Hip-Healthy Babywearing: Expert Advice from Paediatric Physiotherapist Ali Day

When you're preparing for a new baby, there's so much information to take in that it's easy to miss topics like hip health.

Yet healthy hip development plays an important role in your baby's first few years, and the way we hold, carry and position our little ones can all contribute to supporting natural movement and development.

To help us better understand what's important, we spoke with Ali, Paediatric Physiotherapist, mum of two and founder of Little Ones Physiotherapy on the Gold Coast.

With years of experience supporting babies, toddlers and families, Ali is passionate about making child development feel less overwhelming and more empowering for parents.

What Is Hip Dysplasia?

Developmental Dysplasia of the Hip (DDH) occurs when a baby's hip joint doesn't develop as expected.

Sometimes the hip socket is shallower than usual, while in other cases the joint may be unstable or, more rarely, dislocated.

"The good news," says Ali, "is that when identified early, outcomes are typically excellent."

Many babies with DDH show no obvious signs, which is why newborn checks and recommended screening appointments are so important.

Hip Health Isn't About Fear, It's About Awareness

One of the biggest misconceptions Ali sees is that parents feel they should constantly worry about their baby's hips.

"DDH is nobody's fault," she explains. "Most babies develop healthy hips without any issues. Awareness isn't about creating anxiety, it's about helping families know what's normal, what may need a check, and where to seek support if they have questions."

Some known risk factors include:

• Breech birth

• Family history of DDH

• Being female

• Tight positioning in the womb

• First-born babies

If you notice reduced movement in one leg, differences in skin folds, difficulty during nappy changes or changes to your child's walking pattern, it's worth speaking with your healthcare professional.

What Does Hip-Healthy Positioning Mean?

You'll often hear health professionals talk about hip-healthy positioning, but what does that actually mean?

According to Ali, it's simply allowing your baby's hips to rest in their natural position.

"When we look at baby from the front, we want to see their knees slightly higher than their bottom, creating what is often called the 'M' position."

This posture allows the hips to sit comfortably while supporting healthy development.

Just as importantly, babies benefit from plenty of movement throughout the day.

"Free floor play is especially important to support natural development," Ali explains. "It's the overall pattern of healthy movement and positioning that matters."

Choosing a Hip-Healthy Baby Carrier

Babywearing can be a wonderful way to keep your little one close while making everyday life a little easier.

When choosing a carrier, Ali recommends looking for one that:

• Supports baby's thighs from knee to knee

• Allows the hips to sit in a natural "M" position

• Keeps baby close enough to kiss the top of their head

• Provides appropriate support for your baby's age and stage

• Feels comfortable enough for parents to use regularly

"A carrier should support both the baby and the adult wearing it," she says. "Comfort matters because a carrier that's comfortable is far more likely to be used correctly."

Supporting Parents Matters Too

While much of the conversation focuses on babies, Ali is passionate about reminding parents to care for themselves too.

"Parenting is physically demanding," she says. "Feeding, lifting, carrying, settling and playing all place huge demands on the body."

Simple changes like alternating carrying sides, strengthening your body, using supportive babywearing equipment and seeking professional advice when pain persists can all make a significant difference.

"Parents deserve support too."

Why Ali Loves the HipSurfer

As both a paediatric physiotherapist and mum to a toddler, Ali has experienced the HipSurfer firsthand.

One feature she particularly appreciates is how it supports both baby and caregiver.

"For the child, I love that it encourages the natural 'M' position while allowing babies and toddlers to move freely without restrictive straps."

"For parents, it helps redistribute the load rather than relying entirely on your arms, wrists and shoulders."

Ali laughs that it's been especially helpful during the toddler years.

"I have both a HipSurfer and a clingy toddler!"

"I love that there are no straps holding him in, so when he's feeling confident, he can hop down and explore. Then when he needs a cuddle or some reassurance, it's so easy to pick him up again."

Ali's Final Message for Families

If there's one thing Ali hopes every parent remembers, it's this:

"You do not need to be perfect."

"Babies are wonderfully adaptable, and development happens through thousands of small interactions every day."

"Floor play, cuddles, movement, reading books together, trips to the park and simply responding to your baby's needs all support their development."

Her advice is simple:
"Trust your instincts, ask questions when you need to, and remember—you know your child better than anyone else."

Final Thoughts

Healthy hip development isn't about striving for perfection. It's about creating opportunities for your baby to move, grow and explore in a safe and supportive way.

Whether you're choosing a baby carrier, spending time on the floor together or simply enjoying everyday cuddles, small moments add up.

As Ali reminds us, awareness is empowering—not overwhelming.

And when parents feel supported too, everyone benefits.

FAQs

What is Developmental Dysplasia of the Hip (DDH)?
DDH is a condition where a baby's hip joint doesn't develop as expected. Early diagnosis often leads to excellent outcomes.

What is the "M" position in babywearing?
The "M" position is when a baby's knees sit slightly higher than their bottom, supporting healthy hip development.

How do I know if a baby carrier is hip healthy?
Look for a carrier that supports your baby's thighs from knee to knee, encourages the "M" position and keeps your baby close while supporting your own posture.

Why is floor play important for babies?
Floor play allows babies to move freely, strengthen their muscles and support natural motor and hip development.

Why do physiotherapists recommend supportive baby carriers?
A well-designed carrier can help promote healthy positioning for baby while reducing strain on a parent's back, shoulders, wrists and arms, making everyday carrying more comfortable.