The results of this study are shown in the figure below. When Dr.
Brazelton
did the math, he discovered that at two weeks of age, twenty-
five percent of the babies cried for more than two hours each day. By six
weeks, twenty-five percent cried for more than three hours each day.
Reassuringly, he found that by three months
almost all had recovered
from their fussy period and few cried more than one hour a day.
(Persistent crying tends to vanish after three months which is why some
doctors refer to it as “three-month” colic.)
When a baby is brought to me because of crying fits, I first ask about
the parents’ family history and the baby’s birth,
feeding habits, and
general behavior. Next I examine the baby to make sure she’s healthy
and thriving. Once I’m sure that the baby is well,
I consider if her crying
pattern fits the “Rule of Threes,” the formal medical definition of colic
first formulated by Dr.
Morris Wessel, a private pediatrician from
Connecticut.
The “Rule of Threes” states that a baby has colic if she cries at least:
three hours a day … three days a week … three weeks in a row.
Some doctors call babies colicky even if they don’t fit the “Rule of
Threes” but still frequently scream uncontrollably for no obvious reason.
Some parents in my practice also think that the “Rule of Threes”
should be revised. They say the true definition of colic is when a baby
cries so much her
poor mom needs three nannies, three margaritas,
and … six hands! (Okay, there’s an exception to every rule.)
Parents often ask me if there’s a way to predict which babies will have
colic. While many doctors have tried to
find a pattern to this problem,
no consistent association has been found between colic and a baby’s
gender, prematurity, birth order, or their parents’ age, income, or
education. Colic can happen to anybody’s baby.
It is truly an equal-
opportunity parental nightmare!
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