Do pregnancy and childbirth adversities predict infant crying and colic? Findings and recommendations
Ian St James-Roberts1, Sue Conroy
1Thomas Coram Research Unit, Institute of Education, University of London, 27/28 Woburn Square, London WC1H OAA, UK. i.stjamesroberts@ioe.ac.uk
Insights
Unexplained infant crying may not be linked to prenatal adversities. Methodological flaws in previous studies need addressing before claiming links between maternal stress, smoking, or childbirth complications and infant crying.
Area of Science:
- Pediatrics
- Developmental Psychology
- Maternal Health
Background:
- Infant crying is a common concern for parents and healthcare providers.
- Previous research suggests links between infant crying and prenatal adversities like maternal stress, smoking, and childbirth complications.
- Methodological limitations in existing studies necessitate a re-evaluation of these proposed links.
Purpose of the Study:
- To critically review the methodologies of studies examining the relationship between prenatal adversities and infant crying.
- To present new empirical data assessing the association between childbirth adversity indices and validated measures of infant crying.
- To highlight the need for rigorous research with appropriate safeguards to confirm or refute proposed links.
Main Methods:
- A critical review of existing literature on prenatal adversity and infant crying.
- Empirical analysis of two independent infant cohorts.
- Assessment of validated crying measures against childbirth adversity indices.
Main Results:
- Methodological shortcomings were identified in previous studies linking prenatal adversity to infant crying.
- Four childbirth adversity indices predicted infant crying in the first cohort.
- These predictions were not replicated in the second cohort, suggesting inconsistent findings.
Conclusions:
- Existing evidence linking prenatal adversities to infant crying is methodologically flawed.
- Further research with replication and robust safeguards is essential.
- Claims regarding maternal stress, smoking, or labor medication contributing to infant crying require stronger empirical support.
Abstract:
Bouts of unexplained crying in 1- to 3-month-old infants are a common problem for parents and health services. One proposed explanation has linked the crying to preceding adversities, such as maternal stress and cigarette smoking during pregnancy and complications during childbirth. In the first part of this review, we argue that studies of these links have methodological shortcomings, and make recommendations about the safeguards needed to overcome these shortcomings. In part two, we present a study that assesses the relations between adversity indices and validated measures of crying in two separate cohorts of infants. Four indices of childbirth adversity predicted infant crying separately and cumulatively in cohort 1, but not in cohort 2. We conclude that there is a need for further research that includes replication and other safeguards. Infant crying is a highly emotional issue for many parents. Before researchers add to their burden by claiming that maternal prenatal anxiety, cigarette smoking, or labour medication, contribute to their baby's crying, we need to be sure of our grounds.
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