Colic in babies can be distressing for both parents and infants, especially when a baby with colic has difficulty falling and staying asleep.
When it comes to sleeping positions for a baby with colic, some are more helpful than others. By experimenting with different sleep routines and sticking to safe sleeping positions, parents can help their colic baby get the restful sleep they need.
How Does Colic Affect a Baby’s Sleep?
Colic refers to excessive crying and fussiness in an otherwise healthy and well-fed baby. Signs of colic usually start around two weeks of age and improve by the time the baby is three to four months old.
Signs that your baby might be experiencing colic include inconsolable crying, clenched fists, arching of the back, and pulling up of the legs toward the abdomen.
Babies with colic often cry a lot, especially in the evenings, which can make it tough for them to calm down and sleep for an extended period of time.
This fussiness often leads to stress and restless sleep for both the baby and their caregivers, creating a cycle of disrupted comfort.
Best Sleeping Position for a Colic Baby: Flat on Their Back
In the past, doctors recommended having fussy babies sleep on their sides with their heads elevated to help ease digestion; however, this is no longer recommended as it can pose a greater risk for SIDS (Sudden Infant Death Syndrome).
The American Academy of Pediatrics now advises parents and caregivers to always have babies sleep on their backs on a flat sleep surface without any blankets or toys in their cribs. Back sleeping is recommended until the baby’s first birthday for naps and nighttime sleep.
Colic can sometimes be caused by gas and digestive discomfort, so taking steps to improve your baby’s digestion before putting them to sleep on their back can allow for better-quality, longer sleep.
Try burping your baby thoroughly before putting them down, and consider rocking and holding them upright for 30 to 60 minutes before sleep.
Worst Sleeping Positions: Elevated on Their Side or on Their Stomach
Some parents try elevating a baby slightly on their side to alleviate discomfort from gas and reflux. While holding them upright and on their side can allow gravity to keep your baby’s stomach contents down and reduce the likelihood of reflux, it’s not safe to have them sleep in a side-lying position all night.
Another position to avoid is putting your colic baby on their stomach, especially if they’re swaddled, which can cause stomach pains and make it difficult to breathe. Babies placed on their stomachs to sleep are at an increased risk for SIDS.
When to Visit a Pediatrician for Help with Your Baby’s Colic
If you suspect your baby has colic and consistently struggles to sleep, speak with your pediatrician to discuss what you can do to help comfort your little one.
Consult with your pediatrician before making any significant changes to your baby’s sleep routine to be sure it’s safe and helpful, especially if you have concerns about underlying health issues that might be contributing to colic, such as allergies.
Your pediatrician might recommend strategies to help your baby sleep better, such as:
- Breastfeeding before putting your baby to sleep to help them relax
- Burping your baby frequently during feedings to decrease digestive discomfort
- Gently rocking or swaddling your baby to help them feel more comfortable
- Adjusting your baby’s feeding schedule to see if it helps ease their symptoms
- Sticking to a regular sleep schedule with a consistent sleep and wake time
- Establishing a calming bedtime routine, such as one that includes bathing and rocking
- Keeping your child’s bedroom quiet, cool and dark
- Using a soothing sound machine or soft music to create a relaxing atmosphere
While it can be hard to “wait it out” while your baby’s colic goes away, most babies outgrow colic symptoms by four months of age. If your baby’s colic persists or if you notice any concerning changes in their behavior or health, it’s best to seek guidance from your pediatrician to ensure your baby receives the care they need.
At Stony Brook Pediatric Primary Care, our dedicated team of pediatricians provides compassionate and expert care for children of all ages. With a focus on promoting children’s health and well-being, our pediatricians offer comprehensive services, including routine check-ups, vaccinations, and specialized care for conditions like colic. We understand the unique needs of young patients and work closely with families to ensure every child receives personalized, high-quality medical care.
