The Period of Purple Crying

The Period of PURPLE Crying is a new way to help parents understand this time in their baby's life, which is a normal part of every infant's development.

It is confusing and concerning to be told your baby "has colic" because it sounds like it is an illness or a condition that is abnormal. When the baby is given medication to treat symptoms of colic, it reinforces the idea that there is something wrong with the baby, when in fact; the baby is going through a very normal developmental phase. That is why we prefer to refer to this time as the Period of PURPLE Crying. This is not because the baby turns purple while crying.

The acronym is a meaningful and memorable way to describe what parents and their babies are going through.

The Period of PURPLE Crying begins at about 2 weeks of age and continues until about 3-4 months of age. There are other common characteristics of this phase, or period, which are better described by the acronym PURPLE. All babies go through this period. It is during this time that some babies can cry a lot and some far less, but they all go through it.

When these babies are going through this period they seem to resist soothing. Nothing helps. Even though certain soothing methods may help when they are simply fussy or crying, bouts of inconsolable crying are different. Nothing seems to soothe them. During this phase of a baby's life they can cry for hours and still be healthy and normal. Parents often think there must be something wrong or they would not be crying like this. However, even after a check-up from the doctor which shows the baby is healthy they still go home and cry for hours, night after night. Often parents say their baby looks like he or she is in pain. They think they must be, or why would they cry so much. Babies who are going through this period can act like they are in pain even when they are not.

 Dr. Ronald Barr, a developmental pediatrician who has likely done more studies on infant crying than anyone in the world, came up with the phrase the Period of PURPLE Crying. His idea was to explain this phase to parents of new babies so they would know it was normal and they would be encouraged that it would come to an end. The acronym PURPLE is used to describe specific characteristics of an infant's crying during this phase and let parents and caregivers know that what they are experiencing is indeed normal and, although frustrating, is simply a phase in their child's development that will pass. The word Period is important because it tells parents that it is only temporary and will come to an end.

The letters in PURPLE stand for:

P - Peak of crying (your baby may cry more each week, the most in month 2, then less in months 3-5)

U - Unexpected (crying can come and go and you don’t know why)

R - Resists soothing (you baby may stop not crying no matter what you try)

P - Pain-like face (a crying baby may look like they are in pain, even when they are not)

L - Long lasting (crying can last as much as 5 hours a day, or more)

E - Evening (your baby may cry more in the late afternoon and evening)

It is important to educate both healthcare providers and parents in this time period in the baby’s life, as well as arm them with strategies for managing this stressful time. This time period can be frustrating for all caregivers and the risk of a baby being shaken may increase.

Reference:

National Center on Shaken Baby Syndrome