Karp, a pediatrician in Santa Monica, Calif., and assistant professor at the School of Medicine, UCLA, offers a new method to calm and soothe crying infants. While nursing or being held satisfies some babies, others seemingly cry for hours for no reason. These babies suffer from what Karp calls the Fourth Trimester. When you bring your soft, dimpled newborn home from the hospital, you may think your nursery is a peaceful sanctuary.... To him, it's a disorienting world part Las Vegas casino, part dark closet! Karp recommends a series of five steps designed to imitate the uterus. These steps include swaddling, side/stomach position, shhh sounds, swinging and sucking. The book includes detailed advice on the proper way to swaddle a child, the difference between a gentle rocking versus shaking and more. According to the author, virtually all babies will respond to these strategies although some trial and error may be needed to find the most effective calming method. A number of the steps letting kids nurse more frequently or encouraging babies to use pacifiers, for instance contradict other childcare experts. However, parents who are at their wits' ends because of a baby's incessant crying will find this book invaluable. In fact, expectant parents may want to read it before they bring their newborns home from the hospital.

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