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Prevalence, comorbidity and factors associated with sleeping, crying and feeding problems at 1 month of age: A

Fallon Cook1, Fiona Mensah1,2,3, Jordana K Bayer1,3,4

  • 1Murdoch Children's Research Institute, Melbourne, Victoria, Australia.

Journal of Paediatrics and Child Health
|October 13, 2018
PubMed

Insights

Many new mothers experience infant sleeping, crying, and feeding problems, often co-occurring. Maternal self-doubt and low parenting self-efficacy are linked to these common infant challenges.

Area of Science:

  • Pediatrics
  • Maternal and Child Health
  • Infant Development

Background:

  • Infant behavioral issues like sleeping, crying, and feeding problems are common.
  • Understanding the prevalence and co-occurrence of these problems is crucial for early intervention.
  • Identifying associated infant and maternal factors can inform support strategies.

Purpose of the Study:

  • To determine the prevalence of infant sleeping, crying, and feeding problems in a community cohort.
  • To assess the extent of comorbidity among these infant problems.
  • To identify infant and maternal characteristics associated with individual and comorbid problems.

Main Methods:

  • A community-based survey was conducted at 4 weeks postpartum.
  • Mothers reported on the presence of infant sleeping, crying, and feeding problems.
  • Maternal factors assessed included parenting self-efficacy, self-rated tension, and doubts about parenting.

Main Results:

  • Prevalence rates were 38.5% for sleeping, 27.4% for crying, and 25.2% for feeding problems.
  • Significant comorbidity was observed, with 25.5% reporting one, 20.5% reporting two, and 7.3% reporting all three problems.
  • Maternal self-doubt and low self-efficacy were strongly associated with all problem types and comorbidities, while first-born status and maternal tension were also linked to specific issues.

Conclusions:

  • Infant sleeping, crying, and feeding problems frequently co-occur.
  • Maternal self-efficacy and doubts about parenting are key factors associated with these infant problems.
  • Targeted support and guidance on normal infant behavior for mothers experiencing doubt and low self-efficacy are recommended.
Abstract

Keywords:
comorbiditycryingfeedingregulatory problemssleeping

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