Wrapped in Love: A Guide to Babywearing

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If you’re a new or expectant parent, you’ve likely come across the concept of babywearing. This practice entails using a carrier, wrap, or sling to keep your baby close to your body, often for several hours each day. Despite the recent surge in colorful wraps and slings in baby stores, babywearing is not a new phenomenon; it has been prevalent in traditional cultures for thousands of years. The American Academy of Pediatrics recommends babywearing as a means to prevent crying and foster closeness and attachment. Contrary to a popular myth, child development experts assert that it’s impossible for parents to hold or respond to a baby too much. Infants require constant attention to provide them with the foundation for emotional, physical, and intellectual growth.

Is Baby Wearing Safe?

The primary worry associated with babywearing is the risk of suffocation, particularly for infants under 4 months old. During the initial months after birth, babies lack strong neck muscles, resulting in limited head control. If a baby’s mouth and nose become obstructed, their ability to breathe is compromised. Maintaining your baby in a curled C position can also pose breathing difficulties.

However, by adhering to the safety guidelines outlined by babywearing experts, known as the “T.I.C.K.S.,” you can safely experience the numerous benefits of babywearing. These guidelines include:

  • T — Tight. The sling or carrier you use should be tight enough to keep your baby close to you. 
  • I —  In view at all times. You should be able to see your baby’s face by glancing down and without having to move the fabric.
  • C —  Close enough to kiss. Your baby’s head should be as close to your chin as possible.
  • K —  Keep chin off chest. You should be able to fit at least a finger between your baby’s chin and chest.
  • S —  Supported back. Your baby’s back should be supported so that they are not slumped or curled into a C shape.

Benefits of Babywearing

Happy Baby and Parent

Research indicates that carried babies cry less, with a minimum of 3 hours of carrying per day shown to reduce crying. During the peak fussiness at around 6 weeks, babies held more cried 43% less during the day and 51% less in the evening. Babywearing benefits parents as well. When babies are in proximity, they cry less. Utilizing a baby carrier or sling enables you to have hands-free mobility while keeping your baby close during daily tasks. However, exercise caution when engaging in activities that could pose risks to your baby, such as eating or drinking something hot, cooking over a hot stove, or excessive bending.

Encourages Breastfeeding

For nursing mothers, keeping their baby close to the chest through babywearing can significantly enhance the convenience of breastfeeding. This proximity fosters an environment that not only simplifies the breastfeeding process but also makes it feel more natural and comfortable. A notable study revealed that women who incorporated babywearing into their routine were twice as likely to continue breastfeeding when their babies reached the age of 5 months compared to those who did not engage in babywearing practices. This suggests that the practice of babywearing contributes positively to the sustained duration of breastfeeding. The physical closeness and accessibility created by babywearing may play a pivotal role in establishing a strong breastfeeding bond between mothers and infants. This study underscores the potential benefits of incorporating babywearing into the breastfeeding experience, encouraging a more prolonged and successful breastfeeding journey for nursing mothers and their babies alike.

Healthy Baby

Studies have demonstrated that skin-to-skin contact is instrumental in promoting the well-being of babies. Kangaroo care, involving holding your baby skin-to-skin against your chest, has been associated with various benefits for infants, including:

  • Enhanced sleep
  • Stabilized heart rate
  • Reduced crying
  • Improved weight gain
  • Prolonged breastfeeding
  • Enhanced breathing patterns
  • Appears to promote language development
  • Elevated oxygen saturation levels, indicating improved oxygen delivery to a baby’s organs and tissues

While kangaroo care can be practiced without babywearing, utilizing a sling or carrier adds a layer of convenience. Babywearing not only allows for the continued provision of these benefits but also makes it more convenient for parents to accomplish tasks and attend to personal needs while keeping their baby in close proximity. The use of a sling or carrier facilitates a seamless integration of kangaroo care into the daily routines of caregivers.

Babywearing also extends benefits to emotional and intellectual growth. Research indicates that the intimate physical contact involved in babywearing fosters attachment and bonding. Parents engaged in babywearing tend to be more responsive to their baby’s needs, with a higher likelihood of mothers breastfeeding.

There is a possibility of orthopedic benefits as well. An analysis of scientific studies revealed that traditional cultures favoring the “M” shape in baby carrying exhibit lower rates of hip dysplasia. Conversely, cultures where babies are positioned with tightly swaddled legs or in cradleboards show higher rates of hip dysplasia. Drawing from this observation, experts posit that babywearing might contribute to improved hip development.

Basics to Know About Using A Baby Carrier

When can you start using a baby carrier?

You can start using a baby carrier from day one. Contrary to the belief that baby carriers are suitable only for infants aged 6 weeks or older, you can actually use a baby carrier right from the day your baby is born, provided they weigh at least seven (7) pounds. Establishing a close connection with parents early on is crucial, and while holding a baby in your arms achieves this, it’s not practical for extended periods. Ensure your baby meets the minimum weight requirement for the carrier to prioritize safety.

How many hours a day should you baby wear?

There is no upper limit. While there are upper limits for car seat use, the same rules don’t apply to babywearing. That’s because, in a car seat, your baby’s airways are at risk of compromise after extended periods because they’re in a slumped position. However, carrying your baby on your chest with their face toward you allows you to monitor them and make sure they are in the correct position at all times.

What are the different carrying positions and when should I use them?

The suitable baby carrying positions depend on your baby’s weight, age, and developmental stage. Always refer to your owner’s manual for specific minimum weight and age requirements. However, as a general guide, the following outlines when you can typically begin using the four different carrying positions based on age:

  • Front inward facing – 0+ months
  • Front outward facing – 4-6+ months (Baby’s neck needs to be strong enough to hold up his head, so this could mean as early as 4 months or not until he’s 6 months old.)
  • Hip carry – 6+ months
  • Back carry – 6+ months

How do you position your baby properly?

For young infants, it is essential to position them facing inward towards you, on the front of your body, close enough for you to kiss the top of their head. Their legs should adopt an “M” or frog shape, with hips and knees bent and hips wide apart, ensuring their stomach and chest are nestled against yours. Providing adequate support for their head, especially for newborns, is crucial, and their chin should not be tucked against their chest. Ensure that your baby’s head and face remain visible at all times, not covered by the carrier or fabric. Carrying your baby on your chest with their face towards you enables constant monitoring, ensuring they maintain the correct position throughout.

How do I feel safe and comfortable while babywearing?

Before attempting to babywear your newborn, take the time to familiarize yourself with your baby carrier. Practice putting it on and taking it off, adjusting it, trying out different positions, read the owner’s manual and even watch some instructional videos if you like. You can use a baby doll or teddy bear for practice too. Even when you feel confident, have someone nearby to assist the first time you use the baby carrier with your baby, keeping one hand supporting your little one. While baby carriers may seem daunting initially, practicing more will enhance your comfort and confidence.

Some do’s and don’ts of baby carrier safety:

  • Do carry your baby in the correct ergonomic position
  • Do secure all fasteners and check fabric for wear and tear daily
  • Do be more cautious and alert
  • Don’t lie down or bend at your waist
  • Don’t use a baby carrier while biking, running, skiing, etc.
  • Don’t drink hot liquids or eat hot foods

What are the different types of baby carriers?

There’s a wide variety of carriers and slings available, and the most suitable choice may depend on your activities and your baby’s age. Some parents opt for different carriers based on daily needs, while others have a versatile one for various situations, from newborn snuggling at home to active outings with a toddler. Regardless of your choice, it’s crucial to read and understand the provided instructions to ensure safe usage. Verify that the carrier securely holds your baby against your body, with sturdy fabric construction. Ensure your baby’s position doesn’t exert stress or strain on your body, particularly if you have pre-existing back problems or other conditions – in such cases, consult your doctor.

Tula offers a Find Your Perfect Carrier Quiz on their website.

Tula is a company that champions the connection between parents and their little ones through inclusive carriers designed to reflect your unique style. Founders Mike and Ula, inspired by their own parenting journey, sought a carrier that could keep up with their adventurous lifestyle. Recognizing the value of babywearing, they envisioned carriers that go beyond mere utility, nurturing the emotional, social, and physical well-being of both parents and babies. Since 2009, Baby Tula has delighted families with functional, ergonomic, and stylish baby carriers, resilient enough to accompany them on all their exciting adventures with kids.

Save 15% with code: THRIVEDOULA15.

References and Additional Reading

Sidharthan S., Kehoe C., Dodwell E (2020). Post-Natal Positioning through Babywearing: What the Orthopaedic Surgeon Needs to Know. JPOSNA, 2(3). https://www.jposna.org/ojs/index.php/jposna/article/view/131.

Little E.E., Legare C.H., Carver L.J. Culture, carrying, and communication: Beliefs and behavior associated with babywearing. Infant Behav Dev. 2019 Nov;57:101320. https://pubmed.ncbi.nlm.nih.gov/31103747.

Anisfield E., Casper V., Nozyce M, Cunningham N. Does Infant Carrying Promote Attachment? An Experimental Study of the Effects of Increased Physical Contact on the Development of Attachment. Child Dev. 1990 Oct; 61(5)1617-27. https://pubmed.ncbi.nlm.nih.gov/2245751.

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Kristin D'Ambrosio

Kristin D’Ambrosio, MA, CPD

wife, mother, and CAPPA certified postpartum doula

Kristin D’Ambrosio, MA, CPD is a wife, mother, and CAPPA certified postpartum doula in the San Francisco Bay Area. Kristin holds a Master of Arts degree in Education, Concentration in Counseling and Student Personnel from San José State University. Kristin is also a board member and involved parent at a Bay Area non-profit co-op preschool, and is a Certified Positive Discipline Parent Educator. Her intuitive, caring nature and a calling to serve new and growing families is what has brought her into birth work. Her approach is trauma aware and non-judgemental.