Are you allowed to swaddle an infant to help the infant sleep?

• A. You may swaddle and lay the infant down to sleep
• B. You may swaddle but not lay the infant down to sleep
• C. You may not swaddle an infant to sleep
• D. Swaddling is allowed only if the infant is supervised

Answer: (C)

Infant safe sleep practices require keeping the sleep environment free from swaddling that could cover the face or restrict movement. In this context, swaddling a baby for sleep isn’t allowed because it increases the risk of suffocation if the fabric shifts or covers the nose and mouth, and it can prevent the infant from adjusting if they roll onto the stomach. It can also contribute to overheating and hip problems if the wrap is too tight or restricting. Because the goal is to maximize breathing safety and mobility during sleep, the rule is to avoid swaddling at sleep time. Use a wearable blanket or sleep sack if extra warmth is needed, and always place the baby on their back on a firm, flat surface with nothing loose in the crib. If soothing while awake, gentle holding or rocking is appropriate, but not while sleeping.