Borchardt Consulting

Posts Tagged ‘Childcare

Newborn babies have been swaddled from birth since ancient times but in the last several years swaddling has become somewhat controversial.  

Let’s look at the positive reasons for swaddling.

  1. Many babies take comfort in being swaddled. Swaddling is an effective technique to help calm infants.
  2. Swaddling helps baby to successfully back sleep by decreasing startling.
  3. It has been suggested (though no research proves it) that  swaddling will delay the back sleeping baby from rolling to tummy.
  4. Swaddling increases baby’s time sleeping.

The negative of swaddling are:

  1. Swaddling incorrectly can cause hip dislocation;
  2. Too tight swaddling can inhibit baby’s ability to expand his lungs;
  3. Risk for SIDS increases significantly for infants swaddled and placed on their tummies. Swaddled infants that are placed on their backs but roll to their tummies are also at greater risk for SIDS.
  4. Swaddling can increase baby’s body temperature causing overheating especially if baby’s head is also covered. Overheating can be avoided by adjusting the clothing underneath as well as avoiding covering baby’s head.
  5. Swaddling decreases baby’s spontaneous waking. While this sounds like a positive, it’s a serious concern with regards to SIDS.

Many cultures and hospital newborn nurseries have traditionally used swaddling as a strategy to soothe infants.  Some experts suggest that if swaddling helps babies get to sleep, parents and childcare providers won’t be so frustrated that they put baby on his or her tummy to sleep.   

Swaddle Arms In or Out

A Halo® Sleep Sack with swaddler is recommended since using a blanket to swaddle baby can result in a loose blanket in the crib.  Halo® Sleep Sacks are sleeveless wearable blankets with an attached “cape” that swaddles baby between shoulders and hips.  This negates the concern for hip dislocation by leaving babies legs free to kick.

Pediatricians generally agree that some babies can benefit from swaddling during the first 6 weeks of life.  For swaddling an infant longer than 6 weeks, talk with your pediatrician.  In Illinois, childcare providers are forbidden to swaddle infants without a doctor’s order.

Ultimately, it’s up to the parents to determine if swaddling is an effective sleep strategy for their baby.  If swaddling, do it consistently and be sure to place baby on his or her back, in a safe crib with no bumpers, pillows or quilts in the crib.

What do you think?  Do you plan to swaddle your baby?

The St. Louis Post Dispatch is putting through a series of articles about childcare in Missouri and the lax requirements that they have in that state. They and others are working to improve the childcare licensing. Author Nancy Cambia has done extensie research for her articles and has found that in sates with stricter childcare licensing standards and oversight, fewer babies die.

Licensed childcare providers are required to have continuing education hours in order to maintain their licenses. That means they stay current on the latest safety information. It also means that there is a limited number of children in each age category that one provider can care for. All that means that your children are safer in that providers care.

To read more from Nancy Cambria’s series of articles, click:
http://www.stltoday.com/news/special-reports/daycares/

Infant’s Death Spurs Childcare Training

I am thillled at the article that the Chicago Tribune wrote on the new childcare education law.  Many people worked hard to get this bill passed.  Thanks to Rep. Emily McAsey for being the catalsyt.

Great organizations like the Consumer Product Safety Commission, KIDS in Danger, and the Illinois Attorney General’s office have joined together to get stricter standards.  Kids In Danger has written an excellent blog to bring childcare providers up to date on the lates crib standards.  In Illinois, drop-sided cribs cannot be sold to consumers in any store.  Parents are being advised to consider an “immobilizer” for their existing cribs.  Watch the video at the CPSC.gov website for information on checking your drop-side cribs.

Childcare providers have a slightly different standard.  Childcare providers will be required to replace any drop-side cribs that they are currently using with non-drop-side cribs by December 2012.  Read on…..

Kids In Danger: Alert to Child Care Providers: Information on new crib requirements.


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