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A randomized controlled trial of burping for the prevention of colic and regurgitation in healthy infants

Background Efficacy of burping in lowering colic and regurgitation episodes in healthy term babies lacks evidence in literature. Methods We conducted a randomized controlled trial to compare efficacy of burping versus no‐burping in 71 mother–baby dyads in community setting. Primary outcome was reduc...

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Published in:Child : care, health & development health & development, 2015-01, Vol.41 (1), p.52-56
Main Authors: Kaur, R., Bharti, B., Saini, S. K.
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Bharti, B.
Saini, S. K.
description Background Efficacy of burping in lowering colic and regurgitation episodes in healthy term babies lacks evidence in literature. Methods We conducted a randomized controlled trial to compare efficacy of burping versus no‐burping in 71 mother–baby dyads in community setting. Primary outcome was reduction in event rates of colic and regurgitation episodes over 3 months. Results Baseline characteristics were similar in two groups. Difference in incidence rates of colic between the control and burping group was 1.57 episodes/infant/100 weeks [95% confidence interval (CI): −0.63 to 3.76]. There was statistically no significant reduction in colic episodes between burping and non‐burping study subjects during 3 months of follow‐up (adjusted relative risk 0.64; 95% CI: 0.22–1.86, P‐value 0.41). Incidence rate difference of regurgitation episodes/infant/week between burping and control group was 4.36 (95% CI: 4.04 to 4.69) and there was statistically significant increase in burping group (adjusted relative risk 2.05; 95% CI: 1.92–2.18, P‐value 
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K.</creator><creatorcontrib>Kaur, R. ; Bharti, B. ; Saini, S. K.</creatorcontrib><description>Background Efficacy of burping in lowering colic and regurgitation episodes in healthy term babies lacks evidence in literature. Methods We conducted a randomized controlled trial to compare efficacy of burping versus no‐burping in 71 mother–baby dyads in community setting. Primary outcome was reduction in event rates of colic and regurgitation episodes over 3 months. Results Baseline characteristics were similar in two groups. Difference in incidence rates of colic between the control and burping group was 1.57 episodes/infant/100 weeks [95% confidence interval (CI): −0.63 to 3.76]. There was statistically no significant reduction in colic episodes between burping and non‐burping study subjects during 3 months of follow‐up (adjusted relative risk 0.64; 95% CI: 0.22–1.86, P‐value 0.41). Incidence rate difference of regurgitation episodes/infant/week between burping and control group was 4.36 (95% CI: 4.04 to 4.69) and there was statistically significant increase in burping group (adjusted relative risk 2.05; 95% CI: 1.92–2.18, P‐value &lt; 0.0001). Conclusions Although burping is a rite of passage, our study showed that burping did not significantly lower colic events and there was significant increase in regurgitation episodes in healthy term infants up to 3 months of follow‐up.</description><identifier>ISSN: 0305-1862</identifier><identifier>EISSN: 1365-2214</identifier><identifier>DOI: 10.1111/cch.12166</identifier><identifier>PMID: 24910161</identifier><identifier>CODEN: CCHDDH</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adult ; Babies ; breastfeeding ; burping ; Clinical trials ; Colic - epidemiology ; Colic - prevention &amp; control ; Control Groups ; Feeding Methods - statistics &amp; numerical data ; Female ; Gastroesophageal reflux ; Humans ; Incidence ; India ; Infant ; Infant Care - methods ; Infant, Newborn ; infantile colic ; Laryngopharyngeal Reflux - epidemiology ; Laryngopharyngeal Reflux - prevention &amp; control ; Male ; Maternal Age ; Prevalence ; Prospective Studies ; Randomized Controlled Trials ; regurgitation ; Young Adult ; Young Children</subject><ispartof>Child : care, health &amp; development, 2015-01, Vol.41 (1), p.52-56</ispartof><rights>2014 John Wiley &amp; Sons Ltd</rights><rights>2014 John Wiley &amp; Sons Ltd.</rights><rights>Copyright © 2015 John Wiley &amp; Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4906-fc3e3b7d2ef7ada47715f3ed1b7940aa9d57a46c61c3f93f890e5e8a58548d503</citedby><cites>FETCH-LOGICAL-c4906-fc3e3b7d2ef7ada47715f3ed1b7940aa9d57a46c61c3f93f890e5e8a58548d503</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,30999</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24910161$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kaur, R.</creatorcontrib><creatorcontrib>Bharti, B.</creatorcontrib><creatorcontrib>Saini, S. K.</creatorcontrib><title>A randomized controlled trial of burping for the prevention of colic and regurgitation in healthy infants</title><title>Child : care, health &amp; development</title><addtitle>Child Care Health Dev</addtitle><description>Background Efficacy of burping in lowering colic and regurgitation episodes in healthy term babies lacks evidence in literature. Methods We conducted a randomized controlled trial to compare efficacy of burping versus no‐burping in 71 mother–baby dyads in community setting. Primary outcome was reduction in event rates of colic and regurgitation episodes over 3 months. Results Baseline characteristics were similar in two groups. Difference in incidence rates of colic between the control and burping group was 1.57 episodes/infant/100 weeks [95% confidence interval (CI): −0.63 to 3.76]. There was statistically no significant reduction in colic episodes between burping and non‐burping study subjects during 3 months of follow‐up (adjusted relative risk 0.64; 95% CI: 0.22–1.86, P‐value 0.41). Incidence rate difference of regurgitation episodes/infant/week between burping and control group was 4.36 (95% CI: 4.04 to 4.69) and there was statistically significant increase in burping group (adjusted relative risk 2.05; 95% CI: 1.92–2.18, P‐value &lt; 0.0001). Conclusions Although burping is a rite of passage, our study showed that burping did not significantly lower colic events and there was significant increase in regurgitation episodes in healthy term infants up to 3 months of follow‐up.</description><subject>Adult</subject><subject>Babies</subject><subject>breastfeeding</subject><subject>burping</subject><subject>Clinical trials</subject><subject>Colic - epidemiology</subject><subject>Colic - prevention &amp; control</subject><subject>Control Groups</subject><subject>Feeding Methods - statistics &amp; numerical data</subject><subject>Female</subject><subject>Gastroesophageal reflux</subject><subject>Humans</subject><subject>Incidence</subject><subject>India</subject><subject>Infant</subject><subject>Infant Care - methods</subject><subject>Infant, Newborn</subject><subject>infantile colic</subject><subject>Laryngopharyngeal Reflux - epidemiology</subject><subject>Laryngopharyngeal Reflux - prevention &amp; control</subject><subject>Male</subject><subject>Maternal Age</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Randomized Controlled Trials</subject><subject>regurgitation</subject><subject>Young Adult</subject><subject>Young Children</subject><issn>0305-1862</issn><issn>1365-2214</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqNkU1vEzEQhi0EoqFw4A8gS1zgsK29_lofq4i2iACXoh4txztOXJx1sHeB8OtxmrYHJKTOxSPNM480fhF6TckJrXXq3PqEtlTKJ2hGmRRN21L-FM0II6KhnWyP0ItSbkgtyclzdNRyTQmVdIbCGc526NMm_IEeuzSMOcVY2zEHG3HyeDnlbRhW2KeMxzXgbYafMIwhDfupSzE4XA04w2rKqzDa21EY8BpsHNe72no7jOUleuZtLPDq7j1G384_XM0vm8XXi4_zs0XjuCay8Y4BW6q-Ba9sb7lSVHgGPV0qzYm1uhfKcukkdcxr5jtNQEBnRSd41wvCjtG7g3eb048Jymg2oTiI0Q6QpmLqN9XLhW71I1DBpWZCPsbKuGq5ZG1F3_6D3qQpD_XmPcW0JFzthe8PlMuplAzebHPY2LwzlJh9qqamam5TreybO-O03ED_QN7HWIHTA_ArRNj932Tm88t7ZXPYCGWE3w8bNn83UjElzPWXCyOvP4mrhf5sztlfYxe5zA</recordid><startdate>201501</startdate><enddate>201501</enddate><creator>Kaur, R.</creator><creator>Bharti, B.</creator><creator>Saini, S. K.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>201501</creationdate><title>A randomized controlled trial of burping for the prevention of colic and regurgitation in healthy infants</title><author>Kaur, R. ; Bharti, B. ; Saini, S. K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4906-fc3e3b7d2ef7ada47715f3ed1b7940aa9d57a46c61c3f93f890e5e8a58548d503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Babies</topic><topic>breastfeeding</topic><topic>burping</topic><topic>Clinical trials</topic><topic>Colic - epidemiology</topic><topic>Colic - prevention &amp; control</topic><topic>Control Groups</topic><topic>Feeding Methods - statistics &amp; numerical data</topic><topic>Female</topic><topic>Gastroesophageal reflux</topic><topic>Humans</topic><topic>Incidence</topic><topic>India</topic><topic>Infant</topic><topic>Infant Care - methods</topic><topic>Infant, Newborn</topic><topic>infantile colic</topic><topic>Laryngopharyngeal Reflux - epidemiology</topic><topic>Laryngopharyngeal Reflux - prevention &amp; control</topic><topic>Male</topic><topic>Maternal Age</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Randomized Controlled Trials</topic><topic>regurgitation</topic><topic>Young Adult</topic><topic>Young Children</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kaur, R.</creatorcontrib><creatorcontrib>Bharti, B.</creatorcontrib><creatorcontrib>Saini, S. K.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Child : care, health &amp; development</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kaur, R.</au><au>Bharti, B.</au><au>Saini, S. K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A randomized controlled trial of burping for the prevention of colic and regurgitation in healthy infants</atitle><jtitle>Child : care, health &amp; development</jtitle><addtitle>Child Care Health Dev</addtitle><date>2015-01</date><risdate>2015</risdate><volume>41</volume><issue>1</issue><spage>52</spage><epage>56</epage><pages>52-56</pages><issn>0305-1862</issn><eissn>1365-2214</eissn><coden>CCHDDH</coden><abstract>Background Efficacy of burping in lowering colic and regurgitation episodes in healthy term babies lacks evidence in literature. Methods We conducted a randomized controlled trial to compare efficacy of burping versus no‐burping in 71 mother–baby dyads in community setting. Primary outcome was reduction in event rates of colic and regurgitation episodes over 3 months. Results Baseline characteristics were similar in two groups. Difference in incidence rates of colic between the control and burping group was 1.57 episodes/infant/100 weeks [95% confidence interval (CI): −0.63 to 3.76]. There was statistically no significant reduction in colic episodes between burping and non‐burping study subjects during 3 months of follow‐up (adjusted relative risk 0.64; 95% CI: 0.22–1.86, P‐value 0.41). Incidence rate difference of regurgitation episodes/infant/week between burping and control group was 4.36 (95% CI: 4.04 to 4.69) and there was statistically significant increase in burping group (adjusted relative risk 2.05; 95% CI: 1.92–2.18, P‐value &lt; 0.0001). Conclusions Although burping is a rite of passage, our study showed that burping did not significantly lower colic events and there was significant increase in regurgitation episodes in healthy term infants up to 3 months of follow‐up.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>24910161</pmid><doi>10.1111/cch.12166</doi><tpages>5</tpages></addata></record>
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source Applied Social Sciences Index & Abstracts (ASSIA); Wiley
subjects Adult
Babies
breastfeeding
burping
Clinical trials
Colic - epidemiology
Colic - prevention & control
Control Groups
Feeding Methods - statistics & numerical data
Female
Gastroesophageal reflux
Humans
Incidence
India
Infant
Infant Care - methods
Infant, Newborn
infantile colic
Laryngopharyngeal Reflux - epidemiology
Laryngopharyngeal Reflux - prevention & control
Male
Maternal Age
Prevalence
Prospective Studies
Randomized Controlled Trials
regurgitation
Young Adult
Young Children
title A randomized controlled trial of burping for the prevention of colic and regurgitation in healthy infants
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