I have found that the 5 S's can be useful, but that mothers need good 
instruction regarding some other issues along with it. It's hard to know if this 
research means the 5 S's are not effective, or if it means that the parents need 
more instruction than just watching the video, thus causing too many unknown 
variables.  Here are my thoughts on the matter:
	1. Mothers need hands on practice and return demonstration of the 5 S's on a 
one-on-one basis.  
	2. Mothers need to be taught feeding and satiation cues.  It seems that when a 
mother learns the 5 S's, and does not learn about feeding cues, that newborns 
may not be fed as often as they need to be fed, instead, they are swaddled.  
	3. Thirdly, I teach my mothers that their babies need skin-to-skin, and what 
the amazing benefits of STS are.  Swaddling can interfere with that if it is 
used all the time.  So, I tell them to make sure the baby is not showing feeding 
cues, make sure they get skin-to-skin, and when all of that has happened, then 
swaddling is useful, helpful, and beneficial.
I wonder how this study would turn out if all of the above ideas were 
implemented as a part of it?
 
Kathleen L.Gale RN, BSN, IBCLC, RLC
The Baby Cafe`   
Lactation Consulting and Newborn Care
773-501-4238
Blog:  http://thebabycafelc.blogspot.com/

NOTICE OF CONFIDENTIALITY


The information in this email, including attachments, maybe confidential and/or 
priveleged.  This email is intended to be reviewed only by the indivitual or 
oranization named as addressee.  If you are not the intended recipient, consider 
yourself notified that any disclosure, copying, distribution, use, or reliance 
on this transmission is STRICTLY PROHIBITED.  Please destroy all copies and 
formats of this message, including attachments.




________________________________
From: LACTNET automatic digest system <[log in to unmask]>
To: [log in to unmask]
Sent: Fri, August 6, 2010 11:00:01 PM
Subject: LACTNET Digest - 6 Aug 2010 (#2010-656)

There is 1 message totaling 77 lines in this issue.

Topics of the day:

  1. interesting research on the 5 Ss

Lactnet Archives are at:
LACTNET Archives http://community.lsoft.com/archives/lactnet.html
To Manage your Subscription, ie go nomail, index, etc, go to:
http://community.lsoft.com/archives/lactnet.html

Thanks- Kathleen Bruce, Kathy Koch, Rachel Myr,
Karleen Gribble, Linda Pohl, LACTNET Facilitators

Questions to [log in to unmask]

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set 
lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome

----------------------------------------------------------------------

Date:    Fri, 6 Aug 2010 21:09:22 -0400
From:    Nikki Lee <[log in to unmask]>
Subject: interesting research on the 5 Ss

Dear Friends:

Dare we say it? THBOTB doesn't work?  O my goodness!

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------


A Randomized, Controlled Trial of a Behavioral Intervention to Reduce Crying
among Infants.  Jonna M. McRury, MD; Adam J. Zolotor, MD, MPH

J Am Board Fam Med. 2010;23(3):315-322.



Abstract

Objective: To evaluate the efficacy of videotaped instruction of a
behavioral intervention to reduce crying among newborns.

Methods: Mothers of healthy, full-term newborns were recruited from the
postpartum unit of a large community hospital for a prospective, randomized,
controlled trial of an intervention to reduce
infant crying. Mothers participating in the intervention viewed a videotape
with instructions involving swaddling, side positioning, white noise,
jiggling, and sucking. Mothers in the control group viewed a videotape with
instructions for normal newborn care. Intervention was assessed by mean
hours per day of infant total crying (fussing, crying, and unsoothable
crying) and sleeping as recorded in a diary 3 days a week during the
1st, 4th, 6th, 8th, and 12th weeks of age; the Parenting Stress Index was
also used during the 6th and 12th weeks.

Results: Fifty-one mother-infant pairs were recruited; 35 completed the
study (18 intervention and 17 controls). Sixteen were lost to follow-up.
There were no statistically significant differences
between the groups in the hours of mean daily total crying or sleeping
during the 1st, 4th, 6th, 8th, or 12th weeks of age.

For example, during the 6th week of age mean daily total crying was 1.9
hours for infants in the control group versus 2.2 hours for infants in the
intervention group (P = .4); sleep was 14.5 hours for infants in the control
group versus 14.4 hours for infants in the intervention group (P = .8).
During the 12th week mean daily total crying was 1.2 hours for infants in
the control group versus 1.8 hours for infants in the intervention group (P
= .8) and sleep was 14.1 hours for infants in the control group versus 14.0
hours for infants in the intervention group (P = 1.0). There was no
difference between the groups in the Parenting Stress Index during the 6th
week of age.

Conclusion: The behavioral intervention, when provided via videotape, does
not seem to be efficacious in decreasing total crying among normal infants.

 =========================================================================================


warmly,

Nikki Lee RN, BSN, Mother of 2, MS, IBCLC, CCE, CIMI
craniosacral therapy practitioner
www.breastfeedingalwaysbest.com

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set 
lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome

------------------------------

End of LACTNET Digest - 6 Aug 2010 (#2010-656)
**********************************************

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome