Looking for something?

Find it in our extensive resource library!

Smart Filters

  • Reset
  • Services

  • Who it's for

  • What it’s about

  • Format

View: 92

Download: 0

The Pavlik harness

Why does my baby need to wear a harness?

Your baby has been diagnosed with hip dysplasia, which means that your baby’s hip is either underdeveloped, unstable or can be relocated from a dislocated position. This is a relatively common condition, occurring in 4 in 1000 babies. It is more frequently seen in girls, breech presentations, in those with a family history of hip dysplasia, in larger babies and in first born children. The harness is used to stabilise your baby’s hip.

How does the harness work?

The hip is a ball-and-socket joint. The harness holds the hip in a reduced position that allows the head of the femur (ball) to mould the acetabulum (cup), deepening it and resulting in a stable hip.

Illustration of baby in a Pavlik harness where their feet are held in place with a chest strap

Can I remove the harness to have my baby weighed?

No, the harness should not be removed. It is important that the harness is only applied by an experienced clinician. If your baby is needing to be weighed, remove clothing and nappy but keep the harness on. The weight of the harness can then be removed.

Your child’s harness weighs: 80, 110, or 125 grams.

How do I use the harness?

The Pavlik harness will be applied in a one stop clinic after the ultrasound scan and necessary adjustments made to the shoulder and leg straps to hold the hips in the best position for proper hip development. The harness must remain on the baby for 24 hours a day to achieve the best results.

You should not remove the harness to clean or bath your child.

The harness is designed to allow your child’s nappy to be changed without having to undo the harness. It is important to keep the hip or knee creases clean and dry at all times. If they appear red or sore apply some Sudocrem at each nappy change. Please let us know if the redness hasn’t passed within 2 days.

When will I be reviewed next?

Your child will be seen every 2 weeks for a brace change. At this appointment there may be an opportunity to wash your baby. Please bring your own items to be used for cleaning or drying. Your baby will usually be scanned at 2 weekly intervals until the hip is stable, which usually is in 2 weeks, and then maintained for a further 4 weeks, when you will also see the orthotist to have the harness changed. It is the consultant’s decision as to when the harness has been successful and can be removed.

What about clothing or using slings while in brace?

Loose clothing should be worn over the brace that don’t affect the positioning in brace such as babygrows, vests or dresses. Slings are fine to use that support the weight of the legs and keep the legs apart, with baby facing towards the wearer.

Is something missing from this resource that you think should be included? Please let us know

Contact us

Disclaimer

Please note this is a generic information sheet relating to care at Sheffield Children’s. The details in this resource may not necessarily reflect treatment at other hospitals. This information is not intended as a substitute for professional medical care. Always follow your healthcare professionals’ instructions. If this resource relates to medicines, please read it alongside the medicine manufacturer’s patient information leaflet. If you have specific questions about how this resource relates to your child, please ask your doctor.

Resource number: ORT6

Resource Type: Article

How useful did you find this resource?*

Orthotic Department: 0114 271 7271

Monday to Friday: 8.30am to 4.30pm

Email: scn-tr.orthotics@nhs.net

NHS

Western Bank
Sheffield
S10 2TH

United Kingdom

Switchboard: 0114 271 7000

Interesting Facts


We’ve got a special MRI scanner just for teddies so children can see what it’s like before they have a scan.

Help to transform our extraordinary hospital into something even better.

Sheffield Children's@SheffChildrens
Meet Nieve! 💙 Nieve is a footballer and recently got a scholarship to go to America and develop her skills. When N… https://t.co/xnjk6zeBCc

As of 6 July 2022 everyone (colleagues, patients and families) must wear a mask. This applies to all spaces across. all sitesMore information on how we are keeping you safe is available here.
+

By continuing to use the site, you agree to the use of cookies. more information

The cookie settings on this website are set to "allow cookies" to give you the best browsing experience possible. If you continue to use this website without changing your cookie settings or you click "Accept" below then you are consenting to this.

Close