Background: Little is known about what counseling parents receive regarding safe swaddling practices and what training pediatricians are receiving. The purpose of this study is to determine what education parents of newborns are receiving on swaddling, and what training pediatricians are receiving. Methods: Parents of patients aged 0-12 months who presented to clinic for any evaluation without a diagnosis of hip dysplasia were administered an anonymous online survey. Parents were asked about their experiences and knowledge of risks with swaddling. Pediatricians were also anonymously surveyed about their training and type of counseling they administered on swaddling. Results: 100 parents completed the survey. Mean age of patients was 5.1 months (range 0-12). 42% (42/100) of parents currently swaddled their child at time of clinic visit, while 79% (46/58) swaddled their child at one point. Parents stopped swaddling at a mean age of 2.8 months for the following reasons: child did not like it (57%, 26/46), child outgrew swaddling (33%, 15/46), child started to roll over (4%, 2/46), pediatrician recommended to stop (2%, 1/46). Parents were taught how to swaddle by family/friends (35%), nurses (26%), pediatricians (15%), hospital/pre-natal classes (10%), and internet (3%). 7% reported that no one had taught them how to swaddle. 66% reported that they had not been counseled about any risks to swaddling. 49 pediatricians were surveyed and had a mean of 12.1 years of practice. 63% (30/49) were not educated about safe swaddling practices during their training. 55% (27/49) routinely educated parents about safe swaddling while 82% (22/27) of those who educated parents discuss the risks and benefits of swaddling. Pediatricians recommended parents to stop swaddling at a mean age of 3.9 months. Only 37% of pediatricians were aware of the International Hip Dysplasia Institutes recommendation for healthy hip swaddling. Conclusion: Approximately half of surveyed parents were taught how to swaddle by clinicians or hospital classes, and most had not been counseled about the risks to swaddling. Concurrently, over half of the surveyed pediatricians were not educated about swaddling practices during their training. With a significant amount of education on safe swaddling practices coming from non-medical resources, there is a need for pediatricians to routinely counsel parents on safe swaddling practices including the risks and benefits to swaddling.
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Council on Early Childhood| August 01 2019
Less Than Half of Pediatricians Educate Parents of Newborns on the Risks and Benefits of Swaddling
Joshua Yang, BA;
Goldstein Rachel Y., MD, MPH;
Pediatrics (2019) 144 (2_MeetingAbstract): 59.
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Joshua Yang, Goldstein Rachel Y., Erica Ragen; Less Than Half of Pediatricians Educate Parents of Newborns on the Risks and Benefits of Swaddling. Pediatrics August 2019; 144 (2_MeetingAbstract): 59. 10.1542/peds.144.2MA1.59
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