Main Points:
Suzanne was worried and exhausted. Her two-month-old baby, Sean, was a nonstop screamer. He could cry for hours. One afternoon her sister came to watch the baby, and Suzanne bolted to the bathroom for a hot shower and a quick “escape.” Forty-five minutes later she awoke, curled up in a ball on the blue tile floor, being sprayed with ice-cold water!
Meanwhile, half a world away in the rugged Kalahari plains of northern Botswana, Nisa gave birth to a tiny girl named Chuko. Chuko was thin and delicate but despite her dainty size, she, too, was a challenging baby who cried frequently.
Nisa carried Chuko in a leather sling everywhere she went. Unlike Suzanne, she never worried when Chuko cried, because like all mothers of the !Kung San tribe, she knew exactly how to calm her baby’s crying—in seconds.
Why did Suzanne have such trouble soothing Sean’s screams?
What ancient secrets did Nisa know that helped her calm her baby so easily?
As you are about to learn, the answers to these two questions will change the way you think about babies forever! They will show you the world through your baby’s eyes and, most important, they will teach you how to calm your baby’s cries in minutes and help prolong her sleep.
When perfectly dry, his flesh sweet and pure, he is the most kissable object in nature.
Marion Harland, Common Sense in the Nursery, 1886
Congratulations! You’ve done a great job already! You’ve nurtured your baby from the moment of conception to your baby’s “birth”day. Having a baby is a wonderful—and wonder-full—experience that makes you laugh, cry, and stare in amazement … all at the same time.
Your top job as a new parent is to love your baby like crazy. After showering her with affection, your next two important jobs are to feed her and to calm her when she cries.
I can tell you from my twenty-five years as a pediatrician, parents who succeed at these two tasks feel proud, confident, on top of the world! They have the happiest babies and they feel like the best parents on the block. However, mothers and fathers who struggle with these tasks often end up feeling distraught.
Fortunately, feeding a baby is usually pretty straightforward. Most newborns take to sucking like they have a Ph.D. in chowing-down! Soothing a crying baby, on the other hand, can be unexpectedly challenging.
No couple expects their sweet newborn to be “difficult.” Who really listens to horror stories friends and family share? We assume our child will be an “easy” baby. That’s why so many new parents are shocked to discover how tough calming their baby’s cries can be.
Please don’t misunderstand me. I’m not saying crying is bad. In fact, it’s brilliant! Leave it to nature to find such an effective way for helpless babies to get our attention. And once your baby has your attention, you probably zip down a checklist of questions and solutions:
The trouble comes when nothing works.
Estimates are that one out of every five babies has repeated bouts of terrible fussiness—for no apparent reason. That adds up to almost one million sweet new babies born in the U.S. each year who suffer from hours of red-faced, eyes-clenched screaming.
This is why parents of unhappy babies are such heroes! A baby’s scream is an incredibly heart-wrenching sound. Bone-tired and bewildered moms and dads lovingly cuddle their frantic babies for hours, trying to calm them, yet the continued crying can corrode their confidence: “Is my baby in pain?” “Am I spoiling her?” “Does she feel abandoned?” “Am I a terrible mother?”
Confronted by this barrage, sometimes the most loving parent may find herself pushed into frustration and depression. A baby’s unrelenting shrieks can even drive desperate caregivers over the edge—into the tragedy of child abuse.
Exhausted parents are often told they must wait for their babies to “grow out of it.” Yet most of us feel that can’t be right. There must be some way to help our babies.
I’m going to show you how.
Although a network of clinics and specialists exists to help mothers solve their infant’s feeding problems, there is little support for the parents of screaming babies. That’s unfortunate because while the urge to quiet a baby is instinctual, the ability to do it is a skill that must be learned.
Today’s parents have less experience caring for babies than any previous generation. (Amazingly, our culture requires more training to get a driver’s license than to have a baby.)
That’s not to say that inexperienced moms and dads are abandoned. On the contrary, they’re bombarded with suggestions. In my experience, America’s favorite pastime is not baseball but giving unasked-for advice to new parents. “It’s boredom.” “It’s the heat.” “Put a hat on him.” Or “It’s gas.”
It can be so confusing! Who should you believe?
In frustration and concern, parents often turn to their doctor for help. Studies show that one in six couples visit a doctor because of their baby’s persistent crying. When these babies are examined and found to be healthy, most doctors have little to offer but sympathy. “I know it’s hard, but be patient; it won’t last forever.” Advice like this often sends worried parents to look for help in baby books.
Parents of colicky babies spend hours scanning books for “the answer” to their infant’s distress. Yet, often the advice can be equally confusing: “Hold your baby—but be careful not to spoil him.” “Love your baby—but let him cry himself to sleep.”
Even these experts confess that for really fussy babies, they have nothing to offer:
Very often, you may not even be able to quiet the screaming.
What to Expect the First Year, Eisenberg, Murkoff, and Hathaway
The whole episode goes on at least an hour and perhaps for three or four hours.
Your Baby and Child, Penelope Leach
It’s completely all right to set the baby in the bassinet while trying to drown out the noise with the running water of a hot shower.
The Girlfriend’s Guide to Surviving the First Year
of Motherhood, Vicki Iovine
But a hot shower is cold comfort for the parents of a screaming baby.
Many exhausted parents I meet have been persuaded, against their better judgment, that they can only stand by and endure their baby’s screaming. But I tell them otherwise. Unhappy babies can be calmed—in minutes!
In many ways, the people living in primitive cultures are backward compared to Western societies. However, in some areas their wisdom is great … and we are the “primitive” ones. This is particularly true when it comes to soothing crying newborns.
I teased out shreds of wisdom from the past and wove them with cutting-edge modern research and some unique observations made during my years of caring for more than five thousand infants. From this, I distilled four principles that are crucial for anyone who wants to understand babies better and be skillful at comforting them and improving their sleep:
Did you ever see a baby horse or a baby cow? These newborn animals can walk, even run, on their very first day of life. In fact, they must be able to run—their survival depends upon it.
By comparison, our newborns are quite immature. They can’t run, walk, or even roll over. One British mum told me her new daughter seemed so unready for the world she and her husband affectionately nicknamed her “The Little Creature.” They’re not alone in seeing babies that way; the Spanish use the word criatura, meaning creature, to describe babies.
In many ways your new baby is more a fetus than an infant, spending most of her time sleeping and being fed. Had you delayed your delivery just three more months, your baby would have been born with the ability to smile, coo, and flirt. (Who wouldn’t want that on their baby’s first day of life!) However, I’ve never been able to talk a woman into keeping her infant inside for a fourth trimester … and for good reason. It’s already a tight squeeze getting a baby’s head out after nine months of pregnancy; by twelve months it would be impossible.
Why are our babies so immature at birth? The reason is simple. Unlike baby horses whose survival depends on their big strong bodies, a human baby’s survival depends on big smart brains. In fact, our babies’ brains are so huge we have to “evict” fetuses from the womb well before they’re fully ready for the world to keep their heads from getting stuck in the birth canal.
Newborns have some abilities that demonstrate their readiness to be in the world, but these notwithstanding, for the first three months, our babies are so immature they would really benefit if they could hop back inside whenever they get overwhelmed. However, since we’re not kangaroos, the least we can do as loving, compassionate parents is to make our little criaturas feel at home by surrounding them with the comforting sensations they enjoyed twenty-four hours a day in the womb. However, in order to give babies a fourth trimester, parents need to answer one important question: What exactly was it like in there?
In your womb, your baby was packed tight into the fetal position enveloped by the warm wall of the uterus and rocked and jiggled for much of the day. She was also surrounded by a constant shushing sound a little louder than a vacuum cleaner!
For thousands of years, parents have known that mimicking conditions in the uterus comforts newborns. That’s why almost every traditional baby-calming technique around the world imitates the sensations of the womb. From swaddling to swings to shushing, these methods return babies to a cuddly, rhythmic, womblike world until they are ready to coo, smile, and join the family. As helpful as this fourth-trimester experience is for calm babies, it is essential for fussy ones.
Most parents assume that this imitation soothes their baby simply by making her feel “back home.” Actually, these experiences trigger a profound neurological response never before recognized or reported—until today. This ancient and very powerful baby reflex is the calming reflex.
This automatic reset switch stills a baby’s crying and is truly a baby’s (and parent’s) best friend. Why did nature choose imitating the uterus as the trigger for this blessed reflex? The reason may surprise you: As important as it was for our ancestors to be able to quiet their babies, it was triply important for them to be able to quiet their fetuses!
Just imagine what it would feel like if your fetus threw a temper tantrum inside you. Not only could pounding fists and kicking feet make you sore, they could damage the fragile placenta or rip the umbilical cord, causing a fatal hemorrhage. Perhaps even more deadly than the risk of accidental injury was the chance that a squirming baby might get stuck sideways in the uterus and be unable to slide out, thus killing herself and her mother.
I’m convinced that the survival of our fetuses, and perhaps even the survival of our species, depended on this ancient calming reflex. Over millions of years, fetuses who became entranced by the sensations inside the uterus didn’t thrash about and thus were most likely to stay alive. Our babies today are direct descendants of those “Zen” fetuses who were so easily pacified by the womb.
How is a vacuum cleaner like a lullaby? How is a Volvo like a flannel blanket? They all help switch on your baby’s calming reflex by imitating some quality of your womb.
Although our ancient ancestors intuitively understood how to turn off their baby’s crying and turn on their baby’s calming, recognition of the calming reflex itself remained completely overlooked until I identified it during the mid-1990s while studying the characteristics of hundreds of crying babies in my practice.
I was struck by the fact that many traditional baby-calming methods failed to work unless they were done exactly right. I realized that, similar to a doctor setting off a knee reflex with a precise whack of a little hammer, the calming reflex could only be triggered by certain very specific actions. When presented correctly, however, the sounds and feelings of the womb had such a powerful effect that they could carry an infant from tears to tranquillity, sometimes even in mid-cry.
Parents and grandparents traditionally have used five different characteristics of the womb to soothe their babies. I refer to these time-honored “ingredients” of calm as the 5 “S’s”:
1. Swaddling—tight wrapping
2. Side/Stomach—laying a baby on her side or stomach
3. Shushing—loud white noise
4. Swinging—rhythmic, jiggly motion
5. Sucking—sucking on anything from your nipple or finger to a pacifier
These five methods are extremely effective but only when performed exactly right. When done without the right technique and vigor, they do nothing. (Detailed descriptions of how to perform each “S” are in Chapters 8 through 12.)
You don’t have to be a rocket scientist to be a terrific parent, but there are some little tricks that can help you do your job better. Most infant-care books list these calming tips, but that’s as unhelpful as listing the ingredients of a recipe without giving the instructions for how to combine and cook them.
Each individual “S” may be effective for soothing a mildly fussy baby. Your “easy” baby may only need to suck or to be danced around the room in order to be calmed. However, doing all five together can switch on the calming reflex so irresistibly that they soothe even the most frantic newborns. This layering of one “S” on top of another is so successful at making unhappy babies feel cozy and calm that one of my patients dubbed it “the Cuddle Cure.”
If the Cuddle Cure were indeed a cake recipe made from the 5 “S’s,” I think it would be for a layer cake.
Swaddling is the first step of calming and the first layer in this comfort cake. Next is the Side/Stomach position. These initial “S’s” prepare your baby to be calmed. Swaddling sets the stage for success by keeping her from flailing and accidentally overstimulating herself; the side or stomach position also stops the flailing, by taking away your baby’s feeling that she’s falling and by activating the calming reflex.
The next layer is Shhhh, followed immediately by Swinging. Both activate the calming reflex so your baby pays attention to you and the wonderful cuddling you’re giving her. These get her more and more relaxed.
Last, but not least, Sucking is the icing on the cake! It works best after the other layers have calmed your baby down. It, too, triggers the calming reflex and keeps it turned on to make your baby feel deeply and profoundly at peace. (Of course, from your baby’s point of view, you aren’t making a cake, but she will feel like you have popped her back inside the “oven” for a little fourth-trimester time!)
These five principles form the most effective program for soothing agitated infants that has ever been discovered. It works on even the most challenging of babies, like Sean.…
Remember Sean? He’s the boy whose crying so exhausted his mother that she fell asleep in the shower.
Don and Suzanne had expected that having a new baby might sometimes feel like motoring down a bumpy road, but they never imagined it would feel like driving off a cliff! Sean was a typical colicky baby, and his parents were the typical loving, bewildered, exhausted parents of a colicky child.
Here’s how Suzanne described the early days with Sean:
“When I was growing up, my mother often told me what a colicky baby I had been. Shortly after Sean was born, I knew it was payback time. My handsome, dark-haired boy was born a week early but, like a racehorse, he was ‘out of the gate’ at a gallop!
“From almost the second week of his life, Sean had fits of uncontrollable screaming for hours every day. I felt like a terrible mother as I watched him writhe in pain. Nothing worked to settle him, and usually I ended up crying right along with him.
“Equally distressing was my secret fear that Sean’s cries were the result of some injury he suffered at birth. His delivery was very difficult. After one and a half hours of hard pushing, the obstetrician yanked him out with a vacuum suction. My first memory is of Sean’s poor head looking like a black and blue banana.
“For the first month, our pediatrician advised us that Sean’s wailing was just his need to ‘blow off some steam.’ He warned that always responding to our baby could spoil him and accidentally teach him to cry even more! We thought his advice sounded logical, but leaving Sean to shriek made our baby even crazier—plus it was agonizing for us.
“Don and I read every baby book we could find. Day after day, we tried new approaches: swaddling—a failure; pacifier—useless; a change in my diet—futile; a swing—like waving to a jet thirty thousand feet overhead. We even tried a device that imitated a car’s noise and vibration. This, too, was a bust.
“Exhausted and demoralized, we returned to our doctor. He was sympathetic but reiterated that we had no option other than to endure Sean’s shrieking until he outgrew this phase. That afternoon, when Don and I got home, we agreed that it would be unbearable to wait, both for our suffering baby and for us.
“The next morning was terrible too. At our wit’s end, we took our six-week-old baby to meet a new pediatrician. Dr. Karp asked us many questions, and once he was convinced that Sean’s crying wasn’t the sign of a serious medical condition, he taught us a technique he called the ‘Cuddle Cure.’
“The Cuddle was a very specific mix of tight wrapping, vigorous rocking, and loud shushing. Dr. Karp explained that these sensations mimicked the baby’s life in the womb. He said most babies cry because ‘They’re just not ready to be born. In a way they still need to be in the protected world of the uterus for another three months!’
“To be honest, my skeptical self thought, This is too simple to be true. After all, I had attempted wrapping, rocking, and white noise and ended up as squashed as a bug under a fly swatter. But after watching Dr. Karp’s technique I realized I was doing them only halfway.
“Don and I decided to try the Cuddle. As incredible as it sounds, that afternoon was the last time Sean cried uncontrollably! The Cuddle cured Sean’s crying. Whenever he began going berserk, we would do all the steps of the Cuddle, and within minutes his little body would relax and melt into our arms. We finally found the comfort Sean had been begging us for for so many weeks.” 
The Cuddle worked quickly for Suzanne and Don; however, like most techniques, it may take you some practice to get the hang of it. But don’t worry: If you follow the advice in this book, step by step, you should master it within five to ten tries.
Some parents I speak with are hesitant to use the 5 “S’s.” They’ve been warned not to spoil their newborns and they fear that using the 5 “S’s” will accidentally give their babies bad habits. Is that possible? Can young babies inadvertently be turned into brats who demand constant holding and attention?
Thankfully, the answer to that question is … No! During the first three months of life (the fourth trimester), it’s impossible to spoil your baby by letting her suck or stay in your arms for hours. Does that surprise you? It really shouldn’t when you remember that you were lavishing her with these sensations twenty-four hours a day—up until the moment of birth. Even if you hold your baby twelve hours a day now, it’s a giant reduction from her point of view. What you will see is that by three to four months your baby will be increasingly able to calm herself with cooing, moving around, and sucking her hands. Since she will no longer need so much of your help, you will be able to rapidly wean her off the five “S’s” at that time.
I hope you are beginning to get excited that there are fast and effective ways of soothing your baby when she gets fussy! My goal is to teach you the tricks that the best parents around the world have used for centuries.
The first part of the book will answer the questions:
The second part of the book will discuss:
Once you understand your baby’s need for a fourth trimester, the 5 “S’s,” and the Cuddle, you will be able to prevent countless hours of screaming. It is my sincere hope that once this knowledge is shared, colic will be found only in dictionaries.
You have been blessed with one of the most amazing experiences a person can ever have—the birth of a baby. It’s an exciting ride, so strap yourself in … and enjoy. Please don’t worry when your baby cries. Consider it an opportunity to perfect your new parenting skills as you learn how to turn your fussy infant into the happiest baby on the block!