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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medsovet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский Совет</journal-title><trans-title-group xml:lang="en"><trans-title>Meditsinskiy sovet = Medical Council</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2079-701X</issn><issn pub-type="epub">2658-5790</issn><publisher><publisher-name>REMEDIUM GROUP Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21518/2079-701X-2021-17-40-46</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-6481</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ЗДОРОВЫЙ РЕБЕНОК</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>HEALTHY CHILD</subject></subj-group></article-categories><title-group><article-title>Немедикаментозная терапия младенческих колик</article-title><trans-title-group xml:lang="en"><trans-title>Non-pharmacological therapy for infantile colic</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0353-6372</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Жданова</surname><given-names>С. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Zhdanova</surname><given-names>S. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Жданова Светлана Игоревна - кандидат медицинских наук, ассистент кафедры госпитальной педиатрии, Казанский ГМУ; специалист отдела нутритивных технологий Института неонатологии и педиатрии, Национальный МИЦАГП имени академика В.И. Кулакова; врач-неонатолог отделения новорожденных детей, Республиканская клиническая больница.</p><p>420012, Казань, ул. Бутлерова, д. 49; 117997, Москва, ул. Академика Опарина, д. 4; 420064, Республика Татарстан, Казань, Оренбургский тракт, д. 138</p></bio><bio xml:lang="en"><p>Svetlana I. Zhdanova, Cand. Sci. (Med.), Teaching Assistant of Department of Hospital Pediatrics, Kazan State Medical University; Specialist, Nutritional Technologies Department, Institute of Neonathology and Pediatrics, Kulakov NMRCOGP; Neonatologist, Department of Newborn Infants, RCH.</p><p>49, Butlerov St., Kazan, 420012; 4, Academician Oparin St., Moscow, 117997; 138, Orenburg Tract, Kazan, Republic of Tatarstan, 420064</p></bio><email xlink:type="simple">votinia@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3023-6631</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мустафина-Бредихина</surname><given-names>Д. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Mustafina-Bredikhina</surname><given-names>D. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мустафина-Бредихина Диана Мядхатовна - кандидат медицинских наук, юрист Российского общества неонатологов, старший преподаватель кафедры административного и финансового права юридического института.</p><p>117198, Москва, ул. Миклухо-Маклая, д. 66</p></bio><bio xml:lang="en"><p>Diana M. Mustafina-Bredikhina, Cand. Sci. (Med.), Lawyer of the Russian Neonatal Society, Senior Professor of Department of Administrative and Financial Law, Law Institute.</p><p>6, Miklukho-Maklai St., Moscow, 117198</p></bio><email xlink:type="simple">mustafina-dm@rudn.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5443-3192</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Левадная</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Levadnaya</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Левадная Анна Викторовна - кандидат медицинских наук, заведующая отделом нутритивных технологий Института неонатологии и педиатрии.</p><p>117997, Москва, ул. Академика Опарина, д. 4</p></bio><bio xml:lang="en"><p>Anna V. Levadnaya, Cand. Sci. (Med.), Head of Nutritional Technologies Department, Institute of Neonathology and Pediatrics.</p><p>4, Academician Oparin St., Moscow, 117997</p></bio><email xlink:type="simple">levadnaya.av@gmail.com</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6662-3548</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Садыкова</surname><given-names>Д. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Sadykova</surname><given-names>D. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Садыкова Динара Ильгизаровна - доктор медицинских наук, заведующая кафедрой госпитальной педиатрии.</p><p>420012, Казань, ул. Бутлерова, д. 49</p></bio><bio xml:lang="en"><p>Dinara I. Sadykova, Dr. Sci. (Med.), Head of Department of Hospital Pediatrics.</p><p>49, Butlerov St., Kazan, 420012</p></bio><email xlink:type="simple">sadykovadi@mail.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9527-3284</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бабинцева</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Babintseva</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Бабинцева Анна Анатольевна - главный внештатный специалист по неонатологии Министерства здравоохранения Республики Татарстан; главный специалист по неонатологии, Городская клиническая больница №7, родильный дом №1; ассистент кафедры госпитальной педиатрии, Казанский ГМУ.</p><p>420103, Республика Татарстан, Казань, ул. Маршала Чуйкова, д. 56;420012, Казань, ул. Бутлерова</p></bio><bio xml:lang="en"><p>Anna A. Babintseva, Chief External Expert in Neonathology, Ministry of Health of the Republic of Tatarstan; Chief Expert in Neonathology, Maternity Hospital City Clinical Hospital No. 7, Maternity Hospital No. 1; Teaching Assistant of Department of Hospital Pediatrics, Kazan SMU.</p><p>56, Marshal Chuikov St., Kazan, Republic of Tatarstan, 54420103,; 49, Butlerov St., Kazan, 420012</p></bio><email xlink:type="simple">amela05@mail.ru</email><xref ref-type="aff" rid="aff-5"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Казанский государственный медицинский университет; Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии имени академика В.И. Кулакова; Республиканская клиническая больница</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kazan State Medical University; Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology; Republican Clinical Hospital</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Российский университет дружбы народов</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Peoples’ Friendship University of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии имени академика В.И. Кулакова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Казанский государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kazan State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Казанский государственный медицинский университет; Городская клиническая больница №7, родильный дом № 1</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kazan State Medical University; Maternity Hospital City Clinical Hospital No. 7</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>30</day><month>10</month><year>2021</year></pub-date><volume>0</volume><issue>17</issue><fpage>40</fpage><lpage>46</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Жданова С.И., Мустафина-Бредихина Д.М., Левадная А.В., Садыкова Д.И., Бабинцева А.А., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Жданова С.И., Мустафина-Бредихина Д.М., Левадная А.В., Садыкова Д.И., Бабинцева А.А.</copyright-holder><copyright-holder xml:lang="en">Zhdanova S.I., Mustafina-Bredikhina D.M., Levadnaya A.V., Sadykova D.I., Babintseva A.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-sovet.pro/jour/article/view/6481">https://www.med-sovet.pro/jour/article/view/6481</self-uri><abstract><p>Младенческие колики - безутешный плач неизвестной причины у здоровых младенцев. Наблюдаются примерно у 20% малышей, являются самой частой причиной обращения к врачу в раннем возрасте. Часто колики связаны с материнской депрессией и являются наиболее значимым фактором риска синдрома «встряхнутого ребенка», а также могут быть причиной преждевременного прекращения грудного вскармливания. Информирование и поддержка родителей с плачущими младенцами признаются все более важными, а в некоторых руководствах рекомендуются как основополагающий фактор вмешательства в семьях с ребенком, страдающих коликами. Из-за отсутствия крупных высококачественных рандомизированных контролируемых исследований ни одно из поведенческих, диетических, фармакологических или альтернативных вмешательств не может быть рекомендовано как единственное эффективное лечение. К сожалению, многие матери во всем мире связывают беспокойство своего ребенка с «диетическими ошибками» в своем питании, что приводит к дальнейшим ограничениям в диете в качестве профилактической меры. По рекомендациям экспертов IV Римских критериев диетические ограничения при младенческой колике у кормящей грудью мамы оправданны только при подозрении на непереносимость белка коровьего молока. Также возможно при любом виде вскармливания назначение препаратов фенхеля и ромашки, в частности, в виде водных настоев/чая, причем при грудном вскармливании желательно не использовать бутылочку и чрезмерно большие объемы, которые могут уменьшить количество молока у женщины. Желательно избегать необоснованных диетических ограничений у кормящих грудью матерей в виде исключения т. н. газообразующих продуктов и неэффективной медикаментозной терапии, в частности препаратами симетикона.</p></abstract><trans-abstract xml:lang="en"><p>Infant colic is an inconsolable cry of unknown cause in healthy babies. Observed in about 20% of infants, the most common reason for seeking medical attention at an early age. Colic is associated with maternal stress and the most significant risk factor for shaken baby syndrome, and can also cause premature breastfeeding termination. Informing and supporting parents with crying babies is increasingly important, and some guidelines recommend it as a cornerstone of intervention in families with a baby with colic. Because of the high quality randomized trials, none of the behavioral, dietary, pharmacological, or alternative interventions can be recommended as the only effective treatment. Unfortunately, many mothers around the world associate their child’s anxiety with “dietary mistakes” in their diets, leading to further dietary restrictions as a preventative measure. At the same time, according to the recommendations of the experts of the IV Rome Criteria, dietary restrictions for infant colic in breastfeeding mothers can be recommended only if there is a suspicion of suspicion of tolerance of cow’s milk protein. It is also possible for any type of feeding to prescribe fennel and chamomile preparations, in particular, in the form of aqueous infusions, and when breastfeeding it is desirable to use a bottle and excessively large volumes, which can reduce the amount of milk in a woman. It is desirable to exclude unreasonable dietary restrictions in breastfeeding mothers by excluding the so-called “gas-forming products” and ineffective therapy, in particular simethicone preparations.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>младенческие колики</kwd><kwd>диета кормящей матери</kwd><kwd>лечение младенческой колики</kwd><kwd>фитотерапия</kwd><kwd>Matricaria recutita</kwd><kwd>ромашка</kwd><kwd>Foeniculum vulgare</kwd><kwd>фенхель</kwd></kwd-group><kwd-group xml:lang="en"><kwd>infant colic</kwd><kwd>nursing mother’s diet</kwd><kwd>infant colic treatment</kwd><kwd>phytotherapy legal basis</kwd><kwd>Matricaria recutita</kwd><kwd>chamomile</kwd><kwd>Foeniculum vulgare</kwd><kwd>fennel</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Lucassen P.L., AssendeLft WJ., van Eijk J.T., Gubbels J.W., Douwes A.C., van Geldrop WJ. 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