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Infant colic and feeding difficulties
C Miller-Loncar1, R Bigsby, P High
1Brown Medical School, Department of Pediatrics, Infant Development Center, Women and Infants Hospital of Rhode Island & E. P. Bradley Hospital, Providence, RI 02905, USA. cynthia_loncar@brown.edu
Insights
Infants with colic often experience feeding difficulties and gastro-oesophageal reflux (GOR), impacting infant regulation and increasing parental stress. These feeding issues may indicate ongoing regulatory problems in colicky infants.
Area of Science:
- Pediatric Health
- Infant Development
- Clinical Psychology
Background:
- Colic is a common condition in infants, often associated with excessive crying.
- Feeding difficulties and gastro-oesophageal reflux (GOR) are frequently reported in infants but their specific relationship with colic requires further investigation.
Purpose of the Study:
- To investigate the association between colic and feeding difficulties in infants.
- To examine the impact of these feeding challenges on parental functioning.
- To explore the prevalence of gastro-oesophageal reflux (GOR) in infants with colic.
Main Methods:
- A cohort of 43 infants (6-8 weeks old) were divided into colic (n=19) and comparison (n=24) groups.
- Assessments included infant oral motor skills, mother-infant feeding interactions, maternal questionnaires, and abdominal ultrasound for GOR.
- Data were collected across two study visits.
Main Results:
- Infants in the colic group exhibited more disorganized feeding behaviors, less rhythmic sucking, and increased discomfort post-feeding.
- Colic group infants showed higher incidence of GOR via ultrasound and maternal report.
- Mothers of infants in the colic group reported significantly higher levels of parenting stress.
Conclusions:
- This study provides initial evidence linking feeding problems to a subgroup of infants diagnosed with colic.
- The findings highlight the detrimental effects of feeding difficulties on both infant and parental well-being.
- The observed association suggests that feeding and regulatory issues may be interconnected in infants with significant colic symptoms.
Aims:
To examine the relation between colic and feeding difficulties and their impact on parental functioning for a primarily clinic referred sample.
Methods:
Forty three infants (and their mothers) were enrolled between 6 and 8 weeks of age. Infants were divided into two groups, colic (n = 19) and comparison (n = 24), based on a modified Wessel rule of three criteria for colic. Families were assessed at two visits; one occurred in the laboratory and one occurred in a paediatric radiology office. Outcome measures included the clinical assessment of infant oral motor skills, behavioural observation of mother-infant feeding interactions, maternal questionnaires on infant crying, sleeping and feeding behaviours, and the occurrence of gastro-oesophageal reflux (GOR) in the infants using abdominal ultrasound.
Results:
Infants in the colic group displayed more difficulties with feeding; including disorganised feeding behaviours, less rhythmic nutritive and non-nutritive sucking, more discomfort following feedings, and lower responsiveness during feeding interactions. Infants in the colic group also had more evidence of GOR based on the number of reflux episodes on abdominal ultrasound as well as maternal report of reflux. Mothers in the colic group reported higher levels of parenting stress.
Conclusions:
Results provide the first systematic evidence of feeding problems in a subgroup of infants with colic. Data also illustrate the impact of these difficulties on parental and infant functioning. The association between feeding difficulties and colic suggests the potential for ongoing regulatory problems in infants presenting with clinically significant colic symptoms.
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