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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: what approach?
Pamela S Douglas1, Peter S Hill
1University of Queensland, Herston, Queensland, Australia. pameladouglas@uq.edu.au
Infant crying, or cry-fuss behavior, is common and complex. Management requires a tailored, family-centered approach, addressing factors beyond just organic issues for optimal infant and maternal outcomes.
Area of Science:
- Pediatrics
- Neonatal Care
- Developmental Psychology
Background:
- Infant cry-fuss problems are a frequent reason for clinical visits in early infancy.
- These issues can negatively impact maternal and infant well-being.
- While organic causes are rare (5%), management often overlooks multifactorial influences.
Purpose of the Study:
- To review recent evidence on infant cry-fuss behavior.
- To update clinical management strategies for these common infant issues.
- To emphasize a comprehensive approach beyond simplistic interventions.
Main Methods:
- Literature review of recent research on infant crying.
- Consideration of organic disturbance, feeding, maternal health, sleep, and sensorimotor integration.
- Integration of neurodevelopmental needs and the brain-gut-microbiota axis.
Main Results:
- New evidence highlights the interplay of feeding, maternal health, sleep, and sensorimotor factors.
- The brain-gut-enteric microbiota axis is crucial in neonatal development.
- A transdisciplinary approach is needed to understand infant neurodevelopment.
Conclusions:
- Early intervention is vital for families with crying infants.
- Assessment and management should address potentially treatable problems.
- Cross-disciplinary collaboration is key for optimizing infant and family outcomes.
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