling cover is used as a baby carrier .

Before starting prevention, you need to choose a place for the procedure. In everyday life, a changing table becomes necessary, which can later be replaced with a bed; in addition to carrying out procedures, you can also sleep in it at night.

How to wrap it correctly?

If the mother has decided on choosing a device for wide swaddling, she needs to decide on the technique. There are several ways of swaddling; you can study them in more detail in a photo or video. For example, you can wrap your baby with one or two diapers, open or closed. Having formed the correct position, you can swaddle your hands or leave them open - it all depends on how the child will spend his time next.

If you chose panties for a wide swaddling or diaper, then the technique will be like this:

You should take three diapers: one rectangular, two almost square (80*90 cm). Lay out a rectangular one on the table, and then a second one (first fold it with a scarf, with a large angle down).
The third diaper should lie so that it forms a rectangle (width - 20 cm). It needs to be placed on top of the second one.
Place the baby on the swaddle so that the top edge is at waist level or slightly higher.
The third diaper should be passed between the baby's legs. Wrap the corners of the second diaper around the baby's hips.
The first diaper is needed to wrap the baby's belly tightly. The bottom edge should be folded, fixing the legs in the desired position. The end of the diaper is secured in the fabric folds.

When choosing a cover, the manipulations are similar. You should ask your doctor in detail about the technique of fixing Freik's feather bed. The main thing is to achieve a wide spread of the legs.

Wide swaddling technique

For the correct technique for performing wide swaddling of a newborn, you can first view the steps step by step in pictures without a head.

The technique may involve using one, two or three diapers and depends on several factors:

time of day;
mother’s level of “skill”;
the level of activity of the baby's movements.

Important! The minimum number of diapers will allow the baby to more easily endure the heat in the summer and prevent the occurrence of diaper rash.

Wrapping with one diaper

For beginners, it is better to start wide swaddling by using one diaper. As a rule, this method is used at night, when movements are minimized, or for calm children with inactive movements.

Technique for performing wrapping with one diaper:

the diaper needs to be folded 2 times (in 4 layers);
the resulting top layer must be bent to form a pocket (triangle);
turn the resulting form over to the other side;
the inner side with a right angle must be wrapped 2 times so that the tight strip is placed in the center;
place the child in the center of the resulting product;
wrap the legs with the corresponding corners of the diaper;
Having spread the baby’s legs, thread the remaining tight corner of the diaper and secure its position by putting on the onesie.

Despite its simplicity, the method using one diaper is quite effective in using wide swaddling.

Did you know? Modern devices called “slings” and “kangaroos”, worn in a horizontal position with maximum separation of the legs, are favorable for the child and are allowed for use.

Wrapping with two diapers

Using two diapers to wrap your baby is the most optimal way to use it. It resembles a type of reusable diaper. To complete this you will need two diapers with dimensions 80×120 cm, 80×90 cm.

Wrapping technique:

a diaper measuring 80x120 cm must be folded into 2 layers in the shape of a triangle and laid out with the right angle downward;
put a second diaper on top, folded in 2-3 layers in the shape of a rectangle, it should be placed in the center (it will serve as a cushion);
place the child on diapers and pass a “roller” between the bent and spread legs and place it on the tummy;
wrap the legs with the corresponding corners of the diaper;
insert the right corner of the diaper and secure its position by putting on the sliders.

This method significantly saves family financial expenses on diapers, since it easily allows you to change the roller as it gets dirty.

Did you know? This technique can be partial (up to the middle of the chest) or complete (with fixation of the whole body) and depends, first of all, on the preferences of the new parents.

Wrapping with three diapers

The essence of the method is to wrap the child in each diaper in a certain way. And in order not to disturb the newborn once again, it is better to preview the wide swaddling technique step by step in pictures without hands.

For swaddling, diapers of size 80×120 cm, 80×90 cm and 80 ± 90 cm (any size) are required. Technique:

a diaper measuring 80x120 cm is placed on the changing table in a rectangle, the upper edge of which is bent by 10 cm;
on top of the first in the center lies the next one with a size of 80x90 cm, folded in 2 layers in the shape of a triangle, with the bottom direction of a right angle;
in the center of the second, a roll of a diaper of any size is placed, folded in several layers;
the child is placed in the center of the located layers;
the roller is threaded between the baby’s legs;
the legs are wrapped in the corresponding corners of the middle diaper, and its lower corner rises between the legs;
the remaining sides of the first layer are alternately wrapped around the baby’s chest and abdomen;
the lower part is thrown over the top, and the remaining corners are wrapped around the body.

Important! Before each first use, the diaper must be washed using children's laundry detergents to avoid contact of the child's skin with dyes on the fabric.
This method takes time, however, the correct technique of execution fixes the baby’s legs, but does not restrict movement and allows them to move in a minimal amplitude.

With a clasp

Modern plastic production produces special durable and wear-resistant fasteners for fabrics using clips or Velcro.

The use of such fasteners allows you to reduce the number of diapers used to a minimum. The only difference is that the diaper for use is prepared in a different way. We advise you to find out how to choose an envelope, a thermometer, diapers, a pacifier, a trench collar, a walker, a humidifier, a crib and a mobile for a crib for newborns.

Preparation for use:

a diaper is placed on the changing table with the angles directed up/down and to the sides (in the shape of a diamond);
the side angles are brought towards each other with their location in the center (as in the technique of making a paper airplane);
the upper and lower corners are slightly turned towards the center in order to somewhat compact the product;
a child is placed on the resulting product, between whose legs a lower corner is threaded, which is closed by the side corners;
A fastener is put on the bottom and sides for their final fixation.

The range of colors used in making fasteners is so wide that today it is not only a method of fastening, but also a fashionable addition to baby’s clothes.

Wide diaper swaddling

When choosing wide swaddling for a diaper (diaper), the above-described techniques with one or three diapers are used, but without using a central roller. The functions of the central roller will be performed by the diaper.

Using this method has several features:

areas of contact with the diaper should be treated with special creams to prevent irritation;
the wrapping technique should be weaker to avoid excessive pressure from the diaper on the diaper, and the diaper on the baby’s skin;
It is important for parents to remember that the time they use a diaper should not exceed 6 hours.

Important! The simultaneous use of a diaper and several diapers can affect the heat transfer of a newborn, so constant monitoring for the possible occurrence of diaper rash is necessary.