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  • LACTATION MODULE: The Fussy Breastfed Infant
  • NDC domain #1 (baby's health). The gut and the fussy breastfed infant (including haematochezia)

Analysis of a study concerning sleep stage and reflux. Dr Pamela Douglas May 2023

Dr Pamela Douglas4th of Mar 202415th of Mar 2024

Pappa A, Muschaweck M, Wenzl TG. Change of sleep stage during gastroesophageal reflux in infants. Children. 2023;10(5):836.

You can read this paper open access here.

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Next up in NDC domain #1 (baby's health). The gut and the fussy breastfed infant (including haematochezia)

NDC neurobiological model: cry-fuss problems and the gut

crying baby; fussy infant

Chronic SNS-HPA hyperarousal affects the gut microbiome and metabolic and immune settings

The gut is a major microbial-host interface, and a dominant immune organ.

Immune function, HPA axis regulation, and the microbiota-gut-brain axis interact and co-evolve in the mother-infant complex adaptive system, and are each affected by stress.

The infant gut microbiome in very early life has life-long effect on the settings of metabolism, immune, endocrine, and gut health. Gut dysbiosis is associated with impaired gut barrier integrity, inflammation and autoimmune disease.90, 91

The NDC neurobiological model proposes that widespread inappropriate medicalisation of infant behavioral cues, usually as signs of gut problems, results in a failure to identify and manage the underlying environmental factors which precipitate chronic SNS-HPA hyperarousal in very early life. Inappropriate medicalisation of upregulated behavior and the failure to identify and manage underlying clinical problems have deleterious effects on gut health long-term.

An infant who cries and fusses a lot in...

more articles in NDC domain #1 (baby's health). The gut and the fussy breastfed infant (including haematochezia)

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    Haematochezia and allergy in the breastfed infant. Dr Pamela Douglas 12 June 2024 - VIDEO
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    NDC neurobiological model: cry-fuss problems and the gut
  • 1

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    The infant gut: a GPs guide to management of wind, CMPA, reflux and lactose. Dr Pamela Douglas, Healthed Women's and Children's Update Adelaide HealthEd Conference September 2022 - 15 min VIDEO
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    About reflux. Dr Pamela Douglas, F2F Masterclass Melbourne September 2018
  • Downloadable resource

    Haematochezia and allergy in the breastfed infant. Dr Pamela Douglas 12_6_24.pdf
  • Downloadable resource

    The infant gut: a GP's guide to Mx of wind, CMPA, reflux and lactose in the case of 7-week-old Jason. Dr Pamela Douglas, HealthEd Women's & Children's Update Adelaide 17_9_22.pdf
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