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J Pediatr. 2006 Oct;149(4):512-7.

Comparison of behavior modification with and without swaddling as interventions for excessive crying.

Author information

1
Wilhelmina Children's Hospital, University Medical Center Utrecht, The Netherlands. B.E.vanSleuwen@umcutrecht.nl

Abstract

OBJECTIVE:

To test the hypothesis that swaddling is an effective method to reduce crying, we compared a standardized approach of regularity and stimulus reduction with the same approach supplemented with swaddling.

STUDY DESIGN:

Healthcare nurses coached 398 excessively crying infants up to 12 weeks of age for 3 months. Outcome measurements were crying as measured by Barr's 24-hour diary and parental perception of crying.

RESULTS:

Crying decreased by 42% in both groups after the first intervention week. Swaddling had no added benefit in the total group. Young infants (1-7 weeks of age at randomization) benefited significantly more from swaddling as shown by a larger decrease of crying over the total intervention period. Older infants (8-13 weeks of age at randomization) showed a significantly greater decrease in crying when offered the standardized approach without swaddling. The actual difference in crying time was 10 minutes.

CONCLUSION:

For older babies, swaddling did not bring any benefit when added to regularity and stimuli reduction in baby care, although swaddling was a beneficial supplementation in excessively crying infants <8 weeks of age.

PMID:
17011324
DOI:
10.1016/j.jpeds.2006.06.068
[Indexed for MEDLINE]
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