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All infants cry in the first few weeks. The first cry in the delivery room fills the
newborn’s lungs with air and expels any fluid. Babies cry because they are tired,
hungry, bored, wet, uncomfortable, or for no apparent reason at all. After a while,
you will be able to tell one kind of cry from another. If your baby cries, it usually
doesn’t mean you are doing anything wrong. But don’t hesitate to pick up a crier;
when a parent responds quickly to a baby’s cry in the first few weeks of life, the
newborn feels nurtured and reassured.
By two to three weeks of age, infants typically start to develop a type of fussy
crying. Most babies have a fussy spell between 6:00 and 10:00 P.M. (just when you
are apt to feel most frazzled), and sometimes it worsens as the evening goes on.
You may try all kinds of things to stop the crying: feeding, walking, rocking, putting
him in the swing or infant seat, singing, taking him for a ride, and so on. And
you’ll find that sometimes these work for a short while or don’t work at all. But be
assured that the fussy spell will end, and when it does, your baby probably will have
his best feeding of the day and then go off to sleep for his longest sleep of the day.
Twenty-five years ago, Dr. T. Berry Brazelton studied crying patterns in newborns
and found that the typical newborn cries about two and one-quarter hours
a day for the first seven weeks of life. The crying reaches a peak at six weeks of
life, approaching three hours a day. Of course, all babies are individuals, so your
baby may cry much less (or even more).
Sometimes when babies cry, parents worry they have colic, but a fussy spell does
not equal colic. Colic is usually defined as inconsolable, continual crying that lasts
three or more hours a day for weeks. The baby may seem to be in pain, flailing and
screaming, with tense legs drawn up to his belly. The crying is not due to hunger,
a wet diaper, or other visible causes, and the child cannot be calmed down. This
condition—which can be extremely difficult on parents—occurs in perhaps
10 percent of babies and goes away on
its own, usually by three months.
When trying to determine if your
baby has colic, the first thing to do is
rule out illness as the cause for the crying.
Colicky babies have a healthy
sucking reflex and a good appetite.
Usually, babies who are ill won’t have
the same strong sucking reflex, and
they’ll drink less milk. Colicky babies
usually like to be cuddled and handled.
Ill babies may not like to be handled
despite their fussiness. Colicky babies
may spit up from time to time, but if
your baby is actually vomiting or otherwise
seems sick, you should call your
child’s doctor. Even if your baby
doesn’t have symptoms of illness,check with the doctor about excessive crying, just to be sure there is no medical
cause.
The cause of colic is unknown—it may be a mix of things or different things
in different babies. Contrary to popular belief, doctors believe that colic is rarely,
if ever, caused by a milk allergy or reactions to other food. Still, if you’re breastfeeding
and think you notice some relation between what you eat and your baby’s
colic, you could try dropping the suspect foods from your diet to see if it helps. If
your baby is on formula, you could consult with her doctor about trying a different
kind.Doctors also think that gas is rarely the cause of colic. They suggest that more
often than not, a colicky baby who has gas swallowed too much air during his crying
spells. (In other words, the crying caused the gas, rather than the other way
around.) As a result, antigas medication has not proved to be very effective in treating
colic.
Many doctors think that colic may be caused by differences in the way babies’
nervous systems develop. In other words, some babies just take a little longer to get
adjusted to the world. This is normal and is not cause for worry—even if the noise
drives you to distraction. The colic will go away—just keep repeating those words
to keep yourself calm! Meanwhile, during those crying spells, try to comfort your baby. Try feeding,
walking, rocking, putting him in the swing or infant seat, singing, placing him
across your lap on his belly, and rubbing his back. Some parents find that carrying
their baby next to their stomach in a baby sling helps. Putting him in a car and
going for a ride also can work.
Dealing with a fussy baby can be the most exhausting part of early parenting. It
can leave a parent or other caregiver feeling helpless and like a failure, or frustrated and enraged, possibly even setting the stage for child abuse. If there’s no help at
hand and you feel at the end of your rope, it’s better to put the crying baby in a
safe place and leave the room, rather than risk shaking or hitting the baby.
But it’s best to get some relief before the crying pushes you to the edge. If a
spouse can’t help, ask a relative to help you, or hire someone for a few hours a day
and get out of the house. Join a mothering center or parenting group; often, the
support of other parents—or honest discussion and sympathy between you and
your partner—is all you need to get through these tough weeks. Try to take advantage
of those times when your baby is asleep and rest yourself.
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