126558 - Focussed management of infant cry-fuss and sleep problems
Focussed management of infant cry-fuss and sleep problems
Relevance to General Practice
Doctors and other health professionals report that they are not confident in the management of unsettled infant behaviour, though this is one of the most common presentations in the first months post-birth. 20% of new parents report infant crying problems, and up to 38% report sleep problems. Unsettled infant behaviour predisposes parents to postnatal depression, yet parents receive a great deal of conflicting advice, which exacerbates anxiety. Cry-fuss problems are associated with increased risk of child abuse, premature cessation of breastfeeding, and behavioural and developmental challenges in later childhood. There are also links between sleep problems in early life and dysregulation in later childhood, though the mediators are not clear. This activity teaches and assesses clinical skills from the evidence-based Neuroprotective Developmental Care programs ('The Possums Programs') for management of cry-fuss and sleep problems in early life.
- Describe the steps you will take to ensure that a patient with an elevated Edinburgh Postnatal Depression Scale score is appropriately followed up.
- Use the neurobiological model of unsettled infant behaviour to describe to parents why the baby cries a lot.
- Describe the causes of functional lactose overload, the signs, and how it is managed.
- Use the neurobiological model of unsettled infant behaviour to explain the baby’s groaning and writhing behaviours, and why burping practices are best avoided.
- Explain a baby’s needs for sensory nourishment and why this is related to crying behaviours.