Infant_Colic_Flashcards
What should parents be reassured about infant colic?
Reassure the parents that colic is a common problem that should resolve by 6 months of age.
How should feeding be managed to avoid aerophagia in infants with colic?
Avoid over- or under-feeding the infant and feed in a semi-upright position to avoid aerophagia.
What dietary advice is given to breastfeeding mothers of infants with colic?
Breastfeeding should continue, and the mother may benefit from following a hypo-allergenic diet.
What should be checked for formula-fed infants with colic?
Check that the bottle teat size is correct for the infant.
What type of formula may be beneficial for formula-fed infants with colic, and what should be avoided?
Hypo-allergenic formula may be beneficial but should have food challenges periodically to check if it has resolved naturally. Avoid soy formula.
What sources of information and support are recommended for parents of infants with colic?
Sources of information and support include NHS Choices leaflet, health visitor, and support groups (e.g. Cry-sis, ICON campaign).
What are some strategies to soothe a crying infant with colic?
Strategies include holding the baby through the crying episode, reducing environmental stimuli, gentle motion, ‘white noise’, bathing the infant in a warm bath, and ensuring an optimal winding technique.
What self-care advice should be given to parents of infants with colic?
Encourage parents to get support from family and friends, meet other parents at a similar stage (NCT), rest, and put the baby in a safe place to give themselves a time out.
What should not be recommended due to insufficient evidence base for infant colic?
Do not recommend things like Infacol and Colief because there is an insufficient evidence base.
What follow-up should be offered for infants with colic?
Offer follow-up based on clinical judgement regarding time and frequency.
When should a paediatrician be consulted regarding an infant with colic?
Seek advice from a paediatrician if parents feel unable to cope despite primary care support, there is suspected faltering growth, or a suspected underlying cause for symptoms that cannot be managed in primary care.
