Bundling Babies Safely in Winter

While the winter season can bring a lot of magic for kids, it also raises important questions about keeping infants safe and warm. Amy Silverio, DO, a pediatrician at Lurie Children’s Primary Care: Chicago Area Pediatrics, shares key insights on how to bundle babies effectively during the cold months.

Layering and Temperature Regulation

Dressing babies appropriately for winter starts with understanding the concept of layering. A simple rule of thumb is to dress your baby in one extra layer than what you’d wear. For example, if you are wearing a coat, your infant might need a coat along with a blanket. This method ensures they stay warm without overheating.

Layering offers flexibility to adjust to temperature changes, especially when transitioning from outdoors to indoors. Thin layers are particularly effective because they trap heat and can be added or removed as needed. Parents should keep an eye on signs that their baby might be too hot, such as sweating or a hot chest. Conversely, cold hands and feet might indicate the need for an additional layer.

Bedtime Warmth and Safety

Keeping a baby warm while ensuring safe sleep practices is especially important during winter. If your home’s temperature falls below 75°F, consider dressing your baby in multiple layers. A suggested combination includes an undershirt and diaper, followed by pajamas or a dressing gown, and finally a receiving blanket. For added warmth, a wearable blanket or sleep sack can be used.

It is crucial to avoid loose blankets in the crib, as they can pose suffocation hazards. Instead, opt for one-piece sleepers with footies or wearable blankets. These provide warmth without the risks associated with traditional bedding. Hats should also be avoided during sleep to prevent overheating or accidental covering of the baby’s face, which could lead to suffocation.

Car Seat Safety and Winter Clothing

Winter coats and snowsuits, while seemingly practical, are not safe for car seat use. The padding in these garments can compress in a crash, creating space between the baby and the harness that could compromise safety. Instead, try these alternatives:

• Keep the car seat’s carrier indoors to maintain a warm temperature before placing your baby inside.
• Dress your baby in thin layers and secure the harness straps snugly against their chest.
• Add warmth by draping a blanket or the coat over the harness straps. You can also put the coat on your baby backward after they are strapped in.
• Use hats, mittens, socks, and booties to keep extremities warm without interfering with car seat safety.

Remember to leave your baby’s face uncovered to ensure proper airflow and reduce the risk of suffocation.

Head and Extremities

A significant portion of body heat is lost through the head and extremities, making hats and booties essential for outdoor outings. However, hats should not be used indoors or at night. Babies are adept at regulating their temperature, and wearing a hat while sleeping can lead to overheating, which increases the risk of sudden infant death syndrome (SIDS).

When selecting winter accessories, prioritize comfort and functionality. Keep extra hats, mittens, and booties handy during outings. If any of these items get wet, replace them promptly to avoid exposing your baby to cold, damp conditions.

Common Winter Dressing Mistakes

One of the most common mistakes parents make is over-bundling. While it may seem protective, too many layers can cause your baby to overheat. Watch for signs like sweating or flushed skin, which indicate it’s time to remove a layer. On the other hand, if your baby’s hands or feet feel cold, consider adding an extra layer.

Another common error is covering a baby’s face with a blanket or hood. This can trap air and increase the risk of suffocation. Instead, ensure your baby’s face remains uncovered at all times, whether in a stroller, car seat, or crib.

Winter Outings

Preparing for winter outings with a baby requires thoughtful planning. Ensure your baby is dressed appropriately for the temperature and check their comfort regularly. Carry extra clothing, such as hats and mittens, in case items get wet or conditions change. Finally, when indoors, remove extra layers promptly to prevent overheating.

With these tips, parents can navigate the colder months with confidence.

Learn more about Lurie Children's primary care services here.