Should You Swaddle Your Baby's Hands? Pediatrician Advice - Pediatrics

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Should the hands be restrained?


Hello, doctor.
My baby is under three months old.
Should I swaddle their arms to keep them secure? They tend to wake up easily while sleeping and like to put their hands in their mouths, which makes me worried about germs.
However, I feel like they don't like being swaddled.
Could you please give me some advice? Thank you.

Yiling, 20~29 year old female. Ask Date: 2014/09/01

Dr. He Shenglong reply Pediatrics


Hello: It is common for babies to wake up easily from sleep due to noise or light.
It is not recommended to restrain their hands; however, it is acceptable to lightly swaddle them as long as they are not overheated.
Please refer to page 47 of the new Children's Health Handbook for recommendations on infant sleeping positions and sleep environments.
As for babies putting their hands in their mouths, this is quite natural, but it is not ideal.
A good approach to address this is to redirect their attention by playing with them, talking, or singing, which can naturally encourage them to remove their hands from their mouths.
Over time, they will become less accustomed to putting their hands in their mouths.
Thank you for your message!

Reply Date: 2014/09/01

More Info


When it comes to swaddling your baby, particularly regarding whether to keep their hands swaddled or free, there are several factors to consider. Swaddling is a common practice that can help soothe infants by providing a sense of security and comfort. However, it is essential to do it correctly and to understand the implications of swaddling, especially concerning the baby's hands.

For infants under three months, swaddling can be beneficial, as it mimics the snug environment of the womb, which can help reduce the startle reflex that often wakes babies during sleep. However, it is crucial to allow for some flexibility in how you swaddle. Many parents find that swaddling with the arms down can help prevent the baby from startling themselves awake. However, if your baby seems uncomfortable or resists having their hands swaddled, it may be a sign that they prefer to have their hands free.

One of the concerns you mentioned is that your baby likes to put their hands in their mouth. This behavior is entirely normal and is part of their developmental stage, as babies explore their bodies and the world around them through their mouths. While it is understandable to worry about germs and bacteria, it is important to note that babies have a robust immune system, and occasional exposure to germs can actually help strengthen it. Instead of swaddling their hands, consider providing a clean environment for your baby to explore. Regularly wash their hands and the toys they interact with to minimize the risk of germs.

If your baby is waking frequently due to startling, you might try swaddling them with their arms out or using a sleep sack that allows for more freedom of movement. This way, they can still feel secure while having the ability to move their arms. Additionally, you can create a calming bedtime routine that includes gentle rocking, soft music, or white noise to help them settle down for sleep.

In summary, while swaddling can be beneficial for infants, it is essential to pay attention to your baby's cues. If they seem uncomfortable with their hands swaddled, it is perfectly acceptable to leave their arms free. Focus on creating a safe and clean environment for them to explore, and consider alternative soothing methods to help them sleep better. If you have ongoing concerns about your baby's sleep patterns or behaviors, consulting with a pediatrician can provide personalized guidance and reassurance.

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