Babywearing CA Summitt 2016 PDF

2/9/2016
Disclosures
I have no actual or potential conflict of interest in relation
to this presentation.
Presented By:
Ann-Marie J. Christian,
MOM, LLLL, IBCLC
February 4, 2016
I am a Babywearer…Est. 2007
My husband is a
Babywearer…
Ann-Marie Christian, 2013

Copyrighted Materials – DO NOT COPY 1
2/9/2016
Even my daughter is
a “baby” wearer… Objectives…
By the end of this session, learners will be able to:
 Describe the biological connection between babywearing and
breastfeeding
 Identify the 5 main types of baby carriers
 Communicate the benefits of babywearing with an emphasis on

those related to breastfeeding
 Share the safety recommendations for proper babywearing
 Develop connections with and utilize their local babywearing

community for ongoing education for healthcare providers,
mothers, families, and caregivers
History of Babywearing
Today’s Plan…
 History
 Biological Connection
 Benefits
 Types
 Safety
 Our Role
 *Hands-on Demos*
babywearingitup.blogspot.com

2/9/2016
Traditional Examples
Chinese Mei Tai
Hmong Native American Indian Miwok Tribe

Daim Nyias http://www.sanjoaquinhistory.org/
Mexican Rebozo
4 Types of Mammals
What is Babywearing’s Cache
Connection Follow
to Breastfeeding?
Nest
gluten-free-blog.blogspot.com
BIOLOGY
Carry
art.spirithit.com
onlycatsanddogs.com
Flickr.com
Mohrbacher, Breastfeeding Answers Made Simple, 76

2/9/2016
What Type of Mammal Are We? Humans Are

Carry Mammals
Born to Breastfeed
Born to be Worn
• Most immature at birth
• Need to be held next to mom’s

body for warmth, safety, etc.
• Milk lowest in fat & protein
• Fed ‘round the clock (aka. feed

on demand, cluster feeding…)
• Reflexes (Moro, etc.)
• Continuous Contact Mammals
Mohrbacher, Breastfeeding Answers Made Simple, 76
Natural extension
of skin-to-skin
BABYWEARING
BENEFITS
Dr. Nils Bergman: www.kangaroomothercare.com

2/9/2016
Kangaroo Mother Care &

Neonatal Outcomes BABYWEARING BENEFITS
 Increased likelihood of exclusive breastfeeding at  Babies cry less (Hunziker, 1986)

hospital discharge by 50%  In a randomized controlled trial, 99 mother-infant pairs were assigned to an increased carrying or
control group. At the time of peak crying (6 weeks of age), infants who received supplemental
carrying cried and fussed 43% less (1.23 v 2.16 h/d) overall, and 51% less (0.63 v 1.28 hours) during
the evening hours (4 PM to midnight). Similar but smaller decreases occurred at 4, 8, and 12
 At 1-4 month follow-up, increased likelihood of weeks of age. Decreased crying and fussing were associated with increased contentment and
feeding frequency but no change in feeding duration or sleep. We conclude that supplemental
exclusive breastfeeding by 39% carrying modifies "normal" crying by reducing the duration and altering the typical pattern of
crying and fussing in the first 3 months of life. The relative lack of carrying in our society may
predispose to crying and colic in normal infants.
 Continues bonding & attachment (Sears, 2003)
 Improves cognitive development (Sears, 2003)

Boundy, Ellen O, et al., “Kangaroo Mother Care and Neonatal Outcomes: A Meta-analysis”. Pediatrics, Volume 137, Issue 1, January 2016
Stroller View
Which View Do You Prefer?

2/9/2016
BABYWEARING BENEFITS
 Protect infant’s health
 Helps avoid flat head syndrome
(Littlefield T.R., et. al., 2003)
 Helps develop head & neck

control
Mommybunch.com
• Safety & Security

 Snuggled in close & always in
sight
Carry View
Especially Helpful for Parents with Disabilities
And children with

special needs
http://babywearinginternational.org/wp-content/uploads/2015/05/PMAD-Infographic-01.jpg

2/9/2016
Convenience:
Ultimate “Hands-Free” Option Some Moms
Can Even Take
 Care for & play with other
children Baby to Work
 Daily Activities
 i.e. household chores,
errands, shopping, using
computer
 Take public transportation

with ease
 Walk through busy mall, store,

airport
 Get outdoors/exercise
 Breastfeeding on the go http://www.dailymail.co.uk/
news/article-1314283/Licia-
Ronzulli-brings-baby-EU-
Parliament.html
Dads, Grandparents, Siblings, and Caregivers too!
TYPES
What’s the BEST?

2/9/2016
Whatever Works for Mom & Baby 5 Basic Types:

 Depends on the mom & situation Wraps
*Avoid brand promotion/unpaid advertiser *
Pouch
 Choices are ENDLESS………………………………………..
 Things to consider: Ring Slings

 Age of child
 Purpose
 Cost Mei Tai (“May Tie”)
ALL CARRIERS TAKE PRACTICE!

Soft Structured Carriers (SSC)
WRAPS POUCH
 Fixed adult sizing
•Stretch fabric or
woven  Need good fit –
measure carefully
•One size fits all
•Multiple ways to carry  Compact
•Discreet  Better for 3+ months
breastfeeding
• Example brands:  Ex. Brands: Munchkin
Moby, Baby Pouch, Jelly Bean, Hotslings
Little Frog, Girasol Moby (stretchy)  Hybrid: K’Tan, Fleurville
Woven

2/9/2016
RING SLING (RS)

 Adjustable MEI TEI
 Multiple positions “May Tie”
 “Pop-ability”
 All child stages  Cloth panel with
tie-on straps
 Tail = cover for discreet
breastfeeding, shade  Wear on front,
back, side
 Ex. Brands: Maya Wrap,
Balboa Baby Sling,  Ex. Brands: Mei Tai
Handmade (wrap Baby, BabyHawk,
conversions) Infantino
jumpsac.blogspot.com ellekaydesigns.ca
SOFT What About Leg Support?

STRUCTURED
http://www.megganmamma.com/2013/11/01/why-id-never-put-my-baby-
CARRIERS (SSC)
Example Brands:
Ergo, Tula, Bjorn*, Infantino,
Evenflo, Chicco,
in-a-baby-bjorn-carrier/
www.babyscorner.ca

2/9/2016
Not Recommended Better

Not Recommended Better
Thigh is supported
to the knee joint.
Thigh NOT The forces on the
supported to the hip joint are
knee joint. The minimal because
Baby carriers that force the
resulting forces on the legs are Baby carriers should support the
spread, supported, baby’s legs to stay together may
the hip joint may thigh and allow the legs to spread
contribute to hip and the hip is in a contribute to hip dysplasia.
to keep the hip in a stable
dysplasia. more stable position.
position.
http://www.hipdysplasia.org/Developmental-Dysplasia-Of-The-Hip/Prevention/Baby-Carriers-Seats-and-Other- http://www.hipdysplasia.org/Developmental-Dysplasia-Of-The-Hip/Prevention/Baby-Carriers-Seats-and-Other-
Equipment Equipment
What about baby facing 9 Reasons NOT to Carry Baby

IN or OUT? Facing Out
1. Does not support baby’s legs
2. Difficult to carry – curves away
3. Baby in arched/Hollow back
position = pressure on baby’s spine
4. Undue pressure on groin and may
chaff baby’s inner thighs
5. Overstimulation
6. Lack of head/neck support
7. Temperature regulation difficult
8. Harder to respond to baby’s cues
9. Throw’s off baby’s center of gravity
http://www.bobafamily.com/2011/10/11/nine-reasons-not-to-carry-your-baby-facing-out/

2/9/2016
U.S. Consumer Product Safety
SAFETY Commission (CPSC)
 March 12, 2010: Infant Deaths Prompt CPSC

Warning About Sling Carriers for Babies
 March 24, 2010: Infantino recalls 1 million

SlingRider & Wendy Bellissimo bag-style slings
 14 deaths in 20 years associated with sling-

style carriers
 12 were < 4 months old
 Many were twins in separate slings
& infants with breathing issues http://sleepingbaby.net/safety.php
http://www.cpsc.gov/cpscpub/prerel/prhtml10/10165.html
CPSC Findings &

Recommendations Hazards
 November 19, 2010: CPSC Educates New Parents on  Babies contained entirely
Safe Babywearing within the pouch of a
 This warning is not intended to characterize all slings as sling with their face
being dangerous to babies. CPSC has identified (1)
specific situations that can pose a risk of serious harm to pressed against the
babies, and (2) simple safety tips that we hope the adult’s body, blocking
babywearing community can share with new parents.
their breathing
 Take extra care if baby:  Curled, chin-to-chest

 Infant < 4 mo. old position
 Premature
 Carrying low, at hip
 Low-birthweight
 Cold or respiratory problems *Note: Suffocation can
occur within minutes
www.cpsc.gov http://www.thebabywearer.com/articles/HowTo/Positi
oning.pdf

2/9/2016
Babywearing Safety Recommendations Keep Baby’s Head

 Airway Open “Close Enough
 Baby’s chin off chest to Kiss”
 Upright position (except while breastfeeding)
 High and snug to monitor breathing
 Close enough to kiss
 Body Positioning
 Appropriate support for neck and back
 Knees higher than bottom (squat position)
 Knee to knee support
 Comfort and Confidence

 Practice with spotter, over bed, low to ground
 Learn from Volunteer Babywearing Educator
http://www.dailymail.co.uk/news/article-1314283/Licia-Ronzulli-brings-
baby-EU-Parliament.html#
Refer families to local groups

What is Our Role? and reputable resources…
GOAL = More families babywearing & ALL doing it SAFELY  Facebook Groups
 “Lodi Babywearers”
How can we promote/encourage it?
 “Sacramento Babywearers”
 Talk the Talk & Walk the Walk:  “River City Babywearers”
 Familiarize self with types & safe wearing  “Davis Babywearers”
 Hold classes & involve BWing moms as “teachers”  “Roseville Babywearers”
 www.babywearinginternational.org
 www.thebabywearer.com

2/9/2016
What info can

you provide?
Brochures for parents
Available in multiple
languages
http://babywearinginternational.org
/what-is-babywearing/safety/
What’s What
in Your pictures
waiting are on
room? Your
walls?

2/9/2016
Walking the Walk

What else can you think of?
Get Creative!
WIC Watch Magazine, Summer 2010
Online Resources
References
 Mohrbacher, NV BFC Conference, (20 January 2010)
For More Information 


Mohrbacher, Breastfeeding Answers Made Simple, 76, 158-159
Gross-Loh, Mothering, July-August 2010, 44-57
 Blois, Maria, MD, Babywearing: The Benefits and Beauty of This Ancient Tradition, 2005
 La Leche League International, The Womanly Art of Breastfeeding, 2010
 www.babywearinginternational.com  Boundy, Ellen O, et al., “Kangaroo Mother Care and Neonatal Outcomes: A Meta-analysis”. Pediatrics,
Volume 137, Issue 1, January 2016
 Sears, MD, William, The Baby Book: Everything You Need to Know About Your Baby – From Birth to Age Two,
 www.cpsc.gov 2003
 Sears, MD, William, The Attachment Parenting Book, 2001
 Hunziker, Urs A. and Ronald G. Barr, Increased Carrying Reduces Infant Crying: A Randomized Controlled
 www.thebabywearer.com Study, Montreal: The McGill University-Montreal Children's Hospital Research Institute, 1986
 Lonstein, Joseph S. "Regulation of Anxiety During the Postpartum Period". Frontiers in Neuroendocrinology,
 www.kangaroomothercare.com Volume 28, Issues 2-3, August-September 2007
 Anisfeld, E, Casper, V, Nozyce, M and Cunningham, N. "Does Infant Carrying Promote Attachment? An
Experimental Study of the Effects of Increased Physical Contact on the Development of Attachment.” Child
 www.hipdysplasia.org Development, Vol. 61, No. 5, 1617-1627. Oct. 1990
 Littlefield, T.R., et al., “Car Seats, Infant Carriers, and Swings: Their Role in Deformational Plagiocephaly,”
 www.mothering.com Journal of Prosthetics and Orthotics 15, no. 3 (2003): 102-106
 US Consumer Product Safety Commission, “Infant Deaths Prompt CPSC Warning about Sling Carriers for
Babies,” press release (12 March 2010): www.cpsc.gov/cpscpub/prerel/prhtml10/10165.html
 www.askdrsears.com  Infantino LLL, “Infantino Announces Free Replacement of SlingRider and Wendy Bellissimo Baby Carriers,”
press release (24 March 2010): www.infantino.com/CustomerSupport/SlingRiderStatement.php
 www.llli.org  Hotslings, Maya Wrap, Moby Wrap, Wrapsody, Gypsymama, Together Be, Kangaroo Korner, Taylormade
Slings, Scootababy, Bellala Baby, Catbird Baby, SlingEZee, ZoloWear, HAVA, SlingRings and Sakura Bloom,
“Not All Slings Are Created Equally: Baby Sling & Carrier Manufacturers Speak Out on Baby Sling Safety
Warning,” press release (11 March 2010): www.prweb.com/releases/2010/03/prweb3718984.htm

2/9/2016
A Special Thanks to: BABYWEARING…

Is for Everyone!
The many families who eagerly shared

their personal babywearing photos
with me for this presentation.
DEMO TIME! 
Breakout Groups Gabi Anderson

Stacie Palmtag Robin MacDonald Samantha
1. Wraps Woodruff
2. Ring Slings and Pouch

3. Mei Tai (“May Tie”)
4. Soft Structured Carriers (SSC)
Kamika McGill Ashley Owens Sarah Fogelberg
Kristi Conner


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Ann-Marie Christian, 2013

 Identify the 5 main types of baby carriers

 Communicate the benefits of babywearing with an emphasis on

 Share the safety recommendations for proper babywearing

 Develop connections with and utilize their local babywearing

Ann-Marie Christian, 2013

Chinese Mei Tai

Hmong Native American Indian Miwok Tribe

Mohrbacher, Breastfeeding Answers Made Simple, 76

Ann-Marie Christian, 2013

What Type of Mammal Are We? Humans Are

• Most immature at birth

• Need to be held next to mom’s

• Milk lowest in fat & protein

• Fed ‘round the clock (aka. feed

• Reflexes (Moro, etc.)

• Continuous Contact Mammals

Mohrbacher, Breastfeeding Answers Made Simple, 76

Dr. Nils Bergman: www.kangaroomothercare.com

Ann-Marie Christian, 2013

Kangaroo Mother Care &

 Increased likelihood of exclusive breastfeeding at  Babies cry less (Hunziker, 1986)

 Continues bonding & attachment (Sears, 2003)

 Improves cognitive development (Sears, 2003)

Which View Do You Prefer?

Ann-Marie Christian, 2013

 Helps develop head & neck

• Safety & Security

Especially Helpful for Parents with Disabilities

And children with

Ann-Marie Christian, 2013

 Take public transportation

 Walk through busy mall, store,

Dads, Grandparents, Siblings, and Caregivers too!

Ann-Marie Christian, 2013

Whatever Works for Mom & Baby 5 Basic Types:

 Things to consider: Ring Slings

ALL CARRIERS TAKE PRACTICE!

Ann-Marie Christian, 2013

RING SLING (RS)

SOFT What About Leg Support?

Ann-Marie Christian, 2013

Not Recommended Better

What about baby facing 9 Reasons NOT to Carry Baby

Ann-Marie Christian, 2013

U.S. Consumer Product Safety

SAFETY Commission (CPSC)

 March 12, 2010: Infant Deaths Prompt CPSC

 March 24, 2010: Infantino recalls 1 million

 14 deaths in 20 years associated with sling-

CPSC Findings &

 Take extra care if baby:  Curled, chin-to-chest

Ann-Marie Christian, 2013

Babywearing Safety Recommendations Keep Baby’s Head

 Comfort and Confidence

Refer families to local groups

Ann-Marie Christian, 2013

What info can

Ann-Marie Christian, 2013

Walking the Walk

WIC Watch Magazine, Summer 2010

For More Information 