A comprehensive definition of infant colic: parents' and nurses' perspectives

Sølvi Helseth1, Susanne Begnum

  • 1Faculty of Nursing, Oslo University College, Bjerregaardsgt 21, N-0172 Oslo, Norway. solvi.helseth@su.hio.no

Insights

Colic, defined as prolonged infant crying, lacks a clear cause or treatment. This study proposes a new framework to help nurses better assess and categorize infant crying, aiding in diagnosis and management.

Area of Science:

  • Pediatrics
  • Infant Health
  • Clinical Nursing

Background:

  • Colic is a common issue in infancy characterized by excessive crying.
  • Current definitions of colic are inconsistent, and its etiology and effective treatments remain unclear.
  • Infant crying presents a significant challenge for parents and healthcare professionals.

Purpose of the Study:

  • To develop a clinically applicable framework for describing and categorizing infant colic.
  • To provide a diagnostic tool for nurses managing crying infants.
  • To facilitate more specific assessment and categorization of infant crying.

Main Methods:

  • Exploratory study design.
  • Qualitative in-depth interviews with nurses and parents of crying infants.
  • Data collection focused on crying patterns and duration.

Main Results:

  • Identified specific criteria for infant crying: >3 hours/day, >3 days/week, >3 weeks.
  • Emerged three distinct crying categories: intense crying, non-specific fussing/crying, and feeding-related crying.
  • Proposed an overall definition of colic incorporating these categories.

Conclusions:

  • The proposed definition offers a structured approach for diagnosing infant colic.
  • This framework can serve as a diagnostic tool for nurses, guiding data collection and assessment.
  • Improved categorization of infant crying can enhance clinical management strategies.

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