Baby Care Tutorials

Swaddling

Hands-to-face swaddle

A middle option: arms bent with hands resting on the upper chest, contained but able to reach the mouth for self-soothing.

Watch: Hands-to-face swaddleUniversity Medical Center newborn education library · J. Alvarez, RN, IBCLC
Step 1 of 4 · Front view

Hands on chest

Illustrated frame placeholder

Elbows bent, hands below the chin.

Transcript and media source

Full transcript available. Placeholder media for the prototype; production media is sourced only from hospitals, university medical centers, government health agencies, professional medical organizations and certified lactation professionals.

Reviewing clinician: R. Okafor, MSN, RN · Reviewed 2026-05-14 · Captions available

Supplies needed

  • ·Square swaddle blanket

Safety warnings

  • Stop swaddling when the baby shows signs of attempting to roll, and always place a swaddled baby on their back on a firm, flat sleep surface without loose bedding. Weighted swaddles and weighted sleep sacks are not recommended.

Step by step

  1. 1Diamond, top corner folded down, shoulders below the fold.
  2. 2Bend both elbows so the hands rest on the upper chest, just below the chin.
  3. 3Wrap the first side across the forearms and tuck under the body.
  4. 4Fold the bottom up loosely for hip movement.
  5. 5Wrap the second side across and tuck securely.
  6. 6Check that the top edge sits below the chin and cannot ride up.

Common mistakes

  • Top edge too high near the mouth
  • Hands trapped so tightly they cannot reach the mouth

How do I know I am doing this correctly?

  • Baby can bring hands to the mouth
  • Chest two-finger check passes

Interactive safety check

0 of 7 confirmed. Do not leave the baby until every item is checked.

When to stop and seek help

  • · Rolling attempts
  • · Overheating

This app provides education and decision support. It cannot rule out a medical emergency.

Finish this tutorial

How confident do you feel doing this on your own?

Need supervisionFully confident

Clinical review

Author
Partnered Postpartum clinical content team
Reviewer
R. Okafor, MSN, RN · Registered Nurse
Reviewed
2026-05-14
Next review
2027-05-14
Version
1.2
Applies to
United States and Canada

Evidence sources

  • · American Academy of Pediatrics, Caring for Your Baby and Young Child
  • · AWHONN postpartum and newborn care standards
  • · NHS newborn care guidance
Version history
  • · 1.0 initial publication
  • · 1.1 cord-care wording aligned to AAP
  • · 1.2 added safety-check steps

This app provides education and decision support. It cannot rule out a medical emergency.

This app provides education and decision support. It cannot rule out a medical emergency.