crybabies, understanding colic
Monday, September 17th, 2007
In the September 17th issue of The New Yorker, an article titled Crybabies offers support and empathy for parents who don’t get much, if anything, in the way of an explanation (and certainly not a cure) for the crying of their colicky babies.
Colic is defined by the “Rules of Threes”: an otherwise healthy baby crying for three or more hours a day, three or more days a week, for three or more weeks. Twenty-percent of infants are classified as colicky. There have been a couple prevailing theories to circulate about the causes of colic – allergies to mothers milk and immature gastrointestinal system top that list. Wessel, a pediatrician at Yale, adds that most of the crying tends to take place in the evening and peaks between two and three months. If you believe the idea that colicky babies are more sensitive to stimuli, it would make sense that their systems would be most overloaded by the end of the day, spurring the crying.
The article goes on to talk about the parenting schemas of the each generation affecting how parents responded to the crying of their child, which we can all agree is the most horrible of sounds. The article then turns to a discussion about Barry Lester, a professor of psychiatry and pediatrics at Brown University and his treatment of colic as a behavioral disorder that affects the family. As such, he treats the family.
I was delighted to read about Lester’s approach to the issue of colic, because like so many issues in parenting, it doesn’t occur in isolation. Everyone is effected. And he postulates that the parent-child relationship can forever be transformed by these uber-challenging early months with a colicky baby, making it hard to tease apart a child’s temperament and early parenting dynamics that arise out of parents’ expectations that their child is difficult.
Lester also touches on another important issue, that of mother-guilt. Spend any time with a new mom of a fussy child and you’ll soon learn that she can come up with a healthy list of reasons why she is to blame for her child’s discontent. The same is true with colic. However, there is no data to support that mom did (or didn’t do) something to cause this.
Lester goes on to state that babies would be best served by being allowed, for short periods of time, to learn to self-soothe. This suggestion flies in the face of parents who feel like there is something THEY need to do to calm their babies. The frustration that builds quickly comes from unsuccessfully soothing a colicky baby and can be detremental. Lester, therefore, gives parents permission to take a break from the baby and even suggests this may be helpful for the baby.
As a sleep consultant I can feel the tension start to build when a suggestion is made that it’s okay for a baby to cry to learn to self-soothe. I respect that there are different opinions about this, however it warrants repeating that there is no data to suggest that a baby crying for controlled periods of time is traumatizing or otherwise damaging. In fact, it can often compel a baby to learn the important skill of self-soothe. This will ultimately make for a better-rested, less stressed family. And that’s really good for baby.

