Document Detail


Why are they having infant colic? A nested case-control study.
MedLine Citation:
PMID:  20955236     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We aimed to analyse infant (birth characteristics, feeding type, faecal enzyme activities) and environmental (maternal smoking, nutrition and psychological status, mother-child bonding, family structure, support for the mother, familial atopy) risk factors for infant colic and to follow infants with respect to physical growth, sleeping status up to 8 months of age in a nested case-control study. 660 mothers who delivered at Dr Zekai Tahir Burak Maternity Hospital, were enrolled within 3-72 h post delivery. Each infant with inconsolable persistent crying and four matched infants with no crying episodes were invited by phone to Hacettepe University Ihsan Doğramacı Children's Hospital at 30-45 days post partum. At 40-55 days, we examined the infants and gave mothers a questionnaire, including crying characteristics of the infants; 47 infants were diagnosed with colic and 142 as non-colic. When the infants were 7-8 months old, another interview was done. The colic group had higher proportions of less-educated (≤ 8 years) and smoking mothers, extended family and families with domestic violence than the non-colic group. The colic group of mothers had significantly higher rates of 'impaired bonding' in the Postpartum Bonding Questionnaire, higher scores on the Edinburgh Postnatal Depression Scale, higher scores for hostility subscales of the Brief Symptom Inventory and a more irregular sleep pattern than the non-colic group. No differences were revealed for faecal enzyme activities. At 7-8 months, the colic group was shorter than the non-colic group. Colic was associated with various perinatal factors (maternal education, smoking habits, cheese consumption, hostility scores and domestic violence) and having colic in infancy negatively affected the sleeping pattern and the height of the infant.
Authors:
S Songül Yalçin; Emel Orün; Banu Mutlu; Yusuf Madendağ; Incilay Sinici; Arzu Dursun; Hatice Asuman Ozkara; Zeynep Ustünyurt; Sehnaz Kutluk; Kadriye Yurdakök
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-08-17
Journal Detail:
Title:  Paediatric and perinatal epidemiology     Volume:  24     ISSN:  1365-3016     ISO Abbreviation:  Paediatr Perinat Epidemiol     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-19     Completed Date:  2011-01-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8709766     Medline TA:  Paediatr Perinat Epidemiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  584-96     Citation Subset:  IM    
Copyright Information:
© 2010 Blackwell Publishing Ltd.
Affiliation:
Department of Pediatrics, Hacettepe University Medical School, Ankara, Turkey. siyalcin@hacettepe.edu.tr
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MeSH Terms
Descriptor/Qualifier:
Adult
Anthropometry
Birth Weight
Child Development
Colic / etiology*,  physiopathology
Crying
Epidemiologic Methods
Feces / enzymology
Female
Gestational Age
Growth
Humans
Infant
Infant Nutritional Physiological Phenomena
Infant, Newborn
Male
Mother-Child Relations
Pregnancy
Prenatal Exposure Delayed Effects
Prenatal Nutritional Physiological Phenomena
Socioeconomic Factors
Tobacco Smoke Pollution / adverse effects
Young Adult
Chemical
Reg. No./Substance:
0/Tobacco Smoke Pollution

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