Linee guida
Il pianto “eccessivo” nei primi quattro mesi di vita
PERSISTENT CRY IN THE FIRST MONTHS OF LIFE
R. DAVANZO1 (Pediatra-Neonatologo), S. CASTELLI1 (Psicologa), F. CAVALIERI1 (Psicologa), A. FANTIN2 (Assistente sanitaria), C. FERTZ1 (Pediatra-Neonatologo), M. FILAFERRO1 (Vigilatrice d’infanzia), C. GERMANI1 (Pediatra), V. IVE1 (Psicologa), S. MARTELOSSI1 (Pediatra), C. PAVAN1 (Caposala), V. SOLA2 (Pediatra), P. SPACCARELLI2 (Pediatra), M. TOMMASI2 (Assistente sanitaria), M.T. TUCCI1 (Vigilatrice d’infanzia), E. ZAMBON2 (Assistente sanitaria)
1IRCCS Burlo Garofolo, Trieste
2Azienda Socio-Sanitaria Triestina
Febbraio 2001 - pagg. 109 -116
Abstract
Persistent cry in the young infant is a very frequent problem and represents an area where
opinions and practice among health professionals vary significantly. An interdisciplinary
group of health professionals made an attempt to provide practice guidelines based on
consensus and on availabale evidence. The guidelines include collection of clinical history,
physical examination, diagnostic approach, advice and counselling. The various theories
on etiology of infantile colics are discussed and their practical implication discussed. Particular
attention was paid to maintain and support breastfeeding.
Parole chiave
Suggerite dall'AI
Classificazione MeSH
Bibliografia
1. Polack FP, Khan NK, Maisels MJ. Changing
partners: the dance of infant formula
changes. Clin Pediatr 1999;38:703-8.
2. Wessel MA, et al. Paroxysmal fussing in infancy, sometimes called “colic”. Pediatrics 1954;14:421-34.
3. Illingworth RS. The three months colic. Arch Dis Child 1954;29:165-74.
4. Lehtonen L, et al. Gallbladder hypocontractility in infantile colic. Acta Paediatr 1994; 83:1174-7.
5. Lothe L, et al. Motilin and infantile colic. A prospective study. Acta Paediatr Scand 1990;79:410-6.
6. Moore DJ, et al. Breath response to milk containing lactose in colicky and non colicky infants. J Pediatr 1988;113:979-84.
7. Miller JJ, et al. Breath hydrogen excretion in infants with colic. Arch Dis Child 1989;64: 725-9.
8. Jakobsson I, Lindberg T. Cow’s milk protein cause infantile colic in breastfeed infants: a double blind crossover study. Pediatrics 1983;71:268-71.
9. Lothe L, Lindberg T. Cow’s milk protein elicits symptoms of infantile colic in colicky formula-fed infants: a double blind crossover study. Pediatrics 1989;83:262-6.
10. Lindberg T. Infantile colic and small intestinal function: a nutritional problem? Acta Paediatr 1999;88:58-60.
11. Lothe, et al. Macromolecolar absorptrion in infants with infantile colic. Acta Paediatr 1990;79:417-21.
12. Iacono G, et al. Severe infantile colic and food intolerance: a long-term prospective study. J Pediatr Gastroenterol Nutr 1991;12: 332-5.
13. Evans K, et al. Effect of the methd of breastfeeding on breast engorgement, mastitis and infantile colic. Acta Paediatr 1995;84:849- 52.
14. Wooridge MW, Fisher C. Colic, “overfeeding” and symptoms of lactose malabsorption in the breastfeed baby: a possible artifact of feed management? Lancet 1988;13:382-4.
15. Lindberg T. Infantile colic: aetiology and prognosis. Acta Paediatr 2000;89:1-2.
16. Hunziker UA, Barr RG. Increased carrying reduces infant crying: a randomized controlled trial. Pediatrics 1986;77:641-8.
17. Beebe SA, et al. Association of reported infant crying and maternal parenting stress. Clin Pediatr 1993;32:15-9.
18. St James-Roberts I, et al. Supplementary carrying compared with advice to increase responsive parenting and interventions to prevent persistent infant crying. Pediatrics 1995;95:381-8.
19. Barr RG, et al. Carrying and colic “therapy”: a RCT. Pediatrics 1991;87:623-30.
20. Sander LW, et al. Early mother-infant interaction and 24 hours patterns of activity and sleep. J Am Acad Child Psychiatry 1970;9:103-23.
21. Dunn J. Il pianto. Roma: Ed. Armando Armando, 1980.
22. Canivert C, et al. Infantile colic-less common than previously estimated? Acta Paediatr 1996;85:454-8.
23. Weizman Z, et al. Efficacy of herbal tea preparation in infantile colic. J Pediatr 1993; 122:650-2.
24. Sferra TJ, Heitlinger LA. Does simethicone have a role in the treatment for colic? In: Gastrointestinal gas formation and infantile colic. Ped Clin N Am 1996;43:489-507.
25. Venier D, et al. Le coliche gassose. Indagine epidemiologica. Riv It Ped 1986;12:358- 62.
26. Miller JJ, et al. Effect of yeast lactase on “colic” in infants feed human milk. J. Pediatr 117: 261-3.
27. Danielsson B, et al. Treatment of infantile colic with surface active substance (simethicone). Acta Paediatr Scand 1985;74:446-50.
28. Lucassen PLBJ, et al. Effectiveness of treatments for infantile colic: a systematic review. Br Med J 1998;316:1563-9.
29. Jakobsson I, et al. Effectiveness of casein hydrolysate feedings in infants with colic. Acta Paediatr 2000;89:18-21.
30. Estep DC, Kulczycki AJ. Treatment of infant colic with amino acid-based infant formula: a preliminary study. Acta Paediatr 2000; 89:22-7.
31. Canivet C, et al. Infantile colic. Follow-up at four years of age: still more “emotional”. Acta Paediatr 2000;89:13-7.
32. Barr RG. The normal crying curve: what do we really know? Developmental Medicine and Child Neurology 1990;32:356-62.
33. Barr RG, et al. Differential calming responses to sucrose taste in crying infants with and without colic. Pediatrics 1999;105:1-9.
34. Hyams JS, et al. Colonic hydrogen production in infants with colic. J Pediatr 1989;115:592,.
35. St James-Roberts I, et al. Objective confirmation of crying durations in infants referred for excessive crying. Arch Dis Child 1993;68: 82-4.
36. Neifert M, et al. Nipple confusion: toward a formal definition. J Pediatr 1995;126:S125-9.
37. Davanzo R, et al. I rischi dell’uso delle piante medicinali in età pediatrica. Riv Ital Pediatr 2000;26:41-4.
38. Rosti L, et al. Toxic effect of a herbal tea mixture in two newborns. Acta Paediatr 1994; 83:683.
39. Blass EM, Hoomeyer MA. Sucrose as an analgesic for newborn infants. Pediatrics 1991;87:215-8.
40. Haouari N, et al. The analgesic effect of sucrose in full term infants: a RCT. BMJ 1995;310:1498-500.
41. Lewindon PJ, et al. RCT of sucrose by mouth for the relief of infant crying after immunisation. Arch Dis Child 1998;78:453-6.
42. American Academy of Pediatrics e Canadian Paediatric Society. Prevention and treatment of pain and stress in the neonate 2000; 105:454-61.
43. Carbajal R, et al. Randomised trial of analgesic effects of sucrose, glucose and pacifiers in term neonates. BMJ 1999;319:1393-7.
44. Choonara I. Why do babies cry? (Editorial). BMJ 1999;319:1381.
45. Gray L, et al. Skin-to-skin contact is analgesic in healthy newborns. Pediatrics 2000; 105:pe14.
46. Williams J, Watkin-Jones R. Dicyclomine: worrying sumptoms associated with its use in some small babies. BMJ 1984;288:901.
47. Savino F, et al. La gestione del lattante con coliche: proposta di linee guida. Pediatrics & Neonatology Review 1999;4:5-50.
2. Wessel MA, et al. Paroxysmal fussing in infancy, sometimes called “colic”. Pediatrics 1954;14:421-34.
3. Illingworth RS. The three months colic. Arch Dis Child 1954;29:165-74.
4. Lehtonen L, et al. Gallbladder hypocontractility in infantile colic. Acta Paediatr 1994; 83:1174-7.
5. Lothe L, et al. Motilin and infantile colic. A prospective study. Acta Paediatr Scand 1990;79:410-6.
6. Moore DJ, et al. Breath response to milk containing lactose in colicky and non colicky infants. J Pediatr 1988;113:979-84.
7. Miller JJ, et al. Breath hydrogen excretion in infants with colic. Arch Dis Child 1989;64: 725-9.
8. Jakobsson I, Lindberg T. Cow’s milk protein cause infantile colic in breastfeed infants: a double blind crossover study. Pediatrics 1983;71:268-71.
9. Lothe L, Lindberg T. Cow’s milk protein elicits symptoms of infantile colic in colicky formula-fed infants: a double blind crossover study. Pediatrics 1989;83:262-6.
10. Lindberg T. Infantile colic and small intestinal function: a nutritional problem? Acta Paediatr 1999;88:58-60.
11. Lothe, et al. Macromolecolar absorptrion in infants with infantile colic. Acta Paediatr 1990;79:417-21.
12. Iacono G, et al. Severe infantile colic and food intolerance: a long-term prospective study. J Pediatr Gastroenterol Nutr 1991;12: 332-5.
13. Evans K, et al. Effect of the methd of breastfeeding on breast engorgement, mastitis and infantile colic. Acta Paediatr 1995;84:849- 52.
14. Wooridge MW, Fisher C. Colic, “overfeeding” and symptoms of lactose malabsorption in the breastfeed baby: a possible artifact of feed management? Lancet 1988;13:382-4.
15. Lindberg T. Infantile colic: aetiology and prognosis. Acta Paediatr 2000;89:1-2.
16. Hunziker UA, Barr RG. Increased carrying reduces infant crying: a randomized controlled trial. Pediatrics 1986;77:641-8.
17. Beebe SA, et al. Association of reported infant crying and maternal parenting stress. Clin Pediatr 1993;32:15-9.
18. St James-Roberts I, et al. Supplementary carrying compared with advice to increase responsive parenting and interventions to prevent persistent infant crying. Pediatrics 1995;95:381-8.
19. Barr RG, et al. Carrying and colic “therapy”: a RCT. Pediatrics 1991;87:623-30.
20. Sander LW, et al. Early mother-infant interaction and 24 hours patterns of activity and sleep. J Am Acad Child Psychiatry 1970;9:103-23.
21. Dunn J. Il pianto. Roma: Ed. Armando Armando, 1980.
22. Canivert C, et al. Infantile colic-less common than previously estimated? Acta Paediatr 1996;85:454-8.
23. Weizman Z, et al. Efficacy of herbal tea preparation in infantile colic. J Pediatr 1993; 122:650-2.
24. Sferra TJ, Heitlinger LA. Does simethicone have a role in the treatment for colic? In: Gastrointestinal gas formation and infantile colic. Ped Clin N Am 1996;43:489-507.
25. Venier D, et al. Le coliche gassose. Indagine epidemiologica. Riv It Ped 1986;12:358- 62.
26. Miller JJ, et al. Effect of yeast lactase on “colic” in infants feed human milk. J. Pediatr 117: 261-3.
27. Danielsson B, et al. Treatment of infantile colic with surface active substance (simethicone). Acta Paediatr Scand 1985;74:446-50.
28. Lucassen PLBJ, et al. Effectiveness of treatments for infantile colic: a systematic review. Br Med J 1998;316:1563-9.
29. Jakobsson I, et al. Effectiveness of casein hydrolysate feedings in infants with colic. Acta Paediatr 2000;89:18-21.
30. Estep DC, Kulczycki AJ. Treatment of infant colic with amino acid-based infant formula: a preliminary study. Acta Paediatr 2000; 89:22-7.
31. Canivet C, et al. Infantile colic. Follow-up at four years of age: still more “emotional”. Acta Paediatr 2000;89:13-7.
32. Barr RG. The normal crying curve: what do we really know? Developmental Medicine and Child Neurology 1990;32:356-62.
33. Barr RG, et al. Differential calming responses to sucrose taste in crying infants with and without colic. Pediatrics 1999;105:1-9.
34. Hyams JS, et al. Colonic hydrogen production in infants with colic. J Pediatr 1989;115:592,.
35. St James-Roberts I, et al. Objective confirmation of crying durations in infants referred for excessive crying. Arch Dis Child 1993;68: 82-4.
36. Neifert M, et al. Nipple confusion: toward a formal definition. J Pediatr 1995;126:S125-9.
37. Davanzo R, et al. I rischi dell’uso delle piante medicinali in età pediatrica. Riv Ital Pediatr 2000;26:41-4.
38. Rosti L, et al. Toxic effect of a herbal tea mixture in two newborns. Acta Paediatr 1994; 83:683.
39. Blass EM, Hoomeyer MA. Sucrose as an analgesic for newborn infants. Pediatrics 1991;87:215-8.
40. Haouari N, et al. The analgesic effect of sucrose in full term infants: a RCT. BMJ 1995;310:1498-500.
41. Lewindon PJ, et al. RCT of sucrose by mouth for the relief of infant crying after immunisation. Arch Dis Child 1998;78:453-6.
42. American Academy of Pediatrics e Canadian Paediatric Society. Prevention and treatment of pain and stress in the neonate 2000; 105:454-61.
43. Carbajal R, et al. Randomised trial of analgesic effects of sucrose, glucose and pacifiers in term neonates. BMJ 1999;319:1393-7.
44. Choonara I. Why do babies cry? (Editorial). BMJ 1999;319:1381.
45. Gray L, et al. Skin-to-skin contact is analgesic in healthy newborns. Pediatrics 2000; 105:pe14.
46. Williams J, Watkin-Jones R. Dicyclomine: worrying sumptoms associated with its use in some small babies. BMJ 1984;288:901.
47. Savino F, et al. La gestione del lattante con coliche: proposta di linee guida. Pediatrics & Neonatology Review 1999;4:5-50.