1/1/10

Baby Carriers Really Are Safe


          {This is an essay that I wrote on the safety of Babywearing a while ago.}

           If you are a new or expecting parent and are browsing the market for baby carriers there are a few things you need to know.  You should be advised on how to use your carrier safely and effectively.  Becoming educated about proper babywearing techniques will assist in the healthy development of your baby.  In spite of recent concerns about safety, babywearing is safe and ideal for you and your baby.
On March 12, 2010 the Consumer Product Safety Commission (CPSC) released a prompt warning about sling and pouch style baby carriers causing infant deaths.  Major recalls were instantly made and many small companies who produce such carriers took a big hit financially.  Ever since this awakening the government of the United States of America has been trying to pass laws on what they consider a “safe” carrier.
There are many carriers on the market today that encourage healthy development in babies and are ergonomically beneficial to the caregiver.  The different styles include pouches, slings, wraps, mei tais, and soft-structure carriers.  They all differ uniquely and require a small bit of education to use properly, especially pouches and slings.  The CPSC scare has mainly been directed toward pouches and slings, and they are considering taking all carriers of these two styles completely off of the U.S. market.  A community of avid parents is up in arms against this recent activity they call themselves Babywearing International.   Babywearing International is a nonprofit organization whose mission is to promote babywearing as a universally accepted practice, with benefits for both child and caregiver, through education and support. 
The U.S. is currently in the process of rediscovering the ancient traditions of babywearing.  “Biologists are beginning to believe that humans are classified as belonging to the carried type of young, in contrast to mammals that leave their child in a hidden place” (Kirkilionis qtd. in Schön).  The anatomical shape of the infant’s spine and pelvis does not support upright walking, but rather is ideal for “clinging” to a caregiver.  “It should be noted that adduction (movement of a limb away from the midline of the body) of 35°-40°, and flexion (bending of a limb) of 90°-120° is considered an ideal position for the optimal development of an infant’s hip joints.  An increased incident of hip dysplasia has been observed in cultures where infants’ legs are kept in an unphysiological position of extension and adduction for extended periods of time.”  Hip dysplasia occurs when the hip joint is dislocated for an extended period of time and a new socket forms, causing the joint to be displaced.  Regine A. Schön, of the University of Helsinki in Florida, was refering to cultures that swaddle their infants forcing the baby’s to keep their legs straight and together.  Schön examined age-old approaches to parenting that have recently been rediscovered in western industrialized societies.  She found that there seems to be a pandemic in the U.S. concerning these developmental disabilities dealing with how caregivers handle babies.
Babywearing techniques can seem very complicated and intimidating, but that should not hinder new parents from learning the proper methods.  Unknowingly parents can put their babies at risk of other developmental disabilities dealing with the baby’s spine.
A baby’s spine is placed in a compromising position in many of today’s popular carriers.  If the carrier positions the infant upright, with the legs hanging down and the bodyweight supported at the base of the spine, it puts undue stress on the spine, which can adversely affect the development of the spinal curves and, in some cases, cause spondylolisthesis (Rochelle L. Casses).
Spondylolisthesis is a condition in which a vertebra, usually in the lower region of the spine, slips forward and onto another vertebra below it.  When a baby wants to see the world in an upright position the carrier should allow the baby to sit cross-legged, so that it’s weight is dispersed evenly throughout the legs and hips, effectively taking pressure off of their immature spine.  If we as a nation become educated about the benefits and proper procedures of babywearing as well as begin wearing all of our infants, then we can effectively make these developmental concerns become extinct.
In spite of some fears about babywearing, parents who are properly educated will find multiple benefits for both the child and themselves.  We as a society are taught not to believe our instinctive knowledge.  We are told that teachers and other learned people know best and if our feelings are contrary with their ideas then we must be wrong.  “We are conditioned to mistrust or utterly disbelieve our feelings”(Liedloff).  We have all been given instincts and should break free from what we are conditioned to believe, listening to what our hearts tell us is right.  When a child is worn in a proper carrier many beneficial things take place; the breathing motions of the parent encourage breathing in the baby, proper positioning of the child reduces chances of spondylolisthesis and hip dysplasia, interaction between parent and baby is increased, and so much more.
Babywearing is defined as the act of carrying your children in personal carriers, the most popular being the sling/pouch style.  Dr. William Sears has been the main contributor of scientific and observational research concerning the benefits of babywearing, and is the person who coined the phrase “babywearing”.  In one of his earlier travels Dr. Sears interviewed two women from Zambia who were wearing their children:
We asked them why women in their culture wear their babies most of the time.  One woman replied, “It makes life easier for the mother.”  The other woman volunteered, “It’s good for the baby.”  These women went on to relate the feelings of “completeness” and “value” that babywearing gave them (281).
These women, without books or studies, have had centuries of tradition that have simply taught them that wearing their children is beneficial to both child and mother.  Another child development researcher, Jean Liedloff, spent two and a half years living amongst the Stone Age Indians in the South American jungle and spoke fondly of their traditions.
Babies of the Yequanna tribe, far from needing peace and quiet to sleep, snoozed blissfully whenever they were tired, while the men, women, or children carried them danced, ran, walked, shouted, or paddled canoes.  Toddlers played together without fighting or arguing, and they obeyed their elders instantly and willingly. 
Liedloff goes on to speak of how “the babies of this tribe almost never cried and did not wave their arms, kick, arch their backs, or flex their hands and feet.”  It was a marvel to her to observe the peaceful nature of these babies and how they are handled.   The way these people handle their young greatly contrasts popular methods that are used in the United States.
In a lot of countries outside of the U.S. babywearing is commonplace and almost expected.  As an example, South American hospitals cannot afford the high-tech equipment that we and other countries have.  Doctors there, wrap premature babies around their mothers in a sling/pouch like style.
To everyone’s amazement the babies thrived as well or even better than the technologically cared-for-babies.  The close proximity to the mother enticed babies to feed frequently.  Mother’s warmth kept the babies warm; the movement calmed the baby, enabling the baby to divert energy from crying to growing.  Mother’s breathing movements stimulated baby’s breathing, so that these babies had fewer stop-breathing episodes (William Sears 300-301).
Wearing a premature or high needs baby can resolve many issues for both the baby and parents.  Wearing will also assist in the bonding between baby and mother for children who are adopted at a young age.  For a father to be comfortable wearing his baby can be very beneficial to the mother of a high-needs baby, this will allow mother to relax and be able to do things for her own sanity to avoid a burnout. 
            More benefits are found when fathers partake in wearing their babies.  Dads become shareholder in the family art of babywearing giving dad a feeling of completeness, this feeling is usually associated only with the mother.  Often times it takes a bit of work for the baby to get use to dad, fathers have a different rhythm to their walk, breath, and voice.  Dr. Sears speaking of the father wanting to wear his child says that the two best wearing positions is the “neck nestle, where the head nestles into the curve of your neck” and what he calls the “warm fuzzy, placing baby’s ear over your heart - bare skin to bare skin” (291-293).  Dr. Sears goes on to say that the neck nestle position “has a slight edge over mom.”  Babies not only hear through their ears but through the vibration of their skull bones.  Placing the baby’s head near your voice box, in front of your neck, and humming or singing to your baby slowly will lull the baby right to sleep, because of the easily felt vibrations of the lower-pitched male voice.  In today’s society dads are usually busy working all day and are seldom seen by their children.  By wearing his baby a working dad can more easily make strong bonds earlier on.
With all of the benefits of babywearing why is it that the U.S. has not picked up on the trend?  Instead the nation continues with the detrimental trends of placing infants in walkers or jumpers before their spines are mature enough to accommodate the amount of pressure these devices produce.  Another trend is to leave babies in car seats, swings, and bouncer chairs instead of following parental instincts to hold and comfort the baby.  “In recent years, we have seen a number of infants whose deformities seem to be associated with the extended use of these devices, referring to car seats, cradles, swings, etc.  The cranial distortion that occurs is generally more severe than the more common forms of plagiocephaly” (Timothy R. Littlefield, italics added).  Plagiocephaly is characterized by an asymmetrical distortion of the skull.  Sadly this is becoming very common and can be avoided by simply carrying your child and not leaving them in these devices for extended periods of time. 
There are many fears associated with babywearing, fears mostly based on the unknown.  The more we become educated and aware of the benefits of babywearing the less we will fear.  If we will take the time to learn about what is available and how to properly use the carriers then our future generations will be safer and more secure mentally as well as physically.  If babywearing would once again become a tradition in the American society then future generations would benefit greatly.  Jean Liedloff poses a question, from her observation of the Yequanna tribe, that should stand in the heart of all American parents, “If these cultures, referring to the tribes, have had centuries of tradition teaching them to wear their babies, why the incompetence in our society?”



CPSC. “News from CPSC.” 2010 12-March. U.S. Consumer Product Safety Commission. 2010 11-November <http://www.cpsc.gov/cpscpub/prerel/prhtml10/10165.html>.
Liedloff, Jean. “The Importance of the In-Arms Phase .” 1991 1-January. Continuum Concept. 2010 11-November <http://www.continuum-concept.org/reading/in-arms.html>.
Rochelle L. Casses, D.C. “Infant Carriers and Spinal Stress.” 1996 1-January. Continuum Concept. 2010 11-November <http://www.continuum-concept.org/reading/spinalStress.html>.
Schön, Regine A. “Natural Parenting ― Back to Basics in Infant Care.” 2007 1-May . Evolutionary Psychology. 2010 11-November <http://www.epjournal.net/filestore/ep05102183.pdf>.
Timothy R. Littlefield, et al. “Car Seats, Infant Carriers, and Swings: Their Role in Deformational Plagiocephaly.” 2003 1-January. Plagiocephaly Info. 2010 11-November <http://www.plagiocephaly.info/resources/pdf/jpo2003.pdf>.
William Sears, M.D. The Baby Book. Boston: Little Brown & Co., 2003.

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