A Midwife Guide to newborn cries

Arriving home from the hospital with a newborn bundle of joy can be a daunting occasion, particularly when they start crying in a tone you don’t recognise. Care, the number one healthcare brand sold into UK pharmacy1 and Penny Lazell, a qualified midwife and independent health visitor are here with advice to help you comfort your little one.

“Babies are genetically programmed to call out for comfort when distressed”, says Penny. “Crying is your baby’s way of getting you to understand what they need as their brain isn’t developed enough to manage this on its own. Babies DO NOT cry to exercise their lungs or to annoy you! They cry when they need to alert you to something that is bothering them, either physically or emotionally, and requires you to meet their needs. The more these needs are met and understood over time, the less your baby will cry as you will learn to understand what they want before they become upset.”

Top 9 reasons why your baby might cry and what to do:

Hunger

· “Young babies’ brains are not developed enough to anticipate hunger”, says Penny. “Therefore when they realise they’re hungry, a message goes directly to the brain to alert the baby to let their carer know they need feeding. This can happen very quickly and the force and escalation of the cry often catches parents out and can be quite worrying.”

· What to do: “If your baby has not been fed for 2- 4 hours then they may be hungry. If they are soothed immediately by a breast or bottle then that’s probably what they were trying to tell you. Over time, babies will learn to regulate their feeds and often manage to have longer gaps in between, which will help you anticipate when the feed is due and reduce crying.”

Wet or dirty nappy

· “All babies are different so some don’t mind a slightly dirty nappy while others will cry as soon as it has been filled”, explains Penny. “Often babies will open their bowels straight after feeding so if they start to cry after a feed, it may be that they have a dirty nappy.”

· What to do: “A cry for a wet or dirty nappy is often mistaken for them still being hungry. Try to change your baby’s nappy frequently to avoid distress.”

Tiredness

· “Your baby yawning, rubbing their eyes, becoming fidgety, or disengaging are all signs of tiredness”, reveals Penny. “Once a baby becomes overtired, they find it really difficult to calm down again. This often causes anxiety for the parent and in turn, the baby picks up on this and is even less likely to calm down.”

· What to do: “A change of environment or someone different soothing the baby may help”, recommends Penny. “Or sometimes just allowing your baby to start using their own self-regulation; placing them in their cot with you nearby may actually give them permission to fall asleep.”

Pain

· “Cries from pain can be quite frightening and are often very different to those of hunger or tiredness”, says Penny. “They tend to be more high-pitched and have quite a sudden onset.”

· What to do: “Trust your gut instinct. If you think your baby’s cry is one of pain, take their temperature and check them over. It may just be that a piece of clothing is tight or they are in an uncomfortable position. If the cry continues, seek medical advice.”

Boredom

· “The brains of young babies are wired to crave attention so they can start to learn about the world. For this reason, they become bored very quickly and will often alert you on a regular basis that they want you”, explains Penny. “Although this can mean you find a little time to get things done, it is very important to respond to these cries to ensure your baby’s brain develops.”

· What to do: “Babies learn from you so try to set aside time to provide short periods of stimulating activities. This could just be talking to them or singing. They love your voice and eye contact. Try to avoid putting them in front of a TV. Even watching you hang the washing out is fun for them even if not for you!”

Over stimulation

· “This can be as hard to deal with as boredom. Babies’ brains are like sponges but can only take so much at a time. An over stimulated baby will become very fretful and can be difficult to settle which may be mistaken for many other things.”

· What to do: “If your baby appears to be fretful and isn’t settling with rocking or cuddling, try taking them to a quiet low lit room and just hold them still, gently shushing and talking to them. It may take a little while to settle them but stick with it.”

Wanting a cuddle

· “Babies have emotional needs and having spent nine months tucked up in a nice cosy womb feeling secure, they can often feel a little lost when out in the big wide world”, adds Penny. “Cuddling babies is important for their emotional development and for growing their ability to self-regulate themselves.”

· What to do: “Don’t be afraid to cuddle your baby. It will not make them clingy, in fact, it will help them become more independent.”

Being too hot or too cold

· “Babies have immature temperature regulation which means parents have to regulate it for them”, recommends Penny. “Babies lose heat from their heads so you should leave this uncovered. If a baby looks red with their crying it may be that they are too hot.”

· What to do: “Start by removing a layer of clothing from your baby. You may also need to check their temperature to see if they are hot due to a fever. Equally, babies may alert you to being cold by crying. Try to remember to always be aware that this may be a reason for their crying.”

Transient Lactase Deficiency

· The available evidence states that the immature digestive system of babies can struggle to make enough lactase to digest the lactose (a natural milk sugar found in breast and formula milk) in their feed, which can induce colicky symptoms. This is called Transient Lactase Deficiency. Guidelines from both the National Institute of Clinical Excellence (NICE) and the NHS Choices website suggest that Transient Lactase Deficiency could be an underlying cause of infantile colic and that a one week trial of a Lactase Enzyme Drop is worth a try in colicky infants.

· “Transient Lactase Deficiency is a common occurrence in young babies”, says Penny. “It can make them very uncomfortable and difficult to settle, which can lead to increased stress for both baby and parent.”

· What to do: “Introducing a lactase enzyme drop with feeds can often resolve the problem without having to move to or change the formula.”

Care Co-Lactase Infant Drops

Designed to reduce lactose content in milk, Care Co-Lactase Infant Drops help make digesting lactose easier for baby without delaying the feeding process.

These drops can be used from birth, and are sugar, preservative and flavour-free. They are to be added to breast milk or infant formula prior to feeding. The lactase enzyme breaks down the lactose in breast and formula milk which should reduce the symptoms of Transient Lactase Deficiency. Unlike other preparations, Care Co-Lactase Infant Drops do not interfere with the feeding process, meaning a baby can be fed immediately (rather than waiting 30 minutes for the drops to take effect).

Care Co-Lactase Infant Drops (10ml), priced at £9.99 for 60 feeds, are available from Asda stores or online at www.asda.com and independent pharmacies nationwide.

Did your little ones suffer from any feeding issues? We’ve had colic, gastric refluxes and more. I’d love to hear your experiences and what you used to help your little ones. 

Notes to readers:

· Care Co-Lactase should not be given directly to baby or added to soy or lactose-free formulas

· Care Co-Lactase should only be used for as long as it takes the infant to produce enough of its own lactase enzyme as the gut develops – typically at around 3 – 4 months

Using Care Co-Lactase Infant Drops

· For breastfeeding; a few tablespoons of breast milk should be expressed into a sterilised container before four drops of Care Co-Lactase Infant Drops are added. This should be given to the baby with a sterilised plastic spoon or syringe – then breastfeeding can continue as normal.

· For use with infant formula; add four drops to made-up formula when warm and then shake before feeding.

· When making the formula in advance; two drops are added to warm, made-up formula. This should be stored in the refrigerator for a minimum of four hours and should be used within 12 hours. It should be warmed to usual feeding temperature before use.

For further information, product photography and a full product range press pack call the Care press office at Pegasus – 01273 712000 or care@thisispegasus.co.uk. For more information about the Care range visit http://allthecareyouneed.co.uk/self-treatment/colactase/. or facebook.com/allthecareyouneed.

About Thornton & Ross

Founded in 1922, Thornton & Ross grew to become the largest independent pharmaceutical manufacturer in the UK, before becoming part of the STADA group in 2013.

From a base in Huddersfield, West Yorkshire, Thornton & Ross develop, manufacture and supply a growing portfolio of healthcare products including leading brands such as Covonia, Hedrin, Care, Setlers and Cerumol.

Disclosure: This is a collaborative post.

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