Developmental positioning in Giraffe beds

We try to keep the layers down, and are aware of the recommendations from Giraffe. The developmental positioning/containment trumps the mattress benefits for us, though. So.....

After a layer that covers the mattress, there's a gel pillow for all babies in any incubator-type bed. For the E/VLBW babies, they're large enough that they go from head to sternum.

Then it's the Snugli, with some kind of cloth liner for the inevitable soiling. Snuglis can be a hot commodity, so we protect them.

If they're old enough and stable enough to be prone, we support them with folded, smooth cotton infant t-shirts under their belly. The only part left touching the mattress is their lower leg.

We very rarely see skin breakdown from pressure. Also, we don't usually start to consider transitioning the babies to clothes until they're 1700g or so. I dislike blanket swaddling anyone smaller, and won't do so if they have any kind of lines. If I swaddle someone in an incubator, it's for that champion leg bracer who is determined to jump ship.