@article{ref1,
title="Preventing early infant sleep and crying problems and postnatal depression: A randomized trial",
journal="Pediatrics",
year="2014",
author="Hiscock, Harriet and Cook, Fallon and Bayer, Jordana and Le, Ha Nd and Mensah, Fiona and Cann, Warren and Symon, Brian and St James-Roberts, Ian",
volume="133",
number="2",
pages="e346-54",
abstract="OBJECTIVE:To evaluate a prevention program for infant sleep and cry problems and postnatal depression.  METHODS:Randomized controlled trial with 781 infants born at 32 weeks or later in 42 well-child centers, Melbourne, Australia. Follow-up occurred at infant age 4 and 6 months. The intervention including supplying information about normal infant sleep and cry patterns, settling techniques, medical causes of crying and parent self-care, delivered via booklet and DVD (at infant age 4 weeks), telephone consultation (8 weeks), and parent group (13 weeks) versus well-child care. Outcomes included caregiver-reported infant night sleep problem (primary outcome), infant daytime sleep, cry and feeding problems, crying and sleep duration, caregiver depression symptoms, attendance at night wakings, and formula changes.  RESULTS:Infant outcomes were similar between groups. Relative to control caregivers, intervention caregivers at 6 months were less likely to score >9 on the Edinburgh Postnatal Depression Scale (7.9%, vs 12.9%, adjusted odds ratio [OR] 0.57, 95% confidence interval [CI] 0.34 to 0.94), spend >20 minutes attending infant wakings (41% vs 51%, adjusted OR 0.66, 95% CI 0.46 to 0.95), or change formula (13% vs 23%, P < .05). Infant frequent feeders (>11 feeds/24 hours) in the intervention group were less likely to have daytime sleep (OR 0.13, 95% CI 0.03 to 0.54) or cry problems (OR 0.27, 95% CI 0.08 to 0.86) at 4 months.  CONCLUSIONS:An education program reduces postnatal depression symptoms, as well as sleep and cry problems in infants who are frequent feeders. The program may be best targeted to frequent feeders.<p /> <p>Language: en</p>",
language="en",
issn="0031-4005",
doi="10.1542/peds.2013-1886",
url="http://dx.doi.org/10.1542/peds.2013-1886"
}