The unsettled baby: Crying out for an integrated, multidisciplinary primary care approach

Douglas, Pamela S. and Hiscock, Harriet (2010) The unsettled baby: Crying out for an integrated, multidisciplinary primary care approach. Medical Journal of Australia, 193 9: 533-536.

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Author Douglas, Pamela S.
Hiscock, Harriet
Title The unsettled baby: Crying out for an integrated, multidisciplinary primary care approach
Journal name Medical Journal of Australia   Check publisher's open access policy
ISSN 0025-729X
Publication date 2010-11-01
Sub-type Article (original research)
Volume 193
Issue 9
Start page 533
End page 536
Total pages 4
Editor Martin Van Der Weyden
Place of publication Strawberry Hills, NSW, Australia
Publisher Australasian Medical Publishing
Collection year 2011
Language eng
Subject 920501 Child Health
111707 Family Care
Formatted abstract
Unsettled behaviour in the first few months of life is a common clinical problem, with the associated risks of postnatal depression, premature cessation of breastfeeding, long-term psychological disturbance, and child abuse.

Parents of new babies complain of difficulty accessing appropriate care and receiving conflicting advice.

Although organic disturbance is implicated in only 5% of cases, gastro-oesophageal reflux disease, food allergies and lactose intolerance are often mistakenly diagnosed in unsettled babies.

There is no evidence that acid-suppressive medications help in treating unsettled behaviour and, until the hypothesis that proton-pump inhibitors may predispose to food allergies has been properly investigated, treatment with acid-suppressive medications should be avoided in this population.

Although unsettled behaviour in infants is commonly a transient neurodevelopmental phenomenon that peaks at 6 weeks of age, failure to diagnose other correctable problems, including breastfeeding difficulty and cows milk allergy, risks entrenching anxiety and disrupted mother–infant interactions in the long term.

In the current climate of health system reform, the design and evaluation of an integrated, evidence-based, multidisciplinary primary care approach to management of unsettled babies and their mothers is a priority.
Keyword Gastroesophageal-reflux disease
Cows milk allergy
Eosinophilic esophagitis
Postnatal depression
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published under "Clinical Practice".

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Medicine Publications
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Created: Mon, 21 Mar 2011, 11:06:50 EST by Gillian Vey on behalf of Discipline of General Practice