Breastfeeding or breast milk for procedural pain in neonates

Shah, Prakeshkumar S; Aliwalas, Lucia Liz; Shah, Vibhuti

doi:10.1002/14651858.cd004950.pub2

Cited by 147 publications

(161 citation statements)

References 36 publications

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“…In a systematic review (10) , maternal milk (2 to 5 ml), either combined or not combined with non-nutritive sucking, was compared with distilled water, no treatment, sucrose, glucose, pacifier use, and tucking during heel and vein punctures in premature and full-term infants. The use of maternal milk was associated with lower increases of HR and pain scores (Neonatal Facial Coding System -NFCS) compared with the control group; however, the crying time and the SatO 2 did not exhibit statistically significant differences.…”

Section: Discussionmentioning

confidence: 99%

“…Human milk is proven to have analgesic properties in procedures such as heel and vein punctures (10) ; however, human milk has not yet been tested for ophthalmoscopy. Thus, we questioned whether human milk might also be effective in reducing the acute pain associated with ophthalmoscopy in premature infants.…”

Section: Introductionmentioning

confidence: 99%

“…A further motive behind the present study is the fact that human milk is natural and affords countless benefits to premature infants (10) . Its use is further justified within the context of the strategies to stimulate breastfeeding, which are aimed at better motherand-child care (11) .…”

Section: Introductionmentioning

confidence: 99%

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Human milk for neonatal pain relief during ophthalmoscopy

Ribeiro

Castral²,

Montanholi

et al. 2013

Rev. esc. enferm. USP

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RESUMOO exame de fundo de olho para o diagnós-tico precoce da retinopatia da prematuridade causa dor no prematuro, sendo necessárias intervenções que a minimizem. O objetivo foi investigar a efetividade do leite humano para alívio da dor em prematuros submetidos ao exame de fundo de olho para diagnóstico precoce da doença, em comparação com a sacarose. Tratou-se de um estudo piloto de caráter quase experimental, realizado com 14 prematuros internados na unidade neonatal de um hospital universitário. Na comparação entre os grupos, não houve diferença estatística significativa relacionada à duração do tempo de choro, concentração do cortisol salivar e frequência cardíaca. O leite humano parece ser tão efetivo quanto a sacarose no alívio da dor aguda relacionada ao exame. Tem-se como limitação o tamanhoreduzido da amostra e a falta de randomização. É necessária a realização de estudos experimentais com maior poder amostral para fortalecer as evidências encontradas. DESCRITORES ABSTRACTOphthalmoscopy performed for the early diagnosis of retinopathy of prematurity (ROP) is painful for preterm infants, thus necessitating interventions for minimizing pain. The present study aimed to establish the effectiveness of human milk, compared with sucrose, for pain relief in premature infants subjected to ophthalmoscopy for the early diagnosis of ROP. This investigation was a pilot, quasi-experimental study conducted with 14 premature infants admitted to the neonatal intensive care unit (NICU) of a university hospital. Comparison between the groups did not yield a statistically significant difference relative to the crying time, salivary cortisol, or heart rate (HR). Human milk appears to be as effective as sucrose in relieving acute pain associated with ophthalmoscopy. The study's limitations included its small sample size and lack of randomization. Experimental investigations with greater sample power should be performed to reinforce the evidence found in the present study. DESCRIPTORSPain Infant, premature Milk, human Retinopathy of prematurity Maternal-child nursing RESUMENEl examen de fondo de ojo para el diagnós-tico precoz de retinopatía prematura causa dolor en el prematuro, siendo necesarias intervenciones que la minimicen. El objetivo fue investigar la efectividad de la leche humana para el alivio del dolor en los prematuros sometidos al examen de fondo de ojo para el diagnóstico precoz de la enfermedad, en comparación con la sacarosa. Estudio piloto de carácter cuasi-experimental, realizado con 14 prematuros internados en la unidad neonatal de un hospital universitario. En la comparación entre los grupos, no hubo diferencia estadística significativa relacionada a la duración del tiempo del llanto, la concentración del cortisol salival y la frecuencia cardiaca. La leche humana parece ser tan efectiva como la sacarosa en el alivio del dolor agudo debido al examen. Una limitación fue el reducido tamaño de la muestra y la falta de aleatorización. Es necesaria la realización de estudios experimentales con mayor tamaño de...

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Human milk for neonatal pain relief during ophthalmoscopy

Ribeiro

Castral²,

Montanholi

et al. 2013

Rev. esc. enferm. USP

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“…Breastfeeding showed similar effectiveness to oral sucrose or glucose solutions. 68 This metaanalysis of 20 randomized controlled trials (RCTs)/quasi-RCTs also found that providing supplemental human milk via a pacifier or syringe seems to be as effective as providing sucrose or glucose for pain relief in term neonates.…”

Section: Nonpharmacologic Treatment Strategiesmentioning

confidence: 96%

Prevention and Management of Procedural Pain in the Neonate: An Update

Keels¹,

Sethna²,

Watterberg³

et al. 2016

Pediatrics

319

171

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The prevention of pain in neonates should be the goal of all pediatricians and health care professionals who work with neonates, not only because it is ethical but also because repeated painful exposures have the potential for deleterious consequences. Neonates at greatest risk of neurodevelopmental impairment as a result of preterm birth (ie, the smallest and sickest) are also those most likely to be exposed to the greatest number of painful stimuli in the NICU. Although there are major gaps in knowledge regarding the most effective way to prevent and relieve pain in neonates, proven and safe therapies are currently underused for routine minor, yet painful procedures. Therefore, every health care facility caring for neonates should implement (1) a pain-prevention program that includes strategies for minimizing the number of painful procedures performed and (2) a pain assessment and management plan that includes routine assessment of pain, pharmacologic and nonpharmacologic therapies for the prevention of pain associated with routine minor procedures, and measures for minimizing pain associated with surgery and other major procedures.

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“…Breastfeeding reduces pain response in neonates during minor painful procedures [30][31][32][33][34] and is the preferred natural analgesic technique. 35,36 Incorporating breastfeeding into hospital protocols for painful procedures has been difficult. 37 Several obstacles have been identified for incorporating nonpharmacologic techniques into hospital pain protocols, including the organizational challenges of coordinating a mother-baby-phlebotomist blood draw, attitudes and lack of knowledge about infant pain, and the hospital culture's high resistance to change.…”

mentioning

confidence: 99%

Sucrose and Warmth for Analgesia in Healthy Newborns: An RCT

2015

PEDIATRICS

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BACKGROUND AND OBJECTIVE: Increasing data suggest that neonatal pain has long-term consequences. Nonpharmacologic techniques (sucrose taste, pacifier suckling, breastfeeding) are effective and now widely used to combat minor neonatal pain. This study examined the analgesic effect of sucrose combined with radiant warmth compared with the taste of sucrose alone during a painful procedure in healthy full-term newborns.

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Breastfeeding or breast milk for procedural pain in neonates

Cited by 147 publications

References 36 publications

Human milk for neonatal pain relief during ophthalmoscopy

Human milk for neonatal pain relief during ophthalmoscopy

Prevention and Management of Procedural Pain in the Neonate: An Update

Sucrose and Warmth for Analgesia in Healthy Newborns: An RCT

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