Do you know that about 1-2 in every 1000 babies have hip dysplasia? That might sound like a small number, but the cause can be as simple as improper swaddling. The good news is that you can prevent this condition with the right swaddling technique.
This is a crucial part of safe swaddling that every parent should know. We'll teach you how to do hip-healthy swaddling. You can trust this information because it comes from medical experts at the International Hip Dysplasia Institute (IHDI).
What is Hip Dysplasia?
A Simple Explanation
Think of your baby's hip as a ball-and-socket joint, similar to your shoulder. In a healthy hip, the ball (femoral head) sits snugly in the socket (acetabulum).
Hip dysplasia occurs when the hip socket is too shallow, preventing the ball from sitting properly. This can lead to dislocation and serious walking problems later in life.

The Link Between Improper Swaddling and Hip Dysplasia
If swaddled incorrectly, your baby’s legs can be held straight and close together forcefully for an extended time. This posture puts unnatural pressure on their hip, hindering the development of the socket. So, the more tightly you swaddle your little one, the higher the risk of hip dysplasia.
The “Frog Position”: The Gold Standard for Healthy Hips
The Natural Position of a Newborn
Did you notice that your baby tends to bend their legs up and outward like a frog when lying on their back? Babies feel most comfortable when their legs are in an M-shaped or frog-leg position. This is because it’s the best posture for hip development.
The Core Principle: Always Allow Movement
The core principle of hip-healthy methods is simple: always allow your baby’s hips to move freely. Your swaddle should never force your baby's legs into an unnatural straight position. To support proper hip development, swaddle your baby with their hips slightly bent and apart. This position, known as hip flexion, also allows their knees to bend slightly.
According to Dr. Charles T. Price of the IHDI, parents shouldn't stretch their baby’s hips too straight to prevent hip dysplasia. This is especially important in the first three months.

A Guide to Hip-Healthy Swaddling
The Upper Body: Snug Enough
Stick to the main purpose of swaddling: Secure a baby’s arms and put gentle pressure on the upper part. This creates a sense of calmness and safety, reducing the Moro reflex (startle reflex).
Some parents worry that swaddling pressure might hurt their baby’s heart or make it difficult to breathe. Because of this, they keep the upper part of the swaddle quite loose.
An improper swaddling can do more harm than good. When a swaddle is too loose, your baby can break free and pull the blanket over their face, creating a dangerous situation. When done correctly, the gentle pressure mimics the comforting feeling of a mother’s womb. This can help your baby sleep longer.
The Lower Body: Roominess is Key
The bottom part of the cocoon should be roomy enough so that your little one can bend and stretch their legs without hassle. After swaddling, make sure you can easily slide your hand inside to check if your little one’s hip and knees can move freely.
If you follow this 5-step swaddling guide, pay more attention when folding the bottom part of the blanket to ensure an ample bottom space.
Tips for Choosing Certified Hip-Healthy Products
Look for Products with Smart Designs
Many modern types of swaddles are now crafted with a hip-healthy design in mind. For example, some swaddle sacks and pods come in a bell-shaped design. The roomy bottom part allows for free movements of the hips and legs. Meanwhile, the smaller upper part provides a snug fit for your baby's upper body.

If you prefer a classic, traditional swaddle blankets are always a great choice! With the right swaddling technique, you can turn a classic blanket into a hip-healthy swaddle in no time. Just make sure you choose one with natural material like our breathable swaddle blanket!
The “Hip-Healthy” Seal of Approval from IHDI
When shopping for swaddles, sleep sacks, or baby carriers, look for products recognized as "hip-healthy" by the IHDI. This certification is your guarantee. Medical professionals evaluated the product and confirmed it meets strict safety standards for healthy hip development.
Smart Swaddling for Healthy Hip
The beauty of hip-healthy swaddling lies in its simplicity: tight on top, loose on the bottom. Respecting your baby's natural "frog leg position" prevents potential hip problems. It also supports their overall comfort and development.
Proper swaddling can help fussy newborns find peace, helping both the baby and parents sleep better and be happier. But once your baby can roll and becomes more active, it’s time to stop. This is a crucial step to reduce the risks of suffocation.
Following these evidence-based guidelines, you can enjoy all the wonderful benefits of swaddling. At the same time, you'll ensure your little one's hips develop perfectly for a lifetime of healthy movement. For more sleep aids and parenting tips, check out SwaddleAn!
Related Blog Posts
The 3 Main Types of Swaddles & Which to Avoid
The Ultimate Swaddling Troubleshooting Guide for New Parents
References
- Hip dysplasia in babies: https://healthify.nz/health-a-z/h/hip-dysplasia-in-babies
- Understanding Hip Dysplasia: https://hipdysplasia.org/infant-child/preventing-hip-dysplasia/