8 Effective Tips To Cope With Period Of Purple Crying In Babies

PURPLE is an acronym used to signify periods of persistent crying in babies.

Medically reviewed by Dr. Wayne Hough, MBChB, MMed, FC Dr. Wayne Hough Dr. Wayne HoughMBChB, MMed, FC facebook_icon Specialty: PediatricsExperience: 6 years
Written by Rohit Garoo Experience: 9 years
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Purple crying in babies may begin around two weeks of age and end when they reach three to four months. Motherhood is exciting, and all moms want to shower their babies with love when their little one is in their hands after a long wait. However, motherhood is more than kisses and cuddles. All parents go through difficult times with their babies with tired days and sleepless nights. Purple crying may often be a reason behind it.

Some babies begin to cry at a specific time regardless of what they do. This may usually occur early in the evening or late at night and doesn’t seem to calm down. Many babies may have persistent bouts of crying and extend beyond a certain age. Developmental pediatrician Dr. Ronald G. Barr named this fussy period purple crying.

Read on to know more about the causes and ways to soothe babies during purple crying.

What Is Purple Crying?

Purple crying has nothing to do with the color purple; it is an acronym that describes your baby’s characteristics while crying persistently through a specific period.

Recent findings suggest that many newborns who cry a lot are healthy and develop normally (1). Referred to as colic at times, purple crying is a way to describe this crying behavior of babies.

Purple crying is a developmental period during which your baby might cry at a specific time and for an extended duration, and everything that you do to soothe them may prove fruitless.

Parents might worry if something is wrong with their baby, but the baby might be perfectly alright and just going through a regular developmental stage. This period of incessant crying is said to start at one to two weeks from birth and gradually resolve by three or four months of age (2).

However, if such excessive crying episodes are accompanied by sleeping and eating disorders and extend beyond the age of four months, it might be associated with long-term psychological or behavioral difficulties, such as ADHD. So, it is important to monitor your baby closely (1).

Next, let us look at what the letters in PURPLE stand for.

What Do The Letters In PURPLE Stand For?

PURPLE is an acronym that describes all the specific characteristics that a baby goes through while experiencing episodes of purple crying. It helps determine if your baby’s cries fall in the realm of purple crying.

The acronym PURPLE stands for Peak of crying, Unexpected, Resists soothing, Pain-like face, Long-lasting, and Evening. Read on to understand what each characteristic means (2).

Peak of crying (P)

The first P stands for peak of crying, which describes the period when the crying peaks. Evidence suggests that most healthy babies may cry a lot. Such crying might start from two weeks of age, peaks at two months, and might resolve by three to four months of age. 

Unexpected (U)

If you often find your baby giggling at one moment and crying the next, it is one of the characteristics of purple crying. Initially, you may go through your checklist of why your baby is crying, but this crying wouldn’t fall under any of those reasons. It may come for no reason and go away unexpectedly.

Resists soothing (R)

You could try a hundred things to soothe your baby, but nothing may seem to work because the baby may resist soothing. It usually leaves the parents exhausted and frustrated.

Pain-like face (P)

Purple crying is often associated with the baby making a face as if they are in pain, even when they are not. This might worry parents as it would be difficult seeing your baby cry and not being able to soothe them.

Long-lasting (L)

These crying spells may last for a long time, for about five hours to a day or even more. The exact time varies from baby to baby. Although it seems to be never-ending, your baby will eventually stop crying.

Evening (E)

Also known as the  (2). troubling as it may, you can deal with it. witching hour,’ the crying spells might peak or happen during late afternoon and evening hours, a common scenario in purple crying.

Seeing your little baby crying can be hard for you, even more, if the baby resists soothing. Read the next section to find out what you can do.

Tips To Handle Purple Crying In Babies

It may seem to never end, but there is a reason why it is called the ‘period of purple crying’ because, eventually, this phase will end. Managing your baby while this phase lasts needs a lot of patience, effort, and perseverance. Here are a few tricks and techniques to help you soothe your crying baby. You may have to try a few things before understanding which technique would work best for your baby.

1. Try skin-to-skin contact

You may try to soothe your baby by removing all their clothes (except the diaper) and placing them directly on your chest. Skin-to-skin contact with the mother is said to decrease crying and might help reduce stress and anxiety (3). 

2. Try swaddling

Wrapping your baby snugly in a blanket might make the baby feel safe and secure and may soothe them and shorten episodes of purple crying. However, make sure you follow the safety rules of swaddling (4).

3. Comfort them

When your baby is crying, you can try and comfort them by looking into their eyes, talking to them, gently rubbing their back, and holding them upwards on your shoulder. Some infants might need to breastfeed or suck at a pacifier or finger to soothe, as sucking is said to steady the baby’s heart rate, relax the tummy, and help them settle (4).

4. Give a warm bath

Another technique to make your baby stop crying is giving them a lukewarm bath or wiping your baby’s body with a cold washcloth (4).

5. Stroll outdoors

Sometimes, taking your baby out for a stroll in the park might also help. The fresh air and the change in the surroundings may calm the baby and soothe their anxiety.

6. Try soothing sounds

Playing soothing sounds or using a white noise machine might also work. You can also try singing a lullaby or humming a gentle tune. Try and find out the sound that your baby likes.

7. Fulfill their needs

Although the reason behind your baby’s cries may not be the usual hunger, sleep, or change of diaper, it is worth checking and fulfilling their basic needs.

8. Take a break

If you have tried everything, and yet, your baby won’t stop crying, then do not hesitate to hand the baby over to your partner or another caregiver. If you are alone, put the baby down in a secure place and walk away for a few minutes. Use this time to compose and recollect yourself. Once you feel better, come back and try to soothe your baby once again.

You may also take help from external sources, such as The Purple Crying Program. Initiated by the National Center on Shaken Baby Syndrome, it is an informative program to educate parents and caretakers about purple crying and ways to soothe the baby.

Does Purple Crying Have Any Connection With Shaken Baby Syndrome?

The incessant crying of the baby might take a toll on the parent. It is not easy to deal with it when you are faced with other challenges, including recovering from childbirth, postpartum depression (if any), frequent feedings, and sleepless nights.

No parent would intentionally want to hurt their baby. Still, out of helplessness and frustration, sometimes, the caregiver or the parent might resort to excessively shaking the baby, leading to shaken baby syndrome.

This is a condition in which the baby suffers brain damage due to vigorous shaking. The parent or the caregiver holds the baby by the arms and rattles, which makes the brain to rock back and forth. Such a head trauma may cause brain swelling or injury, increasing the risk of severe complications, such as blindness, seizures, developmental issues, and even death.

Shaken baby syndrome is voluntary and is categorized as a form of child abuse. It is also known as abusive head trauma (5).

Here are a few signs of a shaken baby.

Dealing with your baby’s continuous crying can sometimes be overwhelming. If you ever feel so frustrated and think of resorting to harming your baby, step away and seek help.

Take the utmost care while leaving the baby with a babysitter or a caregiver. Always hire a licensed and experienced babysitter, and instruct them against harming the baby. You can also monitor them using a CCTV camera. These could be some of the steps for abusive head trauma prevention.

Taking care of a baby is an exhausting yet rewarding task. Understand that it is okay to take a break and let your partner or a family member take care of the baby. This does not make you a bad mother; it makes you a human. So, do not be hard on yourself; take some time away from the baby and use it to meditate or relax. Remember, your mental health is equally important.

Frequently Asked Questions

1. Is purple crying the same as colic?

Although purple crying may sometimes be called colic, they are not the same. Purple crying is believed to be a developmental crying that goes away within a few months. And babies crying due to colic exhibit symptoms, including a tight stomach, frequent burps, or curled up legs toward the belly. Colic in babies may be diagnosed and treated (7).

2. Do all babies go through a period of purple crying?

Yes, all babies go through a period of purple crying; however, some may cry more than others (8).

Although it may seem never-ending, purple crying in babies is a transient phase that ends when babies get used to their surroundings. Since taking care of a baby during this period can be exhausting, go easy on yourself and take some time away from your baby. During that time, indulge in self-care activities, such as meditation, and entrust your partner or a family member with the responsibility. Remember, maintaining your physical and mental health is vital for catering to your baby’s needs effectively. Hence, don’t undermine the need for your well-being.

Key Pointers

  • Purple crying is a developmental period where your baby may cry at specific times and for extended durations.
  • PURPLE stands for Peak of crying, Unexpected, Resists soothing, Pain-like face, Long-lasting, and Evening.
  • A warm bath, skin-to-skin contact, and swaddling can help manage purple crying in babies.
  • Although your baby may not be crying due to hunger, sleepiness, or need for a diaper change, check their basic needs first.

References

1. Debra M. Zeifman and Ian St James-Roberts; Parenting the Crying Infant; HHS Author Manuscripts (2017).
2. Marilyn Barr;  What is the Period of PURPLE Crying?; The Period of Purple Crying
3. Elizabeth R Moore, et al.; Early skin-to-skin contact for mothers and their healthy newborn infants; Europe PMC Funders Group Manuscript (2012).
4. Crying; Healthy Child Manitoba
5. Muna Al-Saadoon, et al.; Shaken Baby Syndrome as a Form of Abusive Head Trauma; Sultan Qaboos University Medical Journal (2011).
6. Period of PURPLE Crying; Seattle Children’s Hospital
7. How to know if it’s colic or normal crying; Sanford Health
8. The Period of Purple Crying; Dartmouth Health Children’s
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Dr. Wayne Hough
Dr. Wayne HoughMBChB, MMed, FC Paeds
Dr. Wayne Hough is a pediatrician with around six years of experience in the field. He is currently based in the Northern Suburbs of Cape Town in South Africa. Dr. Hough got his medical degree from the University of Stellenbosch.

Read full bio of Dr. Wayne Hough
Rohit Garoo is a writer-turned-editor with over 9 years of experience in content writing, editing, and content marketing. He did his bachelors in Science at St. Xavier's College, Hyderabad, and masters in Business Administration at Osmania University.

Read full bio of Rohit Garoo
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