Does My Child Need a Pavlik Harness? Step-by-Step Guide for Parents

1) First Days: What Parents Should Know

• The harness must stay on at all times unless your doctor tells you otherwise (including during sleep and diapering).
• Do not adjust the straps yourself. Only the doctor makes adjustments during checkups.
• Keep follow-up appointments: usually every 1–2 weeks with ultrasound if needed.
• Some fussiness in the first 48 hours is normal; most babies adapt quickly.

2) Daily Care at Home

Diapering

• Always put the diaper under the harness straps.
• Do not make it too tight; this can cause friction or leakage.

Clothing

• Use soft, loose-fitting clothes. Avoid tight pants, onesies, or leggings.
• Dress in light layers to prevent overheating and rashes.

Sleeping

• Always place your baby on their back to sleep (safe sleep rule).
• Do not add pillows or supports that may alter the harness position.

Carrying and Holding

• Hold your baby with hips apart and knees bent (“frog position”).
• If using a carrier, choose a wide-seated ergonomic model that supports the M-position.

Car Seat

• Choose a seat with enough space for the legs to stay apart.
• Avoid narrow car seats that force the legs together.

3) Skin Care

• Check daily around the shoulders, chest, behind the knees, and ankles.
• If redness lasts longer than 30 minutes, or if blisters or bad smell occur, call your doctor.
• You may use zinc oxide cream for diaper rash, but never under the straps.
• Clean straps with a damp cloth; do not machine wash or dry.

4) Daily Checklist for Parents

• Harness is in place, straps untouched
• No skin redness or sores
• Diaper under straps, no leakage
• Clothes are soft and loose
• Baby sleeps on the back
• Carrying and car seat allow hip-friendly position

5) When to Call Your Doctor

• Strap came loose, broke, or detached
• Skin blistering, bad smell, persistent redness
• Fever, unusual fussiness, or leg color/temperature difference
• Problems fitting in the car seat

Disclaimer: This guide is for general educational purposes. Always follow your doctor’s instructions for treatment.