Stress: An overlooked cause of unsettled babies

When our baby cries, we immediately feel they must be hungry, tired, overstimulated or gassy? If it becomes a pattern, we might consider colic – a term often used for babies who cry excessively for no apparent reason. What if there was a reason? And that reason is to communicate stress or repressed emotions from early life experiences? Those that may have been stressful, painful or overwhelming for them, including birth? Our culture tends to ignore or deny the fact that babies experience stress and have emotional experiences that are every bit as complex and real as the rest of us. In this article, I explain how to recognise stress in babies (it’s not just crying), what kind of things can be stressful for babies, how the nervous system works and how to best to support babies through their difficulties.

How can you tell if your baby is stressed?

Here are some signs and symptoms to look for:

  • Excessive or inconsolable crying*
  • Tense muscles; frowning, arms rigid and in front of the chest, shoulders held up around the ears, tight jaw
  • Feeding difficulties eg. fussy feeding, cannot latch at the breast
  • Sleep issues eg. does not transition in and out of sleep smoothly, difficulty getting baby to sleep, waking with an intense cry
  • Exaggerated startle reflex
  • Tremors or shakiness
  • Hypersensitive to touch
  • Desire not to be held or inability to put baby down for even a few moments
  • Avoidance of eye contact

*Babies who have stopped crying or don’t cry very much are not necessarily stress free. Studies on babies during sleep training, have shown that the stress hormone cortisol remains high in babies who have stopped calling out to parents. I can palpate/feel an activated nervous system in a sleeping or quiet baby during a cranio treatment (more about that below). 

It is becoming more widely accepted that babies are conscious in the womb and are affected by the emotions and stresses of their mother. We tend to overlook babies experience of birth. We recognise that birth is a huge experience for the mother, emotionally and physically, but it is also for the baby. Often, before they are able to integrate the experience of the birth; ideally placed directly on the mother’s chest and left alone to rest – they also may then be subject to medical interventions that are both unexpected and confusing. There are a myriad of circumstances that babies may find stressful. Not all babies react to these events in the same way but simply being aware of the potential for stress and trauma is supportive for the baby.

What kinds of things are stressful for babies?*

  • Induction of labour via drip
  • Premature birth
  • Neonatal Intensive Care Unit (NICU) or Special Care Nursery (SCN) experience
  • Difficult births: being stuck during labour; long or fast births; assisted births (vacuum, forceps, c-sections)
  • Near death experience or deprivation of oxygen (including babies with intrauterine growth restriction (IUGR)
  • Medical procedures or hospitalisation e.g., circumcision, excessive oral exercises after tongue tie release
  • Abusive parental relationship
  • Prolonged maternal stress or depression.
  • Unintended pregnancy /ambivalence from either parent about the pregnancy / Being given up for adoption
  • Death in the family

*An Integrative Approach to Treating Babies and Children:  Multidisciplinary Guide by John Wilks

When I realised my son had unresolved stress in his nervous system from his early birth, this ignited my passion as a craniosacral therapist to help to ease unnecessary suffering in babies, and to raise consciousness of the existence of stress in babies. My first birth was highly medicalised and followed the typical cascade of intervention: induced (against my instincts) with a syntocinon drip….pethidine….epidural….episiotomy and he was pulled into the world via vacuum. He had a swelling on his head called a cephalohematoma. I was left traumatised from the birth, with lasting physical and emotional consequences but I did not fully consider the impact of the experience on the health and wellbeing of my son. Looking back, for months he would wake from sleep screaming as if he was being murdered. Plus he was a sickly child! Unbeknownst to me at that time, the birth had a lasting effect on his nervous system. When I finally discovered craniosacral therapy, he was ten years old and, according to the craniosacral therapist, his nervous system was in “global activation”, primed to fight or flight. Having now supported many infants with similar activated nervous systems and witnessing how quickly they resolve the stress during treatment, I wish he could have had the same release soon after his difficult birth. To say I wish I had known about it sooner would be an understatement!

Tuning in to the nervous system of babies

During a cranio treatment, I use my hands and body to tune into the nervous system. The nervous system will start to show me its patterns of experience.  An activated sympathetic nervous system can feel like an electrified buzz through the whole body, the heart can beat harder and faster than normal and the breath is either held, or rapid and shallow, and muscles and tissue are contracted. This is a survival strategy also known as fight or flight mode. The body cannot properly heal easily in a sympathetic “activated” state.

Babies are uniquely vulnerable, as they cannot run away or fight, so when the fight or flight response has not resulted in avoidance of the stressor, a baby may go into a freeze state. Freeze is a survival strategy activated by the parasympathetic nervous system, meaning the nervous system is shut down or dissociated. These babies can be floppy with low muscle tone or a ‘good baby” that cries very little and sleeps a lot. A baby whose nervous system is in freeze feels different in a cranio session – there is a fogginess or spaciness to the system at first until the body starts to attune with the therapist’s nervous system and remembers its healthy original blueprint. It can be common to feel subtle shuddering movements or muscles start to twitch as the nervous system unfreezes.

The ideal healing state is one of rest and relaxation. When the nervous system is in a parasympathetic state (not freeze), the breath is slower and deeper, the heart is in a coherent rhythm, and muscles and tissues soften. During a craniosacral session, this feels like a slow tidal rhythm of energy, expanding and contracting through the body and tissues. The body then starts to let go of physical and emotional restrictions.

What can we do to minimise stress/ trauma in babies?

Life is stressful! It’s impossible to avoid stress completely and it’s important to remember that not all stress is toxic – some stress is tolerable or even positive, fostering resilience and growth. Trauma is what happens when our nervous system becomes overwhelmed, often when something has happened too fast or for too long. Or because we simply felt alone or unsupported during an event. This story or imprint can remain cycling or unresolved in the nervous system. Understanding the nervous system and how to help it to integrate our stresses is important in order to avoid overwhelm.

A few ways to help your baby to minimise stress:

Stress in babies can be integrated healthily through responsive parenting – including communication, presence, listening, empathy, touch and communication.

  • Babies understand more than we know, they take great comfort in our tone of voice and understand the feelings behind our words. We can talk to them and differentiate our feelings from theirs eg. “I was really sad/stressed while you were growing inside me because (xyz) but this is my stress and it has nothing to do with you. Its not yours to carry. You can let it go. You are safe now”.
  • They can feel our grounded presence and calm nervous system. While we can’t always be in a calm state, we can take a few moments to feel into our body; feel our feet; feel our seat and be an embodied presence during their difficult moments.
  • Any medical procedures for babies need to be carried out with compassion – ideally with parents present or soon after. Choose your practitioners wisely.
  • Simply acknowledging that our babies might be expressing emotions rather than present moment needs (eg, hungry, dirty nappy), can support babies. They know if we “get it” as they are very much n tune with the feelings of the people around them. Naming the emotion can be helpful eg “I can see you are feeling angry right now – I hear you” “Is that how it was for you? Tell me, I’m here”.
  • Babies tend to need a slower pace, so slowing potentially stressful experiences down is supportive. Letting babies know what is coming up for them is an empathetic way to prepare babies for events. We can even talk to them inutero and let them know of an upcoming c-section or induction.
  • Can we be present to strong emotions in our child? Are we quick to shush them? We can notice our own triggers and tendencies and have compassion for ourselves. We too, may have unresolved early traumas, with many of us being left to cry it out as babies.
  • As mothers/primary caregivers we also need support for ourselves too. Eg. support through family and friends, or cranio support to calm our own nervous system. A doula is a great investment for your birth – supporting your process supports your baby inutero.
  • Touch and close contact increase oxytocin levels. Oxytocin (the love hormone) is the antidote to cortisol (the stress hormone). Things like skin to skin contact, baby wearing and safe co-sleeping are healing for babies. However, some babies may be tactile defensive, meaning that touch is a trigger for stress, maybe its just on certain parts of their body. You can still provide support by being physically present and using less tactile means to instill a sense of security. Or being careful to avoid touching any sensitive areas.
  • Oxytocin is also released during breastfeeding, in both mum and baby. Many babies regulate their nervous system by feeding frequently at the breast, so where possible allow unlimited access to the breast. Other babies will act out their stress at the breast – with fussy feeding or latching issues – these babies greatly benefit from a combined lactation/cranio consult.
  • As parents we would rather suffer than see our children suffer. It hurts us to know they may have suffered unnecessarily or without appropriate support at the time. It is never too late to heal though! Even adults can heal their early life trauma with the right support. Cranio is a great way to access and resolve these early imprints.

As a culture we have a history of overlooking infant stress, forgetting that babies are sensitive beings that are having their own experience of their environment. On an unconscious level, the nervous system just wants a feeling of safety to be restored; to rest, to slow down, to feel supported. Our calm “parasympathetic” nervous system then assists the intelligence of our body to heal itself. Studies have shown the long-term impact of early life stress can lead to increased risk of anxiety disorders, cancer, substance use, heart disease, immune disorders, social struggles and relationship problems. Acknowledging and resolving stress in early life has the potential to change this trajectory.

Babies who have not been able to integrate their stress may greatly benefit from cranio treatment.   Having cranio sessions in the first few months of life can make a significant and positive impact to both their present and future wellbeing.

Get in touch if you feel your baby needs more support.

For a more in depth look at this topic, I highly recommend Mia Kalef’s book It’s Never Too Late : Healing Prebirth And Birth At Any Age and The Secret Life of Babies : How Our Prebirth and Birth Experiences Shape Our World

Six issues that cranio works quickly to help in babies

Cranio is a gentle, holistic treatment that has the potential to facilitate profound changes in the body, which can make all the difference to an infant’s sense of wellbeing. Babies often find it to be very relaxing and parents often notice they feel a lot calmer too after their baby receives treatment. Babies tend to respond quickly to cranio, often only needing between 1-3 treatments. These six issues can be easily addressed in one session:

1. Your labour was induced

Induction via a Syntocinon drip can feel intense to mothers, often we overlook the experience of the baby. Babies play an active role in birth; pushing off the uterine walls with their feet, twisting and turning to find their way out. Induction overrides this natural pacing and sequence. During a cranio treatment I may palpate tones of urgency and fear. These stress imprints often resolve within one cranio treatment where they otherwise may be held in the body and impact on feeding, sleep and baby behaviour. Feeling of self-empowerment are often restored after a cranio treatment.

2. Your baby is restless when sleeping or difficult to settle to sleep

This may be related to a difficult birth experience, sometimes these babies are in shock from the birth or stuck in “fight or flight” mode with their nervous system is dialled up. Cranio helps to calm the nervous system. This isn’t just within a treatment, but often continues afterwards. Babies then feel safe enough to drop into a deep sleep. *Other reasons may include food sensitivities and may not be as easily addressed with cranio.

3. Your newborn baby falls asleep at the breast within 5 minutes

Medication or anaesthesia from birth may still be influencing baby. Or the baby may be in parasympathetic shock after birth. This is the freeze aspect of the nervous system survival mode – “fight, flight or freeze”. Cranio can clear this dissociative state so that baby is more alert to feed.

4. Your baby has poor eye contact

We underestimate babies. They have a strong capacity for connection and can make deep eye contact if they feel safe and are not holding on to difficult experiences. Babies often have improved capacity for eye contact after cranio treatment.

5. Your baby was exposed to medication (during pregnancy, birth or anytime afterwards)

Perhaps you had to take medication (including antidepressants, pethidine) during pregnancy or labour. Sometimes this is unavoidable and in the best interests of both mum and baby. Or maybe your baby had to have antibiotics for a health concern.

A baby may need a little support to help clear the side effects from their system, usually one session is all that is needed.

6. Baby vomits or hiccups excessively

There may be tensions in the diaphragm that cranio can help to release.

Ideally babies would have treatment in the weeks and months following birth, but it is never too late to book in. Please share with anyone you know who is pregnant or has a baby.

Please contact me to book an appt for your baby.

Navigating laser treatment for tongue tie. To stretch or not to stretch?

The topic of posterior tongue tie (PTT) and lip tie (LT) is a controversial one. Research is limited and opinions are divided. I have worked with mums who have found treating these issues to make all the difference in their breastfeeding journey. However I do have concerns around some current practices including:

  • routine stretches / oral exercises / active wound management
  • laser frenectomy for breastfeeding problems that have not been thoroughly assessed by an IBCLC
  • laser frenectomy for babies to prevent future issues

The Australian Dental Association (in collaboration with a multidisciplinary team) has recently released a “Ankyloglossia and Oral Frena Consensus Statement” which I feel addresses some of my concerns.

The prescription of routine stretches/exercises after a laser frenectomy varies between providers. These are well intentioned, with the idea that they will prevent the lingual frenulum from reattaching or scarring. A recent client was advised to do them 6 times a day, for 21 days! There is no scientific evidence to prove that they do in fact prevent reattachment – and what of the risks? We know that they can cause oral aversion and exacerbate feeding issues. Babies are very orally sensitive. We need to respect when they are telling us “no”. Overriding this can potentially disrupt the parental bond. As a craniosacral therapist, working with the nervous system, I have a unique perspective as I am able to assess the impact of persistent stretches on babies systems. Babies respond to difficult experiences with a fight or flight response. But because they are physically unable to run away or fight, they can easily shift into freeze – a dissociative state. This is a protective survival mechansim and, unless treated, can become a lifelong pattern. Undergoing a laser frenectomy can be a traumatic experience for both mother and baby. With care and sensitivity the body can integrate this trauma with minimal lasting impact. It is my opinion that constant stretches for weeks afterwards interferes with the integration of the trauma, instead driving it deeper into the body.

My other concern is that babies with feeding problems are able to undergo the procedure without a full feeding assessment by an IBCLC. Nipple pain and milk transfer issues may not be related to the oral anatomy. An IBCLC can help to rule out nipple infections and positioning and attachment issues potentially avoiding surgery. Also, 1-2 sessions of cranio/bodywork beforehand may address issues such as myofascial tightness / jaw issues / cranial nerve impingment that can impact breastfeeding. Then, if no improvement in feeding, laser frenectomy can be trialled, often as a last resort.

Non-surgical management strategies can be effective first-line therapies for management of functional limitations associated with ankyloglossia. Surgical management should be considered only after non-surgical management has failed to address the functional issue that led to the diagnosis.

ADA Statement

Finally, the procedure is often done to prevent future issues. Parents have a lot of fear around future issues with speech or dental issues. These aren’t yet substantiated by evidence. Social media perpetuates this fear. In my humble opinion, the only reason to treat PTT and LT in babies is for feeding issues.

“Further research is needed regarding other reported adverse health outcomes, such as problems with speech, malocclusion, lingual gingival recession and obstructive sleep apnoea as evidence of a consistent causative relationship is lacking. No evidence exists to support buccal or labial frena causing problems with feeding or speech.”

ADA statement

That said …despite no evidence, I have seen lip ties interfere with attachment/seal at the breast. And I have seen lip ties contribute to decay at the top of the central incisors.

Laser frenectomy (compared to scissors frenotomy) needs much more consideration as it is a longer and more traumatic procedure. Here in Perth, parents have a few options, my preferred referral is to one that does not recommend stretches and where it is a requirement that every baby is thoroughly assessed by an IBCLC before the procedure. The good news is, if babies do need to undergo laser treatment for tongue tie or lip tie, just one session of cranio can help them to integrate the experience, bringing them out of fight or flight or a dissociative state. This has lasting positive impacts on feeding and the nervous system.