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Infantile Colic-The Perspective of German and Polish Pediatricians in 2020
Henning Sommermeyer1, Hanna Krauss1, Zuzanna Chęcińska-Maciejewska2
1Department of Medicine, The President Stanisław Wojciechowski State University of Applied Sciences in Kalisz, Nowy Šwiat 4, 62-800 Kalisz, Poland.
Insights
German and Polish pediatricians perceive infantile colic as a significant parental burden. While both groups use similar treatments, German doctors show greater awareness of colic
Area of Science:
- Pediatrics
- Neonatology
- Public Health
Background:
- Infantile colic is a common condition causing significant parental distress.
- Understanding pediatrician perceptions is crucial for effective management strategies.
Purpose of the Study:
- To compare the perceptions and management of infantile colic by German and Polish pediatricians.
- To identify differences in awareness regarding colic's associated risks and treatment approaches.
Main Methods:
- A questionnaire-based survey was administered to 160 German and 133 Polish pediatricians.
- Data collection included predefined and free-text answers on colic occurrence, parental burden, associated risks, and management.
Main Results:
- Both groups reported high colic occurrence rates and significant parental burden.
- Awareness of colic's link to maternal depression and breastfeeding cessation was high in both countries.
- German pediatricians demonstrated higher awareness of colic as a risk factor for shaken baby syndrome compared to Polish pediatricians.
- Pharmacological (pro-/synbiotics, simethicone) and non-pharmacological interventions are widely used by both groups.
Conclusions:
- Infantile colic is perceived as a major challenge by pediatricians in Germany and Poland.
- While treatment approaches are similar, disparities in risk awareness (e.g., shaken baby syndrome) necessitate targeted educational interventions.
- Improved communication strategies for pediatricians are needed to enhance colic management and awareness of associated risks.
Abstract:
The objective of the study was to characterize how infantile colic is perceived and managed by German and Polish pediatricians. Data in both countries were collected by using a paper questionnaire with seven questions and predefined and free text fields for the answers. Answers from 160 German and 133 Polish pediatricians were collected. The average of the occurrence rates estimated by both responder groups were at the higher end of published rates. The majority of pediatricians from both countries rated the parental burden caused by infantile colic to be high or very high. Pediatricians' awareness about the association between infantile colic and maternal depression and premature termination of breastfeeding is relatively well established in both countries. While more than 90% of German pediatricians stated knowledge of infantile colic being a major risk factor for shaken baby syndrome, this knowledge was only declared by half of the Polish responders. Pharmacological interventions, pro-/synbiotics or simethicone, are part of the treatment repertoire of nearly all responding pediatricians. In addition, non-pharmacological interventions (e.g., change of feeding, change of parental behavior) are also among the employed interventions. Results of this study will allow to better design and prioritize communication about infantile colic directed at pediatricians.
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