Published online May 1, 2008
PEDIATRICS Vol. 121 No. 5 May 2008, pp. 1075-1076 (doi:10.1542/peds.2008-0299)
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LETTER TO THE EDITOR

Safe Swaddling and Healthy Hips: Don't Toss the Baby out With the Bathwater

Harvey Neil Karp, MD
Department of Pediatrics,
UCLA School of Medicine,
Los Angeles, CA 90025

The first 20% of the full text of this article appears below.

To the Editor.—

Swaddling has made a comeback over the past several years, thanks in part to its popularization in modern parenting guides.1–3

In their commentary on this ancient practice, Mahan and Kasser4 succinctly summarized numerous reports that associated swaddling with developmental dysplasia of the hip (DDH). They noted, however, that it is unclear whether DDH is promoted by all forms of swaddling or only with "traditional" infant-wrapping techniques practiced by certain ethnic groups. This possibility was also raised in a recent systematic review of swaddling,5 and this distinction . . . [Full Text of this Article]