Baby Care Tutorials

Swaddling

Swaddle sack tutorial

A zip or velcro sack is the most escape-proof option and the easiest at 3 AM. Choose one sized to the baby's weight, and never a weighted one.

Watch: Using a swaddle sack safelyUniversity Medical Center newborn education library · J. Alvarez, RN, IBCLC
Step 1 of 4 · Overhead view

Right size

Illustrated frame placeholder

Weight range on the label, not age.

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

  • ·Correctly sized swaddle sack
  • ·Light sleepwear underneath

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.
  • Do not use weighted swaddles or weighted sleep sacks.
  • Do not size up 'to grow into it'.

Step by step

  1. 1Check the weight range on the label and choose the correct size.
  2. 2Dress the baby in one light layer; the sack counts as a layer.
  3. 3Lay the baby on their back inside the open sack, shoulders at the top seam.
  4. 4Zip from the bottom up so the zipper pull ends away from the chin, or fasten the velcro flaps.
  5. 5Position the arms as the sack allows: down, or up if it is an arms-up design.
  6. 6Check the hip pouch is roomy and the chest allows two fingers.
  7. 7Feel the back of the neck after 20 minutes: warm and dry, not sweaty.

Common mistakes

  • Oversized sack that slips over the face
  • Extra blanket added on top
  • Weighted products

How do I know I am doing this correctly?

  • No slipping when the baby wriggles
  • Neck warm and dry
  • Hips free

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
  • · Sweating, flushed skin or rapid breathing

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.