The crying of an infant evokes emotions ranging from the need to respond, comfort, and protect; to annoyance, aversion, or even rage.18 Brazelton T.B. Crying in infancy Pediatrics 1962 ; 29 : 579
Haga clic aquí para ir a la sección de Referencias, 21 Carey W.B. Infantile colic: A pediatric practitioner-researcher's point of view Infant Mental Health Journal 1990 ; 11 : 334
Haga clic aquí para ir a la sección de Referencias, 29 Geertsma M.A., Hyams J.S. Colic—a pain syndrome of infancy? Pediatr Clin North Am 1989 ; 36 : 905
Haga clic aquí para ir a la sección de Referencias, 57 Murray A.D. Aversiveness is in the mind of the beholder: Perception of infant crying by adults Infant Crying—Theoretical and Research Perspectives New York: Plenum Press (1985).
217-237
Haga clic aquí para ir a la sección de Referencias, 63 Schmitt B.D. Colic: Excessive crying in newborns Clin Perinatol 1985 ; 12 : 441
Haga clic aquí para ir a la sección de Referencias The incidence of “excessive” crying ranges from 8% to 30% in the United States and was reported by Poole as the chief complaint for approximately 1 in every 400 visits to an urban pediatric emergency department (ED).20 Canivet C., Hagander B., Jakobsson I. , y al. Infantile colic—less common than previously estimated? Acta Paediatr 1996 ; 85 : 454
Haga clic aquí para ir a la sección de Referencias, 34 Hewson P., Oberklaid F., Menahem S. Infant colic, distress and crying Clin Pediatr 1987 ; 26 : 69
Haga clic aquí para ir a la sección de Referencias, 46 Lester B.M., Boukydis C.F.Z., Garcia-Coll C.T. , y al. Colic for developmentalists Infant Mental Health Journal 1990 ; 11 : 321
Haga clic aquí para ir a la sección de Referencias, 60 Poole S.R. The infant with acute, unexplained, excessive crying Pediatrics 1991 ; 88 : 450
Haga clic aquí para ir a la sección de Referencias The child presenting to the ED with persistent crying generally represents the endpoint of a caregiver's frustration and fear for the health of their very young and vulnerable child.13 Barr R.G., Rotman A., Yaremko J. , y al. The crying of infants with colic: A controlled empirical description Pediatrics 1992 ; 90 : 14
Haga clic aquí para ir a la sección de Referencias, 18 Brazelton T.B. Crying in infancy Pediatrics 1962 ; 29 : 579
Haga clic aquí para ir a la sección de Referencias, 19 Brazelton T.B. Crying and colic Infant Mental Health Journal 1990 ; 11 : 349
Haga clic aquí para ir a la sección de Referencias, 64 Schmitt B.D. The prevention of sleep problems and colic Pediatr Clin North Am 1986 ; 33 : 763
Haga clic aquí para ir a la sección de Referencias The parent often thinks that they have failed to meet the needs of his or her child and will seek medical care when the advice and counseling of friends and relatives is no longer effective or desired.18 Brazelton T.B. Crying in infancy Pediatrics 1962 ; 29 : 579
Haga clic aquí para ir a la sección de Referencias, 19 Brazelton T.B. Crying and colic Infant Mental Health Journal 1990 ; 11 : 349
Haga clic aquí para ir a la sección de Referencias, 21 Carey W.B. Infantile colic: A pediatric practitioner-researcher's point of view Infant Mental Health Journal 1990 ; 11 : 334
Haga clic aquí para ir a la sección de Referencias, 33 Heine R.G., Jaquiery A., Lubitz L. , y al. Irritability Arch Dis Child 1995 ; 73 : 121 [cross-ref]
Haga clic aquí para ir a la sección de Referencias, 43 Lehtonen L., Rautava P.T. Infantile colic: Natural history and treatment Curr Probl Pediatr 1996 ; 26 : 79
Haga clic aquí para ir a la sección de Referencias, 64 Schmitt B.D. The prevention of sleep problems and colic Pediatr Clin North Am 1986 ; 33 : 763
Haga clic aquí para ir a la sección de Referencias Parents present looking not only for definitive diagnosis and reassurance that their baby is well but also for relief of both the child and themselves.18 Brazelton T.B. Crying in infancy Pediatrics 1962 ; 29 : 579
Haga clic aquí para ir a la sección de Referencias, 29 Geertsma M.A., Hyams J.S. Colic—a pain syndrome of infancy? Pediatr Clin North Am 1989 ; 36 : 905
Haga clic aquí para ir a la sección de Referencias, 43 Lehtonen L., Rautava P.T. Infantile colic: Natural history and treatment Curr Probl Pediatr 1996 ; 26 : 79
Haga clic aquí para ir a la sección de Referencias The crying infant also represents a challenge to the emergency physician to evaluate a disruptive, noncommunicative patient in obvious distress while effectively managing the anxious, fearful, and frustrated caregiver. Unfortunately, for the emergency physician seeking useful information when faced with the infant who has been “crying all night and just won't stop,” the literature addressing the question of infant crying generally focuses on specific cry characteristics or the investigation of infants with persistent, paroxysmal, and recurrent crying. In an attempt to provide a practical framework for this vexing problem, this review presents an approach to the crying infant with a brief discussion of current and previous cry research, followed by a differential diagnosis and recommendations for evaluation and management of this chief complaint.
El texto completo de este artículo está disponible en PDF.
© 1998
W. B. Saunders Company. Publicado por Elsevier Masson SAS. Todos los derechos reservados.
Artículo precedente
