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Prevalence and risk factors for infantile colic in District Mansehra
Insights
Infantile colic affects over 21% of infants in Mansehra. Firstborn infants showed a higher incidence of colic, suggesting birth order as a potential risk factor.
Area of Science:
- Pediatrics
- Neonatology
- Public Health
Background:
- Infantile colic is a prevalent condition affecting infants aged 3 days to 3 months.
- Excessive crying associated with colic can negatively impact parental well-being and lead to various parental interventions.
- Understanding the incidence and risk factors of infantile colic is crucial for targeted support and management strategies.
Purpose of the Study:
- To determine the incidence of infantile colic in newborns within District Mansehra.
- To identify potential risk factors associated with the development of infantile colic in this population.
Main Methods:
- A prospective study was conducted involving infants born or presenting at King Abdullah Teaching Hospital, Mansehra.
- Data collected included infant demographics, maternal history, and weekly assessments of crying duration for up to 12 weeks.
- Infantile colic was diagnosed using Wessel criteria, with statistical analysis (Chi-square tests) employed to identify risk factors.
Main Results:
- The study followed 426 out of 512 infants, with a 21.77% incidence of infantile colic.
- No significant associations were found between colic and infant sex, gestational age, birth weight, or feeding patterns.
- Firstborn infants demonstrated a statistically significant higher rate of developing colic (p = 0.03).
Conclusions:
- The prevalence of infantile colic in the studied Mansehra infant population was 21.77%.
- Birth order emerged as the sole significant risk factor associated with infantile colic in this cohort.
- Further research may explore the specific mechanisms linking firstborn status to infantile colic.
Objective:
Infantile colic is a common problem among infants age 3 days to 3 months. It may affect parental feelings negatively and the parents may undertake all kinds of actions to stop excessive crying. The objective of this study was to assess the incidence of infantile colic and its risk factors in infants born in District Mansehra.
Methods:
In this prospective study, all those newborn babies were included who were born at King Abdullah Teaching Hospital Mansehra between January 1st 2008 and March 31, 2008, and those newborn babies who were brought to children OPD for routine check-up and EPI centre for vaccination of this hospital during this time period. For every infant, gender, mode of delivery, gestational age at birth, birth weight, birth order, and mother's reproductive history were collected. These babies were seen at least once in a week up to 12 weeks and history from the mothers about the duration of crying and fussiness behaviour was recorded. At the end of 3 months the infants were again assessed and additional information on infant nutritional source was obtained and any medication used for colic relief was identified. Cases of colic were identified by applying Wessel criteria to recorded data. Chi-square tests were used.
Results:
From total 512 infants, follow-up was completed for 426 infants. In total, 90 infants (21.77%) satisfied the Wessel criteria for infantile colic. No statistical significance was found between colicky and non-colicky infants according to sex, gestational age at birth, birth weight, type of delivery, and, infant's feeding pattern. However, firstborn infants had higher rate for developing colic (p = 0.03).
Conclusion:
Prevalence of colic was 21.77% in this infant population of District Mansehra. Except for birth order, no other variable was significantly associated with infantile colic.
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