Babies left to cry 'can suffer brain damage'

Published Apr 22, 2010

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By Sarah Cassidy

A book by childcare expert Penelope Leach being published this week claims distressed babies who are repeatedly left to cry are at risk of developing problems in later life.

A book by childcare expert Penelope Leach being published this week claims distressed babies who are repeatedly left to cry are at risk of developing problems in later life.

It is the issue that has long divided parenting experts: when your baby starts to cry, is it wise to immediately rush to its aid or should you leave it alone for a while first?

The long-running argument is set to be reignited this week, when a new book by the childcare expert Penelope Leach is published. It claims that distressed babies who are repeatedly left to cry are at risk of developing problems in later life.

Leach argues that recent brain research proves that babies who are left to cry for prolonged periods are at risk of suffering damage to their developing brains, which reduces their capacity to learn.

She said: "It is not an opinion but a fact that it's potentially damaging to leave babies to cry. Now we know that, why risk it?"

The claim puts Leach at loggerheads with many of the most popular child-rearing gurus including Gina Ford, dubbed the "Queen of Routine", whose strictly regimented method for raising infants involves leaving even young babies to "cry down" for 20 minutes.

Ford's best-selling guide The Contented Little Baby Book, first published in 1999, advises new parents to break down their day into five-minute slots in order to settle their baby into a routine as soon as possible.

Devotees of Ford's approach are delighted when their babies sleep through the night from a young age.

Detractors include the UK's Liberal Democrat leader Nick Clegg, who in January criticised Ford's routine as "absolute nonsense".

According to Leach, young babies do not have the mental equipment to "learn" to go to sleep at the right time, so leaving them to cry is pointless.

"A baby who is left crying for long enough will eventually stop, but not because he has learnt to go to sleep happily alone, but because he's exhausted and has despaired of getting help," she said.

She argues that crying is a baby's sole way of signalling when he or she is uncomfortable or distressed, adding that being left crying hard is stressful, and continued acute stress sets up a hormonal chain reaction that ultimately stimulates the adrenal glands into releasing the "stress hormone" cortisol.

Long continued or oft-repeated crying can produce so much cortisol that it can damage a baby's brain, she says.

"That doesn't mean that a baby should never cry or that parents should worry when she does. All babies cry, some more than others. It's not crying that is bad for babies but crying that gets no response," she said.

However, research published last month found no ill effects on children whose parents had used "controlled crying" when they were babies.

The study by the Murdoch Childrens Research Institute in Australia followed up 225 six-year-old children who had received behavioural sleep intervention as babies to assess their health - including emotional wellbeing, behaviour and child-parent relationship.

It found techniques such as "controlled crying" had no adverse affects on the emotional and behavioural development of children or on their relationship with parents.

Anastasia Baker, director of Night Nannies, which helps solve babies' sleep problems, said: "I don't think there is any harm in leaving a baby to cry for a few minutes. If the baby is over six months and on solids, has been winded and fed and there's no reason for it to be crying then our troubleshooters will leave babies for a few minutes, then go back and reassure the baby then leave them for another few minutes. There is no harm in it and it can be a really useful way of getting a baby to learn to go to sleep on its own.

"So many mothers make the mistake of letting the baby fall asleep on them while feeding and the baby never gets used to going to sleep on its own.

"We have had clients who have had to rock their child to sleep for literally hours. That is no way for that family to live."

Mandy Gurney, founder of Millpond Sleep Clinic, added: "Obviously no one would advocate leaving a child to cry for long periods. But I think you can leave a child for a few minutes before going in to reassure them. Research has shown that using these techniques to tackle a sleep problem can have a very positive effect on family life."

Studies have suggested that up to half of parents have problems with their child's sleep patterns between the ages of six months and a year. In some cases this can lead to marital problems, family breakdowns, behavioural problems and maternal anxiety. - The Independent

A comment from a reader

It's a parents choice whether they decide to leave their baby to cry or not. If the parents assess the cry, assess the situation, have double checked their crying check list and listen to their natural intuition, and their gut tells them that the only reason why their baby is crying is because she is tired but can only fall asleep if rocked/patted/driven around the block etc (called sleep props), then it is okay to leave the baby to cry.

Some parents feel that by going in every 5 minutes to reassure their baby makes the situation worse because the baby thinks that they are now going to be picked up and the parent doesn't pick them up, instead they leave, leaving the baby more worked up than before. In many cases parents have told me they feel this method is more traumatic for parent and baby. Then there are parents who do believe in going in every 5 minutes and it does work for them! I firmly believe it is different strokes for different folks.

Sleep training is also just one piece of the puzzle and all the pieces, of which there are 6, need to be addressed and rectified before sleep training can be implemented. I firmly tell my parents that if you keep on going in and you have reached desperation point where you feel that if you go in one more time you will actually physically harm your baby, then he is safer left on his own in his bedroom.

My son was 7 months when we implemented sleep training, where we did have to eventually leave him to cry. It was tough, but he is now 6 years old and we have NEVER looked back and he is meeting his milestones, both physically, emotionally and intellectually like a 6 year old should. There are various sleep training techniques available to parents and they all advocate different methods etc.

A parent needs to find a technique that resonates with them and then stick to it, because no one else has to live with their baby but themselves. - Jacqui Flint, owner of Baby Love, a company specialising in routine and sleep guidance for pregnant couples and parents of babies 2 years and younger.

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