Dear Friends:

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

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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.

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warmly,

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

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