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Cradling in the prevention of excessive crying and colic symptoms in infants
Elina Hyödynmaa1, Outi Tammela1
1Tampere University Hospital.
Insights
Cradling infants does not prevent excessive crying or colic. Factors like high socioeconomic status and having a sibling with colic increase crying risk. Breastfeeding support and father presence may help reduce infant crying.
Area of Science:
- Pediatrics
- Neonatal Care
- Infant Health
Background:
- Excessive infant crying and colic are common concerns for parents.
- The effectiveness of cradling in preventing these symptoms is not well-established.
Purpose of the Study:
- To evaluate if sleeping in a cradle prevents excessive infant crying or colic.
- To identify risk and protective factors associated with infant crying.
Main Methods:
- Randomized controlled trial with 220 newborns.
- Infants were assigned to sleep in a bed/cot or a cradle for three months.
- Parents maintained diaries on sleeping arrangements and infant crying duration.
Main Results:
- No significant difference in colic incidence or excessive crying between cradle and cot groups.
- High parental education, socioeconomic status, and sibling history of colic predicted increased infant crying.
- Unemployed fathers' families had less excessive infant crying.
Conclusions:
- Cradling does not appear to prevent excessive infant crying or colic.
- Breastfeeding guidance and adult support at home may reduce infant crying.
Abstract:
To evaluate lying in a cradle in the prevention of excessive infant crying or colic symptoms, and to investigate potential protective or risk factors for the phenomenon, 220 newborns were randomized to sleep either in a bed or cot (control group, N = 108) or in a cradle (cradle group, N = 112). During three months, the parents filled in diaries on the sleeping place most used and the amount of crying of their infants. Three infants in the cradle group and one control fulfilled the criteria of colic. The percentages of extremely weepy infants (25.7% vs 24.4 %) and the intensity of crying did not differ between the groups. Medication for colic symptoms was used equally frequently in both groups. A high educational (OR 3.18, 95% CI 1.01; 10.04) and socioeconomic (OR 3.76, 95% CI 1.34; 10.52) level of the family and having a sibling with a history of colic (OR 6.46, 95% CI 1.17; 35.73) were predictors for the infant being weepy. Absence of nursing problems and having no sibling with a history of colic seemed to be related with a low amount of crying. Excessive infant crying was less common in families with unemployed fathers compared to those in which the father had an occupation (p = 0.018). Cradling seems not to prevent excessive crying or colic symptoms in infants. Breast-feeding guidance during rooming-in period and presence of father or another adult supporter at home might be preventive means against excessive crying.
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