The effects of breastfeeding position and the change in nutritional habit on infantile colic: A randomized clinical trial
Researcher Bulletin of Medical Sciences,
Vol. 25 No. 1 (2020),
Aims: We decided to investigate the role of non-pharmacological method of breastfeeding and maternal nutrition in the treatment of infantile colic in order to reduce the role of pharmacological method.
Materials and Methods: This study was a double-blinded clinical trial study on 62 infants less than 4 months of age referred to Emergency ward of Mofid Hospital in 2014. The infants were randomly divided into two groups that one group received routine colic treatment without any intervention (as the control group) and the other group received hypoallergenic lactation and also were trained on how to breastfeed appropriately. On the second and tenth days, all mothers were contacted and the duration of crying and restlessness of the infant was assessed.
Results: The severity of colic significantly lower in intervention group as compared to control group on the second and tenth days of intervention. In this regard, the mean change in severity of colic at the end of assessment was 2.4 ± 2.2 in intervention group and 0.7 ± 1.5 in control group (p < 0.001). The mean change in colic intensity in subgroups with complete, partial and low adherence was 4.1 ± 2.4, 2.5 ± 1.6, and 0.2 ± 1.6 respectively indicating a significant difference (p < 0.001).
Conclusion: Comprehensive mothers' training on how to breastfeed and determine the best breastfeeding position along with the change in nutritional habit can significantly reduce colic severity.
- Colic; Breastfeeding; Nutrition
How to Cite
perspectives on the crying problem. J Psychosom Res 2000, 48(2): 125–132.
2. Roberts DM, et al: Infantile colic. Am Fam Physician 2004, 70: 735.
3. Colic: The Merck Manuals: The Merck Manual for Healthcare Professionals; http://www.merckmanuals.com/professional/sec19/ch266/ch266f.html. Accessed Feb.
4. Savion F: Focus on infantile colic. Acta Paediatrica 2007, 96: 1259.
5. Clifford TJ, Campbell MK, Speechley KN, et al. Infant colic: Empirical
evidence of the absence of an association with source of early infant nutrition. Arch
Pediatr Adolesc Med 2002; 156: 1123–1128.
6. Barr RG. Colic and crying syndromes in infants. Pediatrics 1998, 1025(suppl E): 1282–
7. Poole SR. The infant with acute, unexplained, excessive crying. Pediatrics 1991;
8. Søndergaard CH, Skajaa E. Fetal growth and infantile colic. Arch Dis Child Fetal Neonatal 2000; 83: 44-47.
9. Resoloution of lactose intolerance and colic in breastfed babies. presented at the ALCAVIC (melburne)coference of the 1sth November 1997.
10. Saavedra MA, Dacost JS. Infantil colic incidence and associated risk factors: a cohort study .J Pediatr (Rio J) 2003; 79(2): 115-122.
11. Schach B. Colic and food allergy in the infant:it is possible for an exclusively breastfed infant to suffer from food allergy? J Humlact 2002; 18(1).
12. Haward CR, Lanpher N. Parents responses to infant crying and colic: the effect on breastfeeding duration. Breastfeed Med 2006; 1(3): 146-55.
13. Sally Wade, Teresa Kilgour Extracts from “Clinical Evidence” Infantile colic. BMJ 2001; 323( 25).
14. Hewseon R, Ayre C. Colic in babies :an NCT evidence based briefing. New Digest; 38. 2007 april.
15. Waddell L. Infantile colic: a practical approach to management. J Fam Health Care 2006; 16(5).
16. Jakobsson I, Lindberg T. Cow's milk proteins cause infantil colic in breast-fed infants:A double –blind crossover study. Pediatrics 1983; 71(2): 268-271
17. Lucas A. Colic, Crying, Fussing, and Feeding. Florida, November, 1994.
18. Van Sleuwen BE. Swaddling: a systematic review. Pediatrics. 2007;120(4): . Available at: www.pediatrics.org/cgi/content/full/120/4/e1097.
19. Gerard CM. Physiologic studies on swaddling: an ancient child care practice, which may promote the supine position for infant sleep. J Pediatrics 2002; 141: 398–403.
20. Brackbill Y, Adams SG, Crowell DH, et al. Arousal level in neonates and preschool children under continuous auditory stimulation. J Exp Child Psychol 1966; 4: 178–188.
21. Brackbill Y. Cumulative effects of continuous stimulation on arousal levels in infants. Child Dev 1971; 42: 17–26.
22. Van den Daele L. Modification of infant state by treatment in a rockerbox. J Psychol 1970; 74: 161–165.
23. Hewston R. Pract Midwife. 2007. Researching colic: a crying matter. Part 1: Causes and risk factors.
24. Savino F, Palumeri E, Castagno E, et al. Reduction of crying episodes owing to infantile colic: A randomized controlled study on the efficacy of a new infant formula. Eur J Clin Nutr 2006; 60(11): 1304-1310.
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