Document Detail


Comparison of behavior modification with and without swaddling as interventions for excessive crying.
MedLine Citation:
PMID:  17011324     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To test the hypothesis that swaddling is an effective method to reduce crying, we compared a standardized approach of regularity and stimulus reduction with the same approach supplemented with swaddling. STUDY DESIGN: Healthcare nurses coached 398 excessively crying infants up to 12 weeks of age for 3 months. Outcome measurements were crying as measured by Barr's 24-hour diary and parental perception of crying. RESULTS: Crying decreased by 42% in both groups after the first intervention week. Swaddling had no added benefit in the total group. Young infants (1-7 weeks of age at randomization) benefited significantly more from swaddling as shown by a larger decrease of crying over the total intervention period. Older infants (8-13 weeks of age at randomization) showed a significantly greater decrease in crying when offered the standardized approach without swaddling. The actual difference in crying time was 10 minutes. CONCLUSION: For older babies, swaddling did not bring any benefit when added to regularity and stimuli reduction in baby care, although swaddling was a beneficial supplementation in excessively crying infants <8 weeks of age.
Authors:
B E van Sleuwen; M P L'hoir; A C Engelberts; W B Busschers; P Westers; M A Blom; T W J Schulpen; W Kuis
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of pediatrics     Volume:  149     ISSN:  0022-3476     ISO Abbreviation:  J. Pediatr.     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-10-02     Completed Date:  2006-11-28     Revised Date:  2007-07-23    
Medline Journal Info:
Nlm Unique ID:  0375410     Medline TA:  J Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  512-7     Citation Subset:  AIM; IM    
Affiliation:
Wilhelmina Children's Hospital, University Medical Center Utrecht, The Netherlands. B.E.vanSleuwen@umcutrecht.nl
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MeSH Terms
Descriptor/Qualifier:
Crying*
Humans
Infant
Infant, Newborn
Maternal Behavior*
Paternal Behavior*
Comments/Corrections
Comment In:
J Pediatr. 2007 Mar;150(3):320-1   [PMID:  17307559 ]
J Pediatr. 2007 Jul;151(1):e2-3; author reply e3   [PMID:  17586174 ]
Evid Based Nurs. 2007 Apr;10(2):42   [PMID:  17384094 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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