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Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
Published on: January 7, 2020
The crying baby
1Centre for Community Child Health, Murdoch Childrens Research Institute, Royal Children's Hospital, Melbourne. harriet.hiscock@rch.org.au
Insights
Persistent infant crying affects up to 20% of parents. Management focuses on ruling out medical issues, ensuring basic needs are met, and employing soothing techniques like carrying or white noise.
Area of Science:
- Pediatrics
- Neonatal Care
Background:
- Infant crying is a common concern, affecting up to 20% of parents in the first three months.
- Most infant crying has no identifiable organic cause and typically resolves by 3-4 months of age.
Purpose of the Study:
- To outline the management strategies for persistent infant crying during the initial three months of life.
Main Methods:
- Clinical guidance on managing excessive infant crying.
- Emphasis on differential diagnosis to exclude underlying medical conditions.
- Recommendations for supportive care and parental strategies.
Main Results:
- Effective management involves excluding medical etiologies and ensuring adequate infant rest and nutrition.
- Non-pharmacological interventions such as carrying, ambulation, warm baths, and white noise can help manage unexplained crying episodes.
- Postnatal depression screening and support are crucial for mothers experiencing difficulties with infant crying.
Conclusions:
- Comprehensive management of persistent infant crying requires a multi-faceted approach.
- Addressing parental well-being and providing practical support are integral to successful outcomes.
- Early identification and intervention for postnatal depression are essential.
Background:
Up to 20% of parents report a problem with their infant crying in the first 3 months of life. The majority of babies have no organic cause of crying and most crying subsides by 3-4 months.
Objective:
This article describes the management of persistent crying in the first 3 months of life.
Discussion:
Management includes exclusion of medical causes and ensuring the baby is adequately rested and fed. Unexplained episodes of crying can be managed by: carrying the baby, going for a walk with baby in the pram, giving baby a deep, warm bath, or playing white noise or environmental sounds to distract the baby from crying. Postnatal depression is common in mothers of crying babies and should be actively screened for and appropriate clinical help offered if required. All families benefit from support including a review appointment and practical help around the home where possible.
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