Lizzie was Samantha and Sarah's second baby. She was healthy and full term. Labor and delivery had gone well, breastfeeding was successful, and Samantha had two months of maternity leave. What could be that wrong? I wonder.
"She fusses all the time!" Samantha explains as she lays the baby on the exam table. "See, like now! Hear her making all those grumpy sounds!"
Lizzie is a robust, wide-eyed six-week-old. She is very busy in her movements as she wiggles and squirms on the exam table. Her level of activity is a wonder to behold. She seems to wind up a second, then one arm shoots out to the side, both legs kick upward, and she arches her back. She is also very busy with her vocalizing—a grunt here, a groan there, or was that a coo? The activity and sounds coming from her cute little body are normal and even entertaining to me. But his activity level and her vocalizing seem to be off-putting to her mothers who thinks Lizzie is fussing all the time.
"See Jessie there," Sarah says as she points to her four-year-old daughter coloring peacefully on the floor at our feet. "She is so calm and easy to be around. When Samantha and I decided to have a family we promised each other that we would have a peaceful household! But Lizzie just keeps on fussing," Sarah remarks as she hands me her baby.
What an opportunity and a challenge this moment is! Can I help this mother see this second daughter through a different lens? As usual, when I feel challenged by a patient encounter, I focus on and begin to describe the behavior of the baby. (Learn more about this technique in this HUG Strategies course.) I demonstrate Lizzie's normal reflexes and get excited when she brings her hand to her mouth and begins to calm down. I pick up the end of my red stethoscope and engage the baby in a little game of following its movement with her eyes. Of course, I finish with the grand finale of having Samantha call out the baby's name. Lizzie hesitates only a moment before she turns toward her mother and—I believe she actually gives her a wink!
Samantha giggles and scoops up the baby from my arms as I discuss this high, but normal, level of activity and vocalizing. We talk about how each baby has a special temperament and style, right from birth. "Her body activity and enjoyment of vocalizing are part of Lizzie's inborn personality," I explain. Both Samantha and Sarah smile as Samantha gives Lizzie a hug. “I guess she’s just a real go-getter,” Sarah responds.
Lizzie is three years old now. Every time she and her family come to the clinic to see Gale, they stop by and say hello to me. "Lizzie's not really fussy anymore," Samantha explains. "But she's still a busy and noisy little gal!" Lizzie runs down the hall ahead of her mom who laughs out loud as her sister squeals in her pursuit
© HUG Your Baby 2017