Are your children’s vaccines up to date?

Set a reminder

Please or to access all these features

Children's health

Mumsnet doesn't verify the qualifications of users. If you have medical concerns, please consult a healthcare professional.

Pavlik Harness advice please

20 replies

ambriel78 · 02/06/2010 13:00

Hi, I'm new to mumsnet, but hoping somebody can offer me some support/advice; and somewhere along the line I can do the same for others.
DD is 13 weeks old, and was put in to a pavlik harness a week ago, and has simply not stopped screaming since. She is either asleep, eating or screaming.
To add to this, she's had a tummy bug (or the stress has played havok with her digestive system) for 4 days, and together it's using every ounce of energy and patience I have (for which I feel totally guilty, as I know it's not her fault, and I know there are plenty of parents who have to deal with much worse).
I'm wondering if this will get better, or have I got 12+ weeks of tears. Also, any advice on general care/keeping her comfortable etc with this harness?
It's breaking my heart to see my normally quite smiley girl like this.
Thanks in advance for any advice offered. x

OP posts:
Are your children’s vaccines up to date?
DrCosyTiger · 02/06/2010 16:09

Hi Ambriel, I sympathise so much, but please don't despair. The first thing is that by catching your DD's problem relatively early, the chances of the harness sorting it out are very high indeed. I know it might not feel like it at the moment, but it is a good thing. Now - the crying. Obviously I can't say for sure, but I suspect that it is related to the tummy ache and not the harness. I would be absolutely astonished if your DD cried for the whole 12 weeks. My DD was put in a pavlik at about the same stage (12 weeks old). She cried for a couple of days but then got completely used to it. I've now spoken to many people who have used the harness and I've not yet come across anyone whose LO did not get used to it within a few days. So hopefully things will settle down for you soon. They are soooo adaptable at that age. If not, I'd be inclined to seek medical advice as it's not normal for the harnes itself to distress a LO that much.

As for tips, I have a few. With clothes, you're lucky that it's summer, as you can use dresses and oversized sleepsuits for your DD. My DD wore the harness over summer too and my biggest problem was stopping it from rubbing in the heat. You may need to put some soft gauze dressings into the points where it's tight on her body (the hospital should be able to give you these). I also found that wind was a bit more of a problem - had to keep DD upright after feeds for longer. Are you breastfeeding? If so, I can't recommend the my brest friend feeding cushion highly enough. Corny name but fantastic product as you can lie DD on it in her harness and just turn her head towards you. Are you allowed to take the harness off and bath your DD? I had to take DD up to the hospital for weekly baths but different areas have different policies.

If there's anything else I can help with at all, please just post again. I know exactly how you're feeling just now. Most babies who use the harness have it put on a bit earlier, but if it helps at all, my DD is proof that a spell starting at 12 weeks can be effective. DD is now 14 months old and just starting to pull herself up to standing, which is lovely to see. The harness sorted her out - it's delayed her development in terms of crawling/walking a bit but nothing serious and she should catch up.

Let us know how you get on anyway and as I say I would get your DD checked out if the screaming lasts much longer as I stress the harness really shouldn't be causing that much trouble.

DrCosyTiger · 02/06/2010 16:30

Oh just had another thought, it might help you to read the thread I posted when my DD was put in - I was a bit hysterical at the time but it does have some good tips in it: www.mumsnet.com/Talk?topicid=childrens_health&threadid=778393-Pavlik-harness-for-hip-displacia-need- advice-and-support#15902682

When you have a moment, it's also worth doing a search for thread titles with "pavlik" in them as quite a few people have posted in the last year or so and there may be tips I've forgotten.

But anyway, just remember I'm happy to help with any advice or questions you still have and will keep my fingers crossed your DD feels better soon.

robino · 02/06/2010 16:49

Hi Ambriel and hi Drcosytiger again.

I would just like to echo what Drcosytiger said. My DD got used to her Pavliks very quickly (although she was a little younger) and I would also be inclined to think it is the tummy ache that is causing your DD to cry.

Can't really add much to what has already been said but, if you haven't already got one, ask for a spare harness - much better to have a spare before your precious one pukes all over the only one you have .

I hope things improve quickly for you and your DD and that the Pavlik does the trick. Am happy to help with any further questions.

ambriel78 · 02/06/2010 20:20

Thank you both so much for taking the time to help. Tummy is settling slightly this evening, so hopefuly we'll start to see a more content baby very soon.
We're not allowed to take it off to bath her, which is lovely with the tummy bug! So having VERY thorough top and tail clean.
I have however fashined some very attractive leg covers, from a pair of my husband old socks to save accidents on the booties at least But I'll ask at her review for a spare one, thanks for suggesting that.

I will be keeping my positive head on, and will speak to the consultant next week if she continues to be in such distress.

Thank you again so much, so nice to see I'm not the only one who's felt like this.

OP posts:
robino · 02/06/2010 23:18

Ambriel - you really aren't the first one to feel like this. It's terrifying at first; people express such horror and sympathy, you're a new parent and freaked out by everything. My DD was in hers for longer than anyone I've heard about (9 months in total) but it worked and seemed so totally normal after a while that it was VERY weird when she came out.

I would suggest that if the tummy bug is settling but DD is not it's worth calling the consultant; don't worry about "being a pain". Our consultant was FAB and saw us at the drop of a hat when DD's hip started to feel "different". Squeezed us in despite a full surgery. Turned out that her hip was clicking because the socket was actually beginning to form. He was so pleased to have caught her young enough to have a good chance of the pavlik working without further intervention that he was willing to check things out if we felt they were odd.

DrCosyTiger · 04/06/2010 07:43

Hi Ambriel, just wondered how you were doing and if your DD was feeling any better yet? And hi again Robino too, we are becoming the pavlik harness veterans!

ambriel78 · 09/06/2010 20:24

Hi, doing a bit better thank you.
She is still getting frustrated occasionally, when she tries to straighten her leg and can't, or when she has tummy pain (I'm guessing) and can't bring her legs up; but she is definitely settling.
Unfortunately she still has a bad tummy, which Docs are investigating, which hasn't helped.
We're seeing the consultant tomorrow for a check up, so hoping things are going well.
I've been inventive with clothes, and made her some sleepsuits, which are great and easy to change, but due to width make her look like MC Hammer!!!
Only thing now is I need to get her into her cot, as moses basket not really ideal, but is the only place she will sleep.
Thanks again for all your advice, and for helping me not lose the plot completely!
xx

OP posts:
DrCosyTiger · 10/06/2010 09:23

Hi Ambriel, glad to hear you're doing a bit better, I'd been looking out for a post from you. Really hope the tummy problems improve, will keep my fingers crossed. When you are back at the hospital it's worth talking to the nurses about it if you can. I found the consultant very good in terms of the mechanics of the hip problem but less knowledgeable in terms of practical tips for coping with the harness. The nurses see a lot of people in your situation and they may have ideas for dealing with the tummy pain. Good luck. That's almost another week past anyway, hopefully not too many more to go.

susiecutiebananas · 11/06/2010 03:32

Hi, My DD was in one too, at 12 wks. We were not allowed to touch it at all, as the adjustments were all made when being scanned so a teeny bit confused about someones suggestion at having a spare ( sorry - no offence meant to that person!)

I bought a load of wrap round vests and was able to get them onto DD under the straps, with mucho fiddling! The physio who was dealing with DD's saw us twice a week in the first 6 weeks then once a week for remainder. She suggested, as will I, that we put a pair of Daddys socks over the feet/harness ( you know what it looks like!) when changing nappies, to stop nasties getting onto harness as she'd be very reluctant to change it for a new one once into treatment.

I washed DD every evening, with cotton wool and put lovely creams on the bits I could, or oils, to massage, just to help her feel lots of nice skin contact. I was br feeding, so had to adjust positions of that too... took practice but was fine in the end!

I made sure she got lots of play stimulation on her back and rolled up a towel under her chest & "helped" her, with tummy play too, so she was getting lots of regular different positioning.

We dressed her in soft jersey shorts ( it was this time of year too) and t shirts. And managed to get the shorts up a bit over her 'stuck together' feet so she didn't look so odd! or, just nappy and a t shirt/the wrap round vest. I used washable nappies so they looked really lovely anyway!

She did get used to not being able to stretch out her legs after a week or two. It was SO distressing, but trust me, I had DDH missed until I was 2 and have had a life time of pain and surgery instead, so would have welcomed a few months of harness. As hard as it is, the alternative is not worth thinking about.

I understand how hard it is, to come to terms with. I felt I lost that part of my tiny girls development, she was already prem, so I felt so robbed, so unfair. You do, somehow get used to it all though, in time, truly

My DD is 3 now and the harness seems to have worked. She still has under developed acetabulems ( socket) but, the think this may be just part of the genetic side of things - clearly passed from me. However, nothing holds her back, and she strangely, still hit all the usual developmental milestones at the expected times, sat almost as soon as it was all taken off, despite not having had the 'practice' times! She pulled herself up, cruised, walked - slightly late, not much though.

It definitely does give them more wind, and this is a documented thing too. ( i'm a nurse and did lots of research, for me, and for her situation) So unfortunately the tummy eing sore does come and go. It does help to 'help' as I said, with some tummy play. They fid it harder to prop themselves up than others of same age without harness as no knees to help! So you do need to help there.

I'll try to think of anything else I can tips etc. BUt, the time does go by faster than you think it will.

One thing I do remember, oddly, was that I knew, and had no problem holding her straight away, just sideways on your hip almost, but if given to anyone else, they seemed to struggle with her for ages til they worked it out! Found that quite odd!

Really really good luck & i'll keep watchign the thread, & as I say, try to think of anything else that helped us.

Sorry if too long & too much to read... lastly, they are great things and the success rate is good. They know fairly early on into the harness being put on, if its not going to work. Sometimes, they do have to be on longer than the 12 weeks they hope for. My DD was in it much longer but it is unusual.

ambriel78 · 12/06/2010 07:43

Well 2 weeks, and 2 days in!
Had check up on Thursday, and consultant seemed happy. Had new harness put on, as she's grown out of the first on already. This one seems to give her a bit more scope to kick out; which is good for her, not for me when changing her!
Poor thing still has diarrhoea (14 days now), said not caused by harness, just unfortunate coincidence, and they're investigating.
had no nurse, but spoke to Orthotics team, who fitted the harness, and they were very honest and practical with advice.

Got a spare one, although have been told to only remove if absolutely necessary, so still no bath (she will smell delightful by the end of this), so continuing with cotton wool baths.

Thanks again to everybody, and I'll keep you updated. xx

OP posts:
susiecutiebananas · 12/06/2010 15:39

Hi

Glad consultant seems happy Thats great. My DD didn't grow out of hers the whole time!

OUr harness was only ever adjusted by the physio and a scan, never without... I guess different areas have different resources. I think we are particularly lucky here. I was never given a spare, despite wanting one, as they'd not have wanted it put back on in wrong position,and some of her adjustments were so tiny and precise! I don't think i'd have wanted to!

I remember at the beginning, being told she could have a bath there, every couple of weeks, but come to think of it, it never actually happened! All that did happen was, we took in lots of cotton wool, some nice smelling soap of some kind, and the physio took the harness off in stages, and I was able to give a good wash in those bits, one area at a time! also,her socks were changed once a week! But using Daddys socks at nappy changing did keep them ok

I ended up really looking forward to the evening routine of athing with cotton wool, then massaging what I could with varying creams or oils. She had so many gorgeous ones bought for her, neals yard oil, all kinds of delicious organic creams and soaps etc... It was a lovely time for bonding.

It reminded me so much last night, she let me give her a lovely massage after her bath with soem nice cream, well, it was more of an all over rub the cream in, in the end!

The time will fly really, however long it ends up heing, it will fly.

We've got an appointment week after next wth consultant as her left hip has started to get really clicky. So i'm a bit worried about that. BUt all along, I have been told that in our case, catching it early as opposed to late, as I was, may not make much difference. We may actually just have a faulty gene where our hips are concerned- so please don't let what i've just said worry you

ambriel78 · 17/06/2010 10:07

3 weeks on today, and you were all right!

She seems far more content, and has certainly settled in to it. She's back to gurgling, smiling & playing, and no longer looks at me like I've totally let her down (or is that my paranoia?).

Susiecutiebananas, hope your appointment with the consultant goes well, and that the left hip turns out to be ok.
It is all very hereditory isn't it. My mum had a hip replacement very young, but was never checked as a baby, so they are now saying that hers could have been the same thing, but not picked up.

Robino & Drcosytiger, you have been such a help, and I really appreciate it.

I'll let you know how 6 week review goes.

Thank you all so much. x

OP posts:
DrCosyTiger · 17/06/2010 13:09

Hi Ambriel that's brilliant! I'm so pleased things are getting better. Honestly the time will fly by now. Keep us in touch. And SusieCutieBananas (great name!) we will keep our fingers crossed for you too. I know what a worry it can be.

ambriel78 · 01/07/2010 21:39

Hi all.
Just been for 5 week review scan, and hoping you can explain what the ultrasound department said (not seeing consultant til next week, so trying to get a heads up)
They said her hip started at 30 degrees, and is now 57 degrees.
Any idea how far through the treatment this would suggest she is, or is this a normal rate??
It sounded good!
Thanks in advance for any info.

OP posts:
Cremecaramel · 01/07/2010 21:50

57 deg is nearly normal (60+ is normal), so she's nearly there. Ask the consultant if you can take the harness off for bathing now.

robino · 01/07/2010 22:00

Can't help with that question Ambriel but am very glad that things are looking up!

In reply to an earlier question; we were allowed to take DD out of her harness for 2 hours a week to bath her. At one point we called to say that it was looking a bit small and were told to do the adjustments ourselves. It sounds like different consultants have very different opinions on it!

herethereandeverywhere · 02/07/2010 00:10

Hi, I've posted on mn before about when my DD was in a pavlik. Glad to hear you've got to 57deg! I thought you might like to know that when my DD got that close, she went up by about 10 degrees in 4 weeks! So you ARE nearly there. DD had hers removed in Feb after 10 weeks and it seems like a lifetime ago now.

FWIW our experience of bathing and adjustments/replacing harness was:
*no baths at all

  • only adjusted at hospital at our fortnightly appointments
  • If we needed a replacement due to a poo disaster (or similar!) we had to go to the hospital for it to be changed.

That first harness-free cuddle can't be far away now. It's lovely to get that close to them again

ambriel78 · 02/07/2010 09:36

Seeing consultant next week, so will ask. Would be nice in this weather to let her have a splash about.
Although wouldn't it be nice if all members of the NHS gave the same advice!
If we have to get to 60+ that's great, as she's moved 27 degrees in 5 weeks, it may come off sonner than we thought.(Will try not to get hopes up too much though)
Cannot wait to get it off and put her in some cute dungarees we were given! As lovely as dresses are, I'm a bit fed up with them.
Also, want to give her a big skin to skin cuddle.
Thanks so much for the information again guys.
Isn't this forum just wonderful?

OP posts:
ambriel78 · 10/07/2010 23:05

Saw doc on Thursday, and she only has to have it on for 2 more weeks YAY!
So 8 weeks in total, which is sooo much better than they predicted.
Thank you to every single person that gave us advice, I cannot say how much I appreciate it.
xx

OP posts:
DrCosyTiger · 11/07/2010 18:40

Hi Ambriel that's fantastic news! So pleased it's worked so quickly. I remember when DD's was taken off - she felt all strange and floppy at first.

New posts on this thread. Refresh page