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  • With Mayo Clinic emeritus consultant

    Jay L. Hoecker, M.D.

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Question

Baby sling: Is it safe?

Is it safe to hold a baby in a baby sling?

Answer

from Jay L. Hoecker, M.D.

A baby sling — a one-shouldered baby carrier made of soft fabric — can be a safe way to carry a baby, if you follow important safety guidelines. When used incorrectly, however, a baby sling can pose a suffocation hazard to an infant younger than age 4 months.

Babies have weak neck muscles and can't control their heads during the first few months after birth. If the baby sling's fabric presses against a baby's nose and mouth, he or she may not be able to breathe. This can quickly lead to suffocation. In addition, a baby sling can keep a baby in a curled position — bending the chin to the chest. This position can restrict the baby's airways and limit his or her oxygen supply. In turn, this can prevent a baby from being able to cry for help and also poses a risk of suffocation.

A baby is at higher risk of suffocating in a baby sling if he or she:

  • Was born premature or with a low birth weight — less than 5 pounds, 8 ounces (2,500 grams)
  • Is a twin
  • Has breathing problems, such as a cold

If your baby meets one of these conditions, don't use a baby sling until you talk to your baby's doctor.

If you decide to use a baby sling, take steps to reduce the risks. For example:

  • Keep your baby's airway unobstructed. Make sure your baby's face isn't covered by the baby sling and is visible to you at all times.
  • Be careful after breast-feeding. If you breast-feed your baby in a baby sling, make sure you change your baby's position afterward so his or her head is facing up and is clear of the baby sling and your body.
  • Take caution when bending. Bend at the knees, rather than at the waist, if you pick up something while holding your baby in a baby sling. This will help keep your baby settled securely in the sling.
  • Check your baby frequently. Make sure he or she is in a safe position.
  • Keep an eye out for wear and tear. Repair any rips or tears in the sling's seams and fasteners.
  • Check for recalls. Check the Consumer Product Safety Commission's website to make sure the baby sling hasn't been recalled.
Next question
Baby sunscreen: What's recommended?
References
  1. Infant deaths prompt CPSC warning about sling carriers for babies. Consumer Product Safety Commission. http://www.cpsc.gov/CPSCPUB/PREREL/prhtml10/10165.html. Accessed March 26, 2010.
  2. Shelov SP, et al. Caring For Your Baby And Young Child: Birth to Age 5. New York, N.Y.: Bantam; 2009:492.
  3. Goldenberg RL, et al. Low birth weight in the United States. American Journal of Clinical Nutrition. 2007;85:584S.
AN02113 Oct. 15, 2010

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