What do babies wear under swaddle in hospital?

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What do babies wear under swaddle in hospital?

As a new parent or soon-to-be parent, you have probably wondered, “what do babies wear under swaddle in hospital?” This question, though simple, can be quite perplexing, especially for first-time parents. Swaddling, an age-old practice of wrapping babies in a blanket or cloth, is known to recreate the cozy feeling of the womb. It helps soothe crying babies and can also aid your baby in sleeping more peacefully. This guide will provide a comprehensive answer to your question, taking into account several factors like room temperature, swaddle material, and your baby’s comfort.

Understanding the Concept of Swaddling

What do babies wear under swaddle in hospital?

Before we delve into what your baby should wear under a swaddle in the hospital, it’s essential to understand what swaddling is. Swaddling is a technique that involves wrapping babies in a blanket or cloth, mimicking the snug feeling of being inside the womb. This comforting method helps calm babies and promotes more peaceful sleep. Hospitals often use receiving blankets for newborns right from birth. As your baby grows, you may choose to use a swaddling blanket, sleep sack, or wearable blanket to provide warmth and comfort.

Factors to Consider When Swaddling Your Baby

When deciding what your baby should wear under a swaddle, certain factors should be considered. These include:

  1. Season: The time of year can influence the temperature inside your home, offering the first clue on how to dress your baby under their swaddle.
  2. Room Temperature and Humidity: The ideal room temperature for a baby is between 68 and 70℉ (20 to 22.2℃). Humidity should also be kept under control, ideally between 30 and 50%.
  3. TOG Ratings: TOG (Thermal Overall Grade) ratings measure the thermal insulation of a material. The higher the TOG rating, the warmer the fabric.
  4. Swaddle Material/Fabric: Swaddles are usually made from breathable cotton or muslin, which is perfect for keeping your baby cool and avoiding overheating. In the winter, a thicker micro-fleece swaddle might be preferred.
  5. Baby’s Comfort: Watching for your baby’s cues and feeling their skin will help you figure out if they’re too warm or too cold.

What Should Your Baby Wear Under a Swaddle?

What do babies wear under swaddle in hospital?

A general rule is that your baby should wear one additional layer compared to you. The swaddle itself is considered a layer. The clothing choice, however, should be determined by the room temperature, the swaddle material, and how your baby feels. Here’s a handy chart to help you make the decision:

  • Over 75°F / Over 24°C (TOG 0.2): Dress your baby in a short sleeve onesie, or just a diaper.
  • Between 68-75°F / 20-24°C (TOG 1): Dress your baby in a long sleeve pajama or a short sleeve onesie/vest.
  • Between 61-68°F / 16-20°C (TOG 2.5): Dress your baby in a short sleeve onesie/vest and long sleeve pajama.
  • Less than 61°F / Less than 16°C (TOG 3.5): Dress your baby in a short sleeve onesie/vest and long sleeve pajama.

Signals That Indicate Your Baby’s Comfort Level

While the above guides are helpful, all babies are unique. Responding to signs that your baby is too hot or too cold is the most reliable way of ensuring your baby can sleep comfortably.

Signs That Your Baby Is Too Hot

Your baby may be too hot if you notice:

  • Flushed skin and cheeks
  • Fussy or restless behavior
  • Sweating, which you may feel around their neck
  • Rapid heartbeat

Signs That Your Baby Is Too Cold

Your baby may be too cold if you notice:

  • Pale skin
  • Fussy or restless behavior
  • Baby is cold to touch
  • Frequent sneezing

Best Practices for Swaddling Your Baby

For maximum comfort and safety, follow these best practices:

  • Frequent Medical Checks: Remember that doctors and nurses will frequently check your baby’s weight and perform other assessments, requiring them to remove your baby’s clothes. Keeping your baby minimally dressed makes these checks easier.
  • Easy Diaper Changes: Your baby will go through a lot of diapers in the first few days, making pants-free outfits more convenient for easier diaper changes.
  • Maximized Skin-to-Skin Contact: Skin-to-skin contact is a great bonding activity for you and your baby. It helps regulate their body temperature and heart rate, plus it’s just really calming and wonderful for both of you.
  • Umbilical Cord Care: In the first few days, while your baby’s umbilical cord is still healing and falling off, it’s important to let it air dry as much as possible. Dressing your baby minimally helps with this and prevents unnecessary irritation.

Final Thoughts on What a Baby Should Wear Under a Swaddle

When it comes to what a baby should wear underneath a swaddle, remember to check the TOG rating, consider the climate, and check the temperature in the baby’s sleep space. Trust your parental instincts, consider all the factors listed above, and if you’re still unsure, consult with your pediatrician. Chances are you’ll get the hang of things in no time!

Remember, the safety and comfort of your little one is the topmost priority. So, while choosing the clothing under the swaddle, always be conscious of your baby’s comfort and the environmental factors influencing it. This comprehensive guide should provide you with all the information you need to confidently answer the question, “What do babies wear under a swaddle in hospital?.


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My name is Catherine. I'm a Mom and one of the avid writers working on HerScoop!