| Managing Colic in Infants |
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Dear Healthcare Professional,
Welcome to the May edition of our eNewsletter aimed to keep you updated with the latest news in infant nutrition.
We will be talking about managing colic this month and recapping the new ROME Foundation criteria for diagnosing colic in infants that was released last year. We will also tell you about our easy to digest formula, SMA® Comfort Easy to Digest Infant Milk and finally we have unbranded helpsheets available in 7 different languages that you can use with parents.
Kind regards,
The SMA® Professional Team |
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Colic is thought to affect up to one in five babies and usually presents in the first few weeks after birth. It is described as repeated episodes of excessive and inconsolable crying in an infant that otherwise appears to be healthy and thriving1. In 2016 the criteria for diagnosis of colic were updated; colic occurs when all of the following are present2:
• An infant aged < 5 months when the symptoms start and stop
• Recurrent and prolonged periods of crying, fussing or irritability reported by parents/caregivers that occur without obvious cause and cannot be prevented or resolved by parents/caregivers
• No evidence of infant faltering growth, fever or illness
The most useful intervention for colic is to offer support and advice for parents, and reassure them that the symptoms will resolve naturally over time. However, some parents may also find soothing techniques useful (such as white noise).
If parents feel unable to cope despite advice and reassurance, medical treatments can be considered for the management of infantile colic3.
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| SMA® Comfort Easy to Digest Infant Milk |
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As a result of an immature gut in the baby’s first weeks of life, tummy troubles, such as colic, constipation and digestive discomfort can occur and cause unease for both baby and parents.
Nutritionally complete and suitable from birth, SMA® Comfort Easy to Digest Infant Milk has been modified in three ways to help overcome the challenges of an immature gut for those infants that are bottle-fed. |
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| Unbranded helpsheets available for you |
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With 1 in 12 of the UK population being of non-British nationality7, language can often be a barrier to providing care to parents seeking advice. To support you in your conversations with parents, we have developed 15 unbranded helpsheets in 7 different languages for you to download and share.
With topics ranging from breastfeeding positions to colic available in languages from Bengali to Polish, we hope you will find this an invaluable resource.
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® Registered Trademark.
IMPORTANT NOTICE: The World Health Organisation (WHO) has recommended that pregnant women and new mothers be informed on the benefits and superiority of breastfeeding – in particular the fact that it provides the best nutrition and protection from illness for babies. Mothers should be given guidance on the preparation for, and maintenance of, lactation, with special emphasis on the importance of a well-balanced diet both during pregnancy and after delivery. Unnecessary introduction of partial bottle-feeding or other foods and drinks should be discouraged since it will have a negative effect on breastfeeding. Similarly, mothers should be warned of the difficulty of reversing a decision not to breastfeed. Before advising a mother to use an infant formula, she should be advised of the social and financial implications of her decision: for example, if a baby is exclusively bottle-fed, more than one can (400 g) per week will be needed, so the family circumstances and costs should be kept in mind. Mothers should be reminded that breast milk is not only the best, but also the most economical food for babies. If a decision to use an infant formula is taken, it is important to give instructions on correct preparation methods, emphasising that unboiled water, unsterilised bottles or incorrect dilution can all lead to illness.
References: 1. NHS Choices. Colic. 2014. Available here 2. Benninga M and Nurko, S et al. Gastroenterology 2016;150:1443-1455. 3. National Institute for Health and Care Excellence (NICE). Clinical Knowledge Summary (CKS): Colic - infantile. November 2014. Available here 4. Billeaud C et al. Gastric emptying in infants with or without gastro-oesophageal reflux according to the type of milk. Eur J Clin Nutr. 1990; 44: 577-83. 5. Infante D et al. Dietary treatment of colic caused by excess gas in infants: Biochemical evidence. World J Gastroenterol. 2011 Apr 28; 17(16): 2104–2108. 6. Yao M et al. High 2-palmitate and oligofructose in lower protein alpha-lactalbumin-enriched term infant formula: effects on stool characteristic and stool composition. J Pediatr Gastroenterol Nutr 2010; 50 (Supple. 2): PO-N-444. 7. Office for National Statistics (2015) Population by Country of Birth and Nationality Report: August 2015. |
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