5 minute read
A baby playing on the floor beside a caregiver.

Start with what you can observe

Think about what happened before the crying: the last feeding, a wet diaper, a change in temperature, a noisy room or a long period awake. Look at your baby rather than trying to identify a cause from the sound of a cry alone.

Responding to a young baby's needs does not spoil them. AAP's guidance on responding to cries explains that crying can communicate several needs, and that no caregiver can soothe a baby on every occasion.

If feeding is the concern, follow your baby's feeding guidance. Do not use water, homemade formula, supplements or an unprescribed remedy as a way to quiet a baby. Bring repeated feeding difficulty to the baby's clinician; feeding support explains the kinds of help available.

Try one change and notice the response

You might hold the baby securely, speak softly, walk slowly while holding them or move to a quieter setting. These are options, not a sequence you must complete. Pause long enough to see whether the baby seems more comfortable instead of rapidly switching between many new sounds and movements.

Illustrative example: After a busy visit, a baby cries while several people offer different suggestions. One caregiver takes the baby to a quieter room, holds them and speaks gently. Another adult finishes clearing the room. The family reduces what is happening around the baby without claiming to know exactly why the crying began.

If you use swaddling, get guidance on the technique and stopping conditions from the baby's care team or the safe sleep guide. A soothing practice must not change the baby's safe sleep arrangements.

When you need to step away

Put the baby on their back in a safe infant sleep space, then take a brief break to regain control. Return to check on the baby. CDC's two-month parenting guidance advises checking every five to ten minutes when stepping away because you are upset. Call someone who can stay with you or take over if possible.

Make the request direct: “I am overwhelmed and need you to take over now,” or “Stay on the phone with me while I calm down.” If you think you could hurt the baby, seek immediate help and do not continue holding them while your control is slipping.

A safe infant sleep space has a firm, flat, level surface with a fitted sheet and no loose or soft items. A couch, armchair or adult bed is not a substitute. See NICHD's safe sleep environment guidance.

Share what helps and what has changed

Illustrative example: One caregiver notices that a baby often becomes upset near the end of a noisy family meal. At handoff, they describe that observation, the feeding time and what they tried. They do not say, “The baby always cries for no reason.” The next caregiver has useful information and can watch for a different pattern.

The caregiver handoff sheet gives you a place for familiar comfort methods and contact details. Everyone caring for the baby needs to know the rule against shaking and the safe place to put the baby when taking a break.

Bring concerns to the baby's clinician

Contact the clinician for crying that feels different, a baby who cannot be consoled, feeding changes or signs of illness. For a baby three months old or younger, a rectal temperature of 100.4°F/38°C or higher requires calling the pediatrician immediately, even if there are no other symptoms. See AAP's Fever and Your Baby. Follow the care team's instructions for measuring temperature and getting urgent help.

Describe when the crying occurs, what else you notice and what has changed. You do not need to diagnose colic before making contact. If the daily strain is affecting your own health or ability to cope, caregiver stress offers ways to identify support that can relieve part of the day.