Requirements for a Suitable Baby Carrier

A suitable baby carrier should be adjustable to the body size of both the adult and the child and enable an ergonomic position as well as an even distribution of weight.

Key Features

• Back panel made of woven wrap fabric – adapts flexibly to the child’s back and provides even support
• Adjustable head or neck support – especially important for newborns and sleeping children
• Continuously or individually adjustable seat width (knee-to-knee) – supports the ergonomic spread-squat position
• Adjustable back panel – height and neck width can be adapted
• Shoulder straps (wrap-tie or full buckle) – support natural spinal curvature and allow flexible adjustment
• Upright carrying position as the default posture
• Multiple carrying options (e.g., front or back carrying)
• Comfort for both child and caregiver – different models should be tested under real conditions

Recommendations for the Child’s Posture

The recommended posture is based on the development of the spine, hips, and motor skills. The goal is safe and healthy support.

Upright Carrying Position

• Recommended from birth
• Supports spinal and hip development
• Reclined positions are not recommended
• Risks include restricted breathing, spinal strain, and poor hip positioning

Direction of Facing

• Child faces the caregiver
• Allows natural spinal curvature
• Supports the spread-squat position
• Reduces sensory overload
• Alternatives: hip or back carrying (with sufficient head control)

Head and Neck Support

• Important for newborns and sleeping children
• Adjustable support recommended
• Airways must remain clear at all times
• Mouth and nose must not be covered
• Support should reach approximately ear level
• Chin must not fall onto the chest

Back Support

• Spine should maintain a natural rounded shape
• Child should sit close to the caregiver’s body
• No sliding downward in the carrier
• No need for manual support
• Back panel should lie flat and evenly support the back
• Rounded position preferred during sleep
• More upright position possible when awake

Symmetrical Position

• Child should be centered in the carrier
• Ensures even weight distribution
• Can be adjusted after placement if necessary

Spread-Squat Position

• Knees should be at hip level
• Supports healthy hip development
• Seat should run knee-to-knee
• Thighs supported, lower legs free

Free Airway Passage

• Mouth and nose must remain uncovered
• Head slightly turned to the side
• Cheek rests against caregiver’s body
• No overextension or chin-to-chest position

Pressure Distribution

• Shoulder straps should normally run under the child’s legs
• For larger children, they may run over the legs if safe
• No pressure points must occur
• Ergonomic sitting position must be maintained