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2008 | OriginalPaper | Hoofdstuk

De effectiviteit van behandelingen van excessief huilen bij zuigelingen

Onderzoek: Een systematische review

Auteurs : P.L.B.J. Lucassen, W.J.J. Assendelft, J.W. Gubbels, J.T.M. van Eijk, W.J. van Geldrop, A. Knuistingh Neven

Gepubliceerd in: Schatjes zijn het

Uitgeverij: Bohn Stafleu van Loghum

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Samenvatting

  • Vraagstelling Wat is de effectiviteit van behandelingen van excessief huilen bij zuigelingen.
  • Methode Systematisch literatuuronderzoek in Medline, Embase en het Cochrane Controlled Trials Register naar effectiviteitsonderzoek bij zuigelingen < 6 maanden. Artikelen werden door twee onderzoekers onafhankelijk van elkaar geselecteerd en op kwaliteit beoordeeld. Effecten werden berekend als percentage succes. Uitkomstmaten van onderzoek naar identieke interventies werden samengevat met behulp van een random effects-model.
  • Resultaten In totaal werden 27 publicaties geselecteerd. Elimineren van koemelk is effectief, indien de voeding vervangen wordt door hypo-allergene voeding (effect 0,22, 95%-BI 0,09-0,34). Goed onderzoek naar het gebruik van soja laat geen duidelijk effect zien. Het elimineren van koemelk is ook effectief in eerstelijnspopulaties. Dicyclomine is effectief (effect 0,46,95%-BI 0,33-0,60), maar heeft ernstige bijwerkingen. Het advies het aantal stimuli te reduceren is eveneens effectief (effect 0,48, 95%-BI 0,23-0,74). Daarentegen is het advies het kind meer te dragen en wiegen niet succesvol. Van simethicone, voeding met een laag lactosegehalte, geluid in combinatie met ritmisch bewegen, chiropraxie en het gebruik van een speen is de effectiviteit niet aangetoond.
  • Conclusie Excessief huilen bij zuigelingen moet bij voorkeur behandeld worden met het advies aan ouders het aantal stimuli gericht op het kind te verminderen, en met proefbehandeling met hypo-allergene voeding.
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Metagegevens
Titel
De effectiviteit van behandelingen van excessief huilen bij zuigelingen
Auteurs
P.L.B.J. Lucassen
W.J.J. Assendelft
J.W. Gubbels
J.T.M. van Eijk
W.J. van Geldrop
A. Knuistingh Neven
Copyright
2008
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-313-6642-2_25