La pratica della fasciatura nelle cure pediatriche. Evoluzione storica e aspetti etici

In the past, the practice of swaddling infants from the ankles to the shoulders was widespread in many countries with the aim of protecting them, keeping them warm, and restricting their movements to prevent injuries or deformities. However, forced immobilization could have etrimental effects on their health. Beginning in the latter half of the 18th century, critical voices emerged, highlighting the risks associated with this practice. During the 19th century, an active campaign against swaddling gained momentum, though it did not yield immediate results. It was only in the 20th century that this practice was gradually abandoned. In recent decades, however, swaddling has experienced a partial revival, as it has been observed that wrapped or swaddled infants tend to be more easily soothed. To ensure infant safety, it is essential for pediatricians to guide parents in the appropriate use of this traditional practice, providing evidence-based recommendations grounded in the latest systematic reviews and meta-analyses, thereby balancing potential risks and benefits.