Discussion paper : the great pram cover-up : a cautionary tale

In the early 20th century, infant care recommendations were vastly different from those of today, with practices such as a daily sunbath for a new baby commonly used by mothers 1,2. More recently, research evidence suggests the practice of deliberately exposing the skin of babies and young children to the sun is dangerous, and may increase the risk of skin cancer in later life 3. To reduce the chances of sun damage to infant skin, the Cancer Council of Australia recommends parents cover strollers and prams with a light cloth to reduce infant sun exposure when outdoors 3. Observations of parents indicate that these recommendations are being taken seriously, with parents covering prams and strollers; however, it has been noted that parents often use a drape when sunlight exposure is not an issue, such as in shopping centres and public places. A particular concern is the practice of 'pegging' heavy blankets around both the front and back of the pram or stroller, reducing adequate ventilation. Much has been written about the quality of air in, and around an infant and the importance of adequate ventilation to help minimise the risk of sudden infant death syndrome (SIDS) 4-7. To date, no detailed studies have been undertaken to establish the quality of air a baby breathes when enclosed in a pram covered by a heavy blanket. Until further evidence is available, it is suggested that health professionals advise parents not to use fabric to drape prams or strollers unless their infants are in direct sunlight, and then to only use light sheets, muslin wraps or commercially available net covers designed to fit strollers and prams.