Biopsychosocial approach

Biopsychosocial approach

For moms and dads:

It has been shown that a more patient attitude with greater education and information about infant colic by parents is essential to positively assist in this transitional and benign process that is Infant Colic.

For healthcare professionals:

In any pain process, the biopsychosocial approach must be taken into account, that is, how the psychic and the social environment influences the physical problem. Information and education are a key part of the perpetuation of the painful process of colic.

There are several factors that can make the relationship between parents and babies with colic worse.
Many times, the excess of sound or light stimulation, exacerbated and anxious responses of the parents to any discomfort of the baby, make the clinical sign of colic of the infant, that is, the crying is not reduced.

According to Treem: "many infants calm down when their parents change the way they respond to crying."

(Treem Wr. Child colic: A pediatric gastroenterologist's point of view. Pediatr Clin North Am (ed esp). 1994; 5: 1119-1135)

It is very important that the pediatrician report what exactly it is, without alarms, and making the baby understand that he is healthy, that it is a transitory problem and that it usually disappears at the 4th month of life.

In the nearby family nucleus, including the grandmothers / aunts, if there were any, it is important that the pediatrician's message is well understood, since many family visits can generate more tension for parents.
A comprehensive and patient attitude is essential.
Well-understood information along with more individualized rules to each family about the child's management is very effective.
Even in severe colic, when it is necessary to remove the protein from the milk of the cow from breastfeeding, there is a better response in babies whose parents are advised and informed about the best behavior.

(Taubman B. A randomized clinical study comparing advice to parents with the elimination of cow's milk or milks with soy protein for the treatment of infant colic syndrome. Pediatrics (ed esp). 1988; 25: 412)

Unfortunately, there are frequent and very unfortunate behaviors, in all parts of the planet, where parents with little information and education not only perpetuate the problem but also may be committing child abuse.
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