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Preventing early infant sleep and crying problems and postnatal depression: a randomized trial

Hiscock, Harriet, Cook, Fallon, Bayer, Jordana, Le, Ha, Mensah, Fiona, Cann, Warren, Symon, Brian and St James-Roberts, Ian 2014, Preventing early infant sleep and crying problems and postnatal depression: a randomized trial, Pediatrics, vol. 133, no. 2, pp. e346-e354, doi: 10.1542/peds.2013-1886.

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Title Preventing early infant sleep and crying problems and postnatal depression: a randomized trial
Author(s) Hiscock, Harriet
Cook, Fallon
Bayer, Jordana
Le, Ha
Mensah, Fiona
Cann, Warren
Symon, Brian
St James-Roberts, Ian
Journal name Pediatrics
Volume number 133
Issue number 2
Start page e346
End page e354
Total pages 9
Publisher American Academy for Pediatrics
Place of publication Elk Grove Village, Ill.
Publication date 2014
ISSN 0031-4005
1098-4275
Keyword(s) Infant
Sleep
Colic
Postpartum depression
Randomized controlled trial
Summary Objective
To evaluate a prevention program for infant sleep and cry problems and postnatal depression.

Methods
Randomized controlled trial with 781 infants born at 32 weeks or later in 42 well-child centers, Melbourne, Australia. Follow-up occurred at infant age 4 and 6 months. The intervention including supplying information about normal infant sleep and cry patterns, settling techniques, medical causes of crying and parent self-care, delivered via booklet and DVD (at infant age 4 weeks), telephone consultation (8 weeks), and parent group (13 weeks) versus well-child care. Outcomes included caregiver-reported infant night sleep problem (primary outcome), infant daytime sleep, cry and feeding problems, crying and sleep duration, caregiver depression symptoms, attendance at night wakings, and formula changes.

Results
Infant outcomes were similar between groups. Relative to control caregivers, intervention caregivers at 6 months were less likely to score >9 on the Edinburgh Postnatal Depression Scale (7.9%, vs 12.9%, adjusted odds ratio [OR] 0.57, 95% confidence interval [CI] 0.34 to 0.94), spend >20 minutes attending infant wakings (41% vs 51%, adjusted OR 0.66, 95% CI 0.46 to 0.95), or change formula (13% vs 23%, P < .05). Infant frequent feeders (>11 feeds/24 hours) in the intervention group were less likely to have daytime sleep (OR 0.13, 95% CI 0.03 to 0.54) or cry problems (OR 0.27, 95% CI 0.08 to 0.86) at 4 months.

Conclusions
An education program reduces postnatal depression symptoms, as well as sleep and cry problems in infants who are frequent feeders. The program may be best targeted to frequent feeders.
Language eng
DOI 10.1542/peds.2013-1886
Field of Research 111403 Paediatrics
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
Persistent URL http://hdl.handle.net/10536/DRO/DU:30062145

Document type: Journal Article
Collection: Population Health
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Created: Mon, 31 Mar 2014, 12:07:07 EST by Penny Andrews

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