Things We Do for No Reason™: Teach caregivers reflux precautions.

Abstract

To decrease symptoms of physiological infant reflux, nonpharmacological techniques named "reflux precautions" are taught to families. Reflux precautions do not have a universal definition but can include burping, holding an infant upright pre- and postfeed, smaller and more frequent feedings, and elevating the head of the bed. Despite a lack of consensus on what constitutes reflux precautions, and a paucity of research, physicians and other providers continue to recommend them. In recommending reflux precautions, we pathologize normal physiology, sending mixed messages to families. Routine recommendation of reflux precautions for infant reflux is a Thing We Do for No Reason.