Increased carrying reduces infant crying: a randomized controlled trial.
Increased carrying reduces infant crying: a randomized controlled trial.
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增加携带量可减少婴儿哭泣：一项随机对照试验。
作者：
U. Hunziker;R. Barr
工业化社会中正常婴儿的哭声模式的特征是，在6周龄之前总体增加，然后下降，直到4个月大，晚上哭声占优势。我们假设，这种“正常”的哭泣可以通过补充携带来减少，也就是说，除了在喂养期间和对哭泣的反应之外，还增加了全天的携带。在一项随机对照试验中，99对母婴被分配到增加携带或对照组。在哭闹高峰期（6周龄），接受辅助抱的婴儿总体哭闹和哭闹减少了43%（1.23 vs 2.16 h/d），在晚上（下午4点至午夜）减少了51%（0.63 vs 1.28 h）。在4、8和12周龄时出现类似但较小的下降。减少哭泣和大惊小怪与增加满足感和进食频率有关，但进食时间或睡眠没有变化。我们的结论是，补充进行修改“正常”哭，减少持续时间和改变的典型模式的哭和大惊小怪的前3个月的生活。在我们的社会中，相对缺乏携带可能会使正常婴儿更容易哭泣和绞痛。
The crying pattern of normal infants in industrialized societies is characterized by an overall increase until 6 weeks of age followed by a decline until 4 months of age with a preponderance of evening crying. We hypothesized that this "normal" crying could be reduced by supplemental carrying, that is, increased carrying throughout the day in addition to that which occurs during feeding and in response to crying. In a randomized controlled trial, 99 mother-infant pairs were assigned to an increased carrying or control group. At the time of peak crying (6 weeks of age), infants who received supplemental carrying cried and fussed 43% less (1.23 v 2.16 h/d) overall, and 51% less (0.63 v 1.28 hours) during the evening hours (4 PM to midnight). Similar but smaller decreases occurred at 4, 8, and 12 weeks of age. Decreased crying and fussing were associated with increased contentment and feeding frequency but no change in feeding duration or sleep. We conclude that supplemental carrying modifies "normal" crying by reducing the duration and altering the typical pattern of crying and fussing in the first 3 months of life. The relative lack of carrying in our society may predispose to crying and colic in normal infants.