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Infant colic, solutions and current events

colicos del lactante happymami
Contenido del artículo

In the first 15 days of your baby’s life, and especially around the first month and a half, one of the worst enemies of mothers appears. Infant colic. For this reason, our team of midwives at Happymami have prepared the following post for you, with the latest update on infant colic and solutions.

Newborn direct

It is normal for your baby to cry at certain times, if he is hungry, sleepy, thirsty, or uncomfortable. However, parents‘ frustration with infant colic is that it does not subside when the baby’s needs are met, as in all other situations. And although colic usually disappears after the fourth month, the fact that the baby cries for no apparent reason and does not calm down is a great stress for the caregiver.

What causes colic?

I am sorry to say that the reasons are not well known. The latest scientific update speaks of a multifactorial origin, but the exact cause is unknown. It has been related to the immaturity and/or altered intestinal motility of the infant, the action of intestinal hormones, gastroesophageal reflux or excess intestinal gas probably swallowed during the same cry. All are factors that can contribute to the development of infant colic. In some cases of very severe infant colic, cow protein allergy/intolerance may be the cause.

Other authors suggest that the possible origin may lie in certain psychological and social factors, such as the over-stimulation of the The baby, an exaggerated or anxious response to his crying, constant changes in the daily routine, as well as the parents‘ fatigue and inexperience, which is why these colics are more frequent in first-time mothers.

There is also talk of digestive causes, such as difficulty in passing gas. But in most of the babies resolves spontaneously after three to four years. months of ageIt is true that although it usually disappears on its own, it can be useful to know more about the colic to be able to better understand that moment to your baby and offer you the best solution.

Direct 29 Dec- Baby Bottle

When does infant colic start? C

Excessive crying, which we call infant colic, usually starts sometime between the third and sixth week after the birth of your baby. It ends when your baby is between three and four months old.

Do all babies have colic?

Infant colic will occur in up to 40% of babies. They occur with the same frequency in the following groups.

  • Men and women
  • Breastfed and bottle-fed babies
  • Term and prematureinfants
  • Whether it is your first or second child, or other siblings as well.

How long does infant colic last?

All babies cry, and they cry most intensely during the first three months of life. There is no standard definition of excessive crying, even though it is normal for a baby to cry up to two hours a day. A baby without colic will cry less frequently and for less time than a colicky baby with cries of up to more than three hours in a day.

Newborn care guide

What are the symptoms of infant colic?

The infant colic is defined as episodes of intense crying e inconsolable which usually appear in the evening, accompanied by cramped movements of the legs and redness The skin problems, which need not be daily, but which occur at least 2-3 times a week and for several weeks. Although your baby is previously well, he starts to cry loudly, shrinks and turns red. He seems to be hungry, but does not calm down when fed. When the episode subsides, your baby seems healthy, eats and sleeps well and is happy.

How is infant colic diagnosed?

No diagnostic test is usually necessary. Your paediatrician will examine your baby for other causes of crying. In addition, there are different diagnostic criteria, the most commonly used being the Wessel criteria. Who defines infant colic as episodes of intense and vigorous crying at least three hours a day, three days a week for at least 3 weeks in an otherwise healthy and well-nourishedinfant.

A baby with infant colic is a healthy baby whose crying is perceived as excessive by parents. But keep in mind that it is considered normal for a 2 – 3 week old child to cry for up to three hours a day. It usually appears between the second and fourth week of life and can last between 3 and 4 months, by which time it usually disappears.

Difference between colic and crying

Broadly speaking, it defines the infant colic such as the crying for no apparent reason (e.g. hunger or dirty nappy) that lasts ≥ 3 hours per day and occurs on ≥ 3 days per week in an average of ≥ 3 days per week. otherwise healthy baby under the age of 3 months old.

Because a baby can cry for many reasons, including excessive crying, which are often simple problems, such as hunger, to more serious ones, such as illness. To make a difference, when your baby cries check if the cause of your baby’s crying is manageable.

Hunger

Try offering your baby the breast or your Happymami bottle to see if hunger is the problem making your baby cry. Because although most babies under three months old feed every two to four hours, all babies go through periods of time when they will want to feed more frequently (usually corresponding with growth spurts).

Pain and temperature

Check if your baby is uncomfortable, e.g. because of a physical injury. You can touch their skin to determine if your baby is overheated or too cold. Also, check if the clothing or nappy is too tight or if there is a hair wrapped around a finger, toe or penis (called a hair tourniquet).

Fatigue or overstimulation

Another cause of crying is when your baby is tired or over-stimulated by playing or being handled. Swaddle your baby loosely, give him room to move his legs.

Swaddling a baby can help stop crying or fussing. To swaddle a baby: Place your baby on a large blanket with the top corner folded down (as shown in the picture below). A) Lower the left arm (as shown in the following illustration). B). Wrap the cloth over the arm and chest and tuck it under the baby's right side (as shown in the picture below). C). Bring the right arm down. Wrap the cloth over the baby's arm and chest and tuck it under the baby's left side (as shown in the picture below). D). Twist or fold the bottom end of the cloth and tuck it behind the baby, making sure that both legs are folded up and out (as shown in E and F). It is important to leave room for the hips to move.

If you are already breastfeeding, you can offer a pacifier or a change of scenery, such as a ride in the stroller, to help your baby fall asleep.

Food sensitivities

Another issue is if your baby has an allergy or sensitivity to foods in his mother’s diet or to a component of her formula. Foods such as milk, eggs, nuts and wheat in a mother’s diet are known to have a direct effect on the composition of her breast milk. It is possible that food reactions and digestive problems such as abdominal pain, cramps and diarrhoea may be triggered in the baby.

Another option is that your baby is allergic to cow’s milk protein (present in formula milk) or in dairy products consumed by the mother (if your baby is breastfed). If this happens, your baby may be fussy or have blood in the stool.

And if we talk about lactose intolerance (a normal type of sugar in cow’s milk). This has little or no effect on the development of colic.

How do I know if my baby has food sensitivities?

You can suspect that your baby has a feeding sensitivity if he cries or spits up a large amount of milk within an hour of feeding. Or if you have constipation or diarrhoea. If your baby is allergic to cow’s milk, symptoms may include eczema, wheezing, diarrhoea or vomiting.

On the other hand, if your baby has a cow’s milk allergy, he or she will be fussy and have blood in the stool.

How to relieve infant colic?

To relieve colic in an otherwise healthy infant with prolonged or excessive crying. It should be treated on an individual basis depending on the history, examination and characteristics of the family. As some caregivers and families tolerate crying better than others.

Although you might not think it at first, but it is described in the health manuals that the mother and father have a support, it is the fundamental pillar for this stage. And after this support, the first line of approach to correct colic is two main ones, feeding problems and the use of techniques to calm your baby and/or reduce environmental stimuli.

Below we will mention different interventions, which you will have to experiment with to see which one works best for you. Because the following techniques may work for some babies or for a particular baby some of the time, but none of the interventions work all of the time.

First line of anti-colic intervention

The first thing we will do when faced with a baby we suspect has colic is to change the feeding technique and/or experiment with a number of techniques to soothe your baby. This is because your baby may swallow air or be over-stimulated when eating.

Newborn feeding technique

With regard to feeding technique, if you breastfeed, try to to have a correct grip, assessment by your midwife may be necessary to achieve this. If you use a bottle, always try to use an anti-colic bottle like the Happymami bottles, which have a double integrated anti-colic system in all their teats, which is very effective.

Place your baby in as upright a position as possible, caress with your teat of the bottle the mouth of your When your baby’s mouth opens, insert your Happymami bottle at a sufficient angle so that the teat is partially filled with milk and let your baby suckle for a few minutes. (Do not put the bottle horizontally, because if there is too little milk, the teat will not be filled and when your baby sucks, milk will not fall into his mouth, but air). When your baby takes breaks, tilt the bottle down to empty the teat to give him/her time to swallow.

Newborn calming techniques

After feeding the baby, we now need to know different techniques to soothe a baby. Clinical guidelines suggest one or more techniques to calm the baby and/or decrease sensory stimulation. And continue with the one you find most useful, just as we suspend the one that doesn’t work for you.

The following soothing techniques can be used in any order and/or combination. Try each technique for several minutes and, if it doesn’t work, move on to another calming technique. As mentioned above, a technique may work one day and not another, and this is normal.

  • Use a dummy (as long as you are breastfeeding).
  • Take your baby for a ride in the car or in the stroller
  • Holding or carrying your baby
  • Merce your baby
  • Change the scenery or minimise visual stimuli.
  • Provides a warm bath
  • Rub your baby’s abdomen
  • Audio playback of heartbeats
  • Providing “white noise” (hoover, clothes dryer, dishwasher…)
    • We should be careful with white noise because it can produce sound pressure levels above the recommended noise threshold for babies. To minimise possible adverse effects on hearing or hearing development, white noise generators should be placed as far away from the baby as possible, played at a low volume and used only for short periods of time.

These interventions have not been proven effective in randomised trials, but they are inexpensive, unlikely to be harmful, involve parents and may help reduce parental or infant anxiety.

Conclusion infant colic update and solutions

Colic infants are famous because if a baby suffers from colic, it’s bad. But in the latest recommendations, they place great emphasis on informing you that what is happening to your baby is a benign process, without sequelae and that it disappears spontaneously between the third and fourth month.

Remember that if you use a bottle, not all bottles are designed to prevent colic, and a baby who uses a bottle is at greater risk of colic. That is why all the teats in thee Happymami have a double anti-colic system incorporated. No need for additional elements that make subsequent cleaning difficult. They are also functional in any position in which the bottle is placed.

Lots of encouragement, it is a stage, we will have to be a little more patient, but as the last evidence indicates, this stage will pass. And if you need help, count on us, we’ll always keep you up to date with the latest infant colic updates and solutions.

Design your bottle

Bibliography

The Happymami Project is based on scientific evidence, we are aware that science evolves every day, so if you have more up-to-date scientific evidence than ours, we would be delighted to receive it. We work every day to offer the best and most up to date products to our mums.

  1. Iacovou M, Ralston RA, Muir J, et al. Dietary management of infantile colic: a systematic review. Matern Child Health J 2012; 16:1319.
  2. Hall B, Chesters J, Robinson A. Infantile colic: a systematic review of medical and conventional therapies. J Paediatr Child Health 2012; 48:128.
  3. Sung V, Collett S, de Gooyer T, et al. Probiotics to prevent or treat excessive infant crying: systematic review and meta-analysis. JAMA Pediatr 2013; 167:1150.
  4. Balapatabendi M, Harris D, Shenoy SD. Drug interaction of levothyroxine with infant colic drops. Arch Dis Child 2011; 96:888.
  5. Aviner S, Berkovitch M, Dalkian H, et al. Utilización de un preparado homeopático para el “cólico del lactante” y aparente riesgo de muerte. Pediatrics 2010; 125:e318.

 

 

 

Second line of intervention for colic, dietary change

If the above did not work, we can proceed to a change of diet. especially if the baby is suspected of having a milk protein allergy. Dietary changes vary depending on whether the infant is formulafed or breastfed.

Breastfed babies with colic

It may be worthwhile for the mother to reduce her consumption of dairy products or to follow a hypoallergenic diet (no milk, eggs, nuts, wheat). It is a good option for breastfed babies with colic who have not responded to first-line interventions.

Formula-fed infants with colic

In these cases, there are different preparations to cope with possible needs, but if the baby suffers from colic the recommendation is to use hydrolysed formula to feed babies who are suspected of having an allergy or intolerance to cow’s milk formula. Because they have associated clinical features (bloody stools, vomiting, rash, etc…) Improvement usually occurs 48 hours after use.

Other possible lines of intervention

There are also other lines of intervention or possible solutions to colic.

Probiotics

This trend proposes the use of probiotics to reduce the baby’s cries. Guidelines do not suggest probiotics (including L. reuteri) for the prevention of colic. Although they appear to be safe and may reduce crying time, there is no clear evidence that they are effective in preventing colic.

It is only recommended in cases where parents want to try it and offer their baby breastfeeding. (But no other species or strains should be used, currently L. reuteri is the only one that has studies suggesting that treatment with L. reuteriDSM 17938 is associated with a decrease in crying time.

Children’s massage

Baby massage can be a great ally in relieving your baby’s colic. Before starting the massage, we must have 4 aspects ready.

  1. Prepare a warm room: 20°-22°C.
  2. Soft music and dim lighting
  3. Prepare vegetable oil (sesame, almond) and check beforehand on a small area of the baby’s skin that it does not cause any allergic reaction (reddened area).
  4. The person giving the anti-colic massage should have clean hands, no rings, watches, bracelets, and be relaxed, eliminating tension, worries, rushing, in a good mood and feeling comfortable.

Now, let’s start the massage. Your baby should be calm, awake with bright eyes that express attention and playfulness. Make sure his breathing is normal. You can caress him and say nice things to him while you take off his clothes for the massage. Put the oil between your hands, rubbing them together, and say to the baby: “Do you want me to massage your tummy?

Positions during the massage

  • For babies from 0 to 3 months. The mother’s position should be seated on the floor on a mat. With the legs bent, one sole of the foot in front of the other, so that the legs make a cradle. Place your baby’s head in the gap between your feet. The baby’s feet should be in front of your abdomen with the legs slightly raised.
  • For babies from 3 months onwards. Place your baby on his back with his legs slightly raised. On the table, changing table, sitting on the bed or on a comfortable surface.

You should bear in mind that when giving the specific colic massage we stop there and at that moment we do not add massage to any other part of the body. Your baby should rest. If we wish to do a full body massage, we will find another time. Also, do not give this massage during the colic crisis or when your baby has just eaten.

Performing the massage

Massage your baby’s abdomen (below the ribs to the pubis) with gentle pressure, following the steps below.

  1. Resting hands. Place your hands on the baby’s belly. Try to relax completely even if the baby moves or cries.
  2. Waterwheel. We make paddling movements on the baby’s belly, one hand after the other, as if you were making a hole in the sand. The hands should be moulded to the baby’s belly. Repeat 6 times.
  3. Knees up-down. Bend the baby’s legs and then press gently towards the belly, hold this position for about five seconds, 1 time (we should not bring the knees together before crawling).
  4. Relaxation touch. We run our hands down her legs to her ankle to release tension and help her relax.
  5. Sun-moon. We imagine a clock on the baby’s abdomen. Mum with her left hand starts on the right side of the baby’s abdomen (7 hours) drawing a full circle clockwise, without lifting her hand. When your left hand passes over twelve o’clock, the right hand is incorporated over eleven o’clock until five o’clock, as if it were a crescent moon. You will have to repeat this 6 times.
  6. Again we repeat step 3. Knees up-down.
  7. Relaxation touch. Run your hands once from the buttocks to the feet, reducing the pressure, to ease the release of tension and help you relax.

The recommendation is to repeat the entire cycle (steps 1 to 7) 3 times. 2 times/day for 2 weeks (we can consider continuing if necessary). It may take several days before your baby responds favourably; sometimes the baby starts to pass gas on the first try. Remember, every baby is different.

Conclusion infant colic update and solutions

Colic infants are famous because if a baby suffers from colic, it’s bad. But in the latest recommendations, they place great emphasis on informing you that what is happening to your baby is a benign process, without sequelae and that it disappears spontaneously between the third and fourth month.

Remember that if you use a bottle, not all bottles are designed to prevent colic, and a baby who uses a bottle is at greater risk of colic. That is why all the teats in thee Happymami have a double anti-colic system incorporated. No need for additional elements that make subsequent cleaning difficult. They are also functional in any position in which the bottle is placed.

Lots of encouragement, it is a stage, we will have to be a little more patient, but as the last evidence indicates, this stage will pass. And if you need help, count on us, we’ll always keep you up to date with the latest infant colic updates and solutions.

Design your bottle

Bibliography

The Happymami Project is based on scientific evidence, we are aware that science evolves every day, so if you have more up-to-date scientific evidence than ours, we would be delighted to receive it. We work every day to offer the best and most up to date products to our mums.

  1. Iacovou M, Ralston RA, Muir J, et al. Dietary management of infantile colic: a systematic review. Matern Child Health J 2012; 16:1319.
  2. Hall B, Chesters J, Robinson A. Infantile colic: a systematic review of medical and conventional therapies. J Paediatr Child Health 2012; 48:128.
  3. Sung V, Collett S, de Gooyer T, et al. Probiotics to prevent or treat excessive infant crying: systematic review and meta-analysis. JAMA Pediatr 2013; 167:1150.
  4. Balapatabendi M, Harris D, Shenoy SD. Drug interaction of levothyroxine with infant colic drops. Arch Dis Child 2011; 96:888.
  5. Aviner S, Berkovitch M, Dalkian H, et al. Utilización de un preparado homeopático para el “cólico del lactante” y aparente riesgo de muerte. Pediatrics 2010; 125:e318.

 

 

 

Picture of Manuel Fernández
Manuel Fernández
Grado universitario de enfermería experto en obstetricia y ginecología (matrón) por la universidad de Jaén.Miembro Comité Lactancia Materna Departamento 16 de salud Marina Baixa.Trabajador actual del Hospital Marina Baixa ginecología y obstetricia. Jefe del servicio de matronas y CCO de Happymami. Master en "Integración en cuidados y resolución de problemas clínicos en enfermería" Experto Universitario en "Indicación, uso y autorización de medicamentos y productos sanitarios en cuidados generales de enfermería" Experto Universitario en "Urgencias y Emergencias Vitales" Formación continuada acumulada de 3.229 horas Publicaciones: Vol. 11 nº 3 Septiembre 2009. Página 16-20. Revista: "Revista oficial de la sociedad española de enfermería oncológica" Título: Extravasación por antraciclinas a propósito de un caso. Revisión de la literatura.
Guia forma pecho tallas 2022
Guías tallas 2 centímetros
matrona

[Lactancia Materna] 

Sabemos que durante la toma se produce una elongación del pezón, y la hemos tenido en cuenta durante el desarrollo de nuestras tetinas. Selecciona el pezón con el que te sientas más representada previo a la toma. 

Y por último, si usas pezoneras ten en cuenta el tamaño de la pezonera. 

Icono-diseño-0

INSTRUCCIONES PREVIAS

Icono-diseño-0
matrona

¡Hola soy Alba! El holograma real de una de nuestras matronas y voy a acompañarte durante todo el proceso de diseño ¡Encantada de conocerte!

Recuerda que el diseño serán 5 pasos y en cada paso encontrarás distintas opciones entre las que irás deslizando para encontrar tu diseño perfecto.

Si das lactancia materna sigue las pautas con la marca:

[Lactancia Materna]

Si das biberón de forma exclusiva sigue las pautas con la marca:

[Biberón Exclusivamente]

1º Tipo de pezón

2º Inclinación de la tetina

3º Velocidad del flujo

4ºCapacidad del Vaso

5ºDale Color

Si tienes dudas con tu diseño puedes contactarnos por WhatsApp para que te ayudemos.

biberon ipad happymami
matrona

[B] Escogemos el flujo según la edad del bebé.

Recuerda que si vas a usar cereales, tienen una densidad mayor a la leche líquida, por eso tenemos disponible un flujo exclusivo para cereales y/o papillas

matrona

[LM] Existen corrientes de usar un flujo menor correspondiente a la edad del bebé.

Con Happymami no hace falta, nosotras para desarrollar nuestros Happymamis estudiamos la lactancia materna en su conjunto. La eyección de leche materna, el flujo de salida en cada etapa, la succión del bebé, las necesidades del bebé…. Y a partir de ahí desarrollamos nuestros flujos.

Entonces si tú tienes un bebé de 4 meses y le pones un flujo para bebés de 2 meses, lo que probablemente tenga más riesgo es que tu bebé rechace el biberón.

Por eso nuestra recomendación es que cojas el flujo que le corresponde por edad, y sigas las pautas que te daremos al realizar tu compra para que tu bebé coja el biberón sin afectar a tu lactancia materna.

matrona

[B] Si tu bebé sufre muchos cólicos necesitamos un biberón con un sellado total, que corresponde a la inclinación pronunciada. Por el contrario, usaremos una inclinación media, para casos aislados de cólicos. Y una inclinación suave en casos especiales indicados por nuestras matronas.

matrona

[LM] Puedes ponerte de perfil y observarte el pecho.

  • ¿Tienes un pecho totalmente plano? cogemos inclinación suave.
  • Si acaba totalmente en punta, escoge inclinación pronunciada.
  • O si más bien es redondito, inclinación media.

Si tienes dudas entre cualquier forma y redondeado, nuestro consejo es que cojas la inclinación media que corresponde al redondeado.

matrona

[Biberón exclusivamente] Si es el primer biberón que vas a usar desde el nacimiento, nuestra recomendación es que escojas un pezón medio.Por otra parte, si tu bebé ha usado ya otros biberones y los rechaza, o si al usar el chupete le genera muchos ascos y arcadas a tu bebé escogeremos pezón pequeño.

Guía medir pezón HM
matrona

[LM] Necesito que midas la longitud de tu pezón antes de la toma, [GUÍA PARA MEDIR PEZÓN].   

Sabemos que durante la toma se produce una elongación del pezón, y la hemos tenido en cuenta durante el desarrollo de nuestras tetinas. Por eso se tomaron justo esos parámetros de la medida del pezón antes de realizar la toma

Y por último, si usas pezoneras ten en cuenta el tamaño de la pezonera.