Why the Shoulder-Replicated Angle™ (SRA™) Is the Safe and Effective Position for Babies with Reflux and Colic

Why the Shoulder-Replicated Angle™ (SRA™) Is the Safe and Effective Position for Babies with Reflux and Colic

By Albani Team

Your arms know best. That’s why we created BabyUp®, to gently mimic the way you hold your baby, upright and safe. Because relief from reflux shouldn’t come at the cost of comfort or connection.

At Albani, our mission is to create truly safe, effective, and science-led solutions for infants and the families who care for them. When it comes to reflux and colic—a daily challenge for many families—there’s a common misconception that simply keeping a baby at a slight incline will relieve symptoms. But decades of clinical guidance and real-world outcomes suggest otherwise.

Not all inclines are created equal!

The Risk of Inclined Sleepers and Wedges

In 2019, millions of inclined sleeper products were recalled following associations with infant deaths. The American Academy of Paediatrics (AAP) and other leading bodies issued urgent warnings about these devices, many of which had been marketed as solutions for reflux or soothing sleep.

Why the concern? Because semi-inclined positions—like those found in car seats or cushioned wedges—can place babies in a posture where their legs are elevated toward the abdomen, compressing the stomach and potentially worsening reflux. These positions can also be unstable: babies have rolled from back to front in these devices, leading in some cases to positional asphyxia.

“Hold the Baby—Don’t Seat the Baby”

Dr. Jenifer R. Lightdale, M.D., M.P.H., AGAF, FAAP, a leading paediatric gastroenterologist and chair of the AAP Section on Gastroenterology, Hepatology and Nutrition, summarized the issue clearly:

“A baby with reflux generally has fewer symptoms if they are held upright. Placing an infant in a semi-inclined position does not make the condition better.”

This conclusion is echoed by official AAP clinical guidance:

“Semi-supine positioning, particularly in an infant carrier or car seat, may exacerbate GER and should be avoided when possible, especially after feeding.”
(AAP Clinical Report: Gastroesophageal Reflux—Management Guidance for the Paediatrician)

The Limitations of Prone Cushions

Some products on the market suggest placing babies on their stomachs at a slight incline. While these cushions are often designed with calming features and marketed for colic or reflux relief, this posture approaches the prone position—an orientation associated with increased risk of Sudden Infant Death Syndrome (SIDS), particularly in unsupervised environments.

Even when used under adult supervision, these devices do not replicate the physiological advantages of being upright against a caregiver’s body. They do not mimic a parent’s shoulder. They do not support digestion naturally. And they are not recommended by paediatric gastroenterologists or backed by clinical evidence for treating reflux or colic.

BabyUp® and the Shoulder-Replicated Angle™

In response to this clinical landscape, we developed BabyUp® around a unique principle: the Shoulder-Replicated Angle™ (SRA™)—a proprietary positioning system inspired by the instinctive act of holding a baby upright against your shoulder.

This position matters. Here’s why:

  •  It’s upright, not seated: The baby’s legs are relaxed and not curled toward the chest, avoiding abdominal compression.
  • It’s naturally calming: The shoulder-hold is an age-old technique parents worldwide use to comfort colicky or reflux-prone infants.
  • It’s secure and stable: BabyUp® gently supports the infant in this upright-but-reclined posture, minimizing risk of rolling or suffocation.

Not a Seat. Not a Wedge. A Parent-Inspired Solution.

Unlike traditional infant seats that may contribute to reflux, or tummy-down devices that may increase positional risk, BabyUp® offers an upright, inclined-but-vertical positioning that mirrors the benefits of being held—while providing consistency, stability, and convenience.

With BabyUp®, parents no longer have to choose between comfort and safety. We believe the best design is one that draws from both clinical science and the wisdom of the human touch.

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