A changeling is a creature found in folklore and folk religion. A changeling child was believed to be a fairy child that had been left in place of a human child stolen by the fairies. The theme of the swapped child is common in medieval literature and reflects concern over infants thought to be afflicted with unexplained diseases, disorders, or developmental disabilities.
"A human child might be taken due to many factors: to act as a servant, the love of a human child, or malice. Most often it was thought that fairies exchanged the children. In rare cases, the very elderly of the Fairy people would be exchanged in the place of a human baby, and then the old fairy could live in comfort, being coddled by its human parents. Simple charms, such as an inverted coat or open iron scissors left where the child sleeps, were thought to ward them off; other measures included a constant watch over the child."
D. L. Ashliman points out that changeling tales illustrate an aspect of family survival in pre-industrial Europe. A peasant family's subsistence frequently depended upon the productive labor of each member, and it was difficult to provide for a person who was a permanent drain on the family's scarce resources. "The fact that the changelings' ravenous appetite is so frequently mentioned indicates that the parents of these unfortunate children saw in their continuing existence a threat to the sustenance of the entire family. Changeling tales support other historical evidence in suggesting that infanticide was not infrequently the solution selected."
One belief is that trolls thought that it was more respectable to be raised by humans and that they wanted to give their own children a human upbringing. Some people believed that trolls would take unbaptized children. Once children had been baptized and therefore become part of the Church, the trolls could not take them.
Beauty in human children and young women, particularly blond hair, was said to attract the fairies.
In Scottish folklore, the children might be replacements for fairy children in the tithe to Hell; this is best known from the ballad of Tam Lin. According to common Scottish myths, a child born with a caul (head helmet) across his or her face is a changeling, and of fey birth.
Other folklore say that human milk is necessary for fairy children to survive. In these cases either the newborn human child would be switched with a fairy baby to be suckled by the human mother, or the human mother would be taken back to the fairy world to breastfeed the fairy babies. It is also thought that human midwives were necessary to bring fairy babies into the world.