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.
Abstract

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