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1.
Scand J Public Health ; 36(3): 284-91, 2008 May.
Article in English | MEDLINE | ID: mdl-18519298

ABSTRACT

BACKGROUND: Many parents seek help from health professionals because of their infants' persistent crying in the early months. The aetiology of this condition, often labelled ;;infantile colic'', is still unclear. AIMS: To assess whether smoking during pregnancy, and/or smoking at infant age 5 weeks, is associated with infantile colic, and to describe how feeding at infant age 5 weeks and smoking are related to colic. METHODS: This was a community-based study, with telephone interviews in late pregnancy, and at infant age 5 weeks, covering 1,625 mother-infant dyads, i.e. 86% of the eligible population. RESULTS: Daily maternal smoking in pregnancy was related to subsequent colic, with an age-adjusted odds ratio (OR) of 1.74 (95% confidence interval 1.08-2.82). In the multivariate model, the OR was largely unaltered. The association between smoking at infant age 5 weeks and colic did not reach statistical significance. The subgroups based on smoking and infant feeding were small, but the results suggest that exclusive breast-feeding was protective against colic, including for infants of smoking mothers. CONCLUSIONS: This study presents yet another argument why smoking in pregnancy should be discouraged - some cases of infantile colic may be avoided. With regard to mothers who are not able to give up smoking, the results add some support for the conclusion that if a mother is worried about colic, she certainly should not refrain from breast-feeding even if she smokes.


Subject(s)
Breast Feeding/adverse effects , Colic/etiology , Smoking/adverse effects , Colic/prevention & control , Female , Humans , Infant , Infant, Newborn , Maternal-Fetal Exchange , Pregnancy , Prospective Studies , Risk Factors , Smoking Cessation , Surveys and Questionnaires
2.
Scand J Public Health ; 33(1): 26-34, 2005.
Article in English | MEDLINE | ID: mdl-15764238

ABSTRACT

AIMS: A study was undertaken to assess the impact of psychological, psychosocial and socioeconomic factors on the risk of having a child with infantile colic. METHODS: Psychosocial and psychological factors were assessed by self-administered questionnaires in the 17th, and by telephone interviews in the 35th-37th pregnancy weeks; infantile colic occurrence was assessed by telephone interviews at infant age 5 weeks; subjects were 1,099 mother-infant dyads. RESULTS: High trait anxiety increased the colic risk; OR 2.04 (95% CI: 1.16, 3.59), and so did affirming a perceived risk of spoiling young infants with too much physical contact; OR 1.77 (1.07, 2.91). In the final step of a multivariate model, not cohabiting with the child's father was the factor with the strongest association with colic; OR 3.48 (1.38, 8.77). Analyses of effect modification showed that high education seemed to protect from the influence of high trait anxiety. Young women were particularly high in trait anxiety, and being exposed to both these risk factors seemed to act synergistically on the risk of having a colicky infant; OR 2.41 (1.12, 5.18). CONCLUSIONS: Psychological and psychosocial factors were found to be significantly related to an increased risk for infantile colic, and these factors interacted with age, parity, social support, and educational level in a complex manner. Even though no single most important psychosocial risk factor was identified, the findings lend support to the strategy of offering special attention in terms of information and support in the maternal healthcare system to very young women, women who do not cohabit with the father, and women with high trait anxiety.


Subject(s)
Anxiety/complications , Colic/etiology , Mothers/psychology , Pregnant Women/psychology , Adolescent , Adult , Colic/psychology , Female , Humans , Infant , Infant, Newborn , Mother-Child Relations , Pregnancy , Risk Factors , Single Parent/psychology , Social Support , Socioeconomic Factors , Surveys and Questionnaires
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