Breastfeeding or breast milk for procedural pain in neonates

Shah, Prakeshkumar S; Torgalkar, Ranjit; Shah, Vibhuti S

doi:10.1002/14651858.cd004950.pub4

Cited by 9 publications

(3 citation statements)

References 100 publications

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“…5 Breastfeeding has been shown to reduce procedural pain measured by cry duration and pain scores in heel sticks, venipuncture, and immunization. 36 All of these strategies may serve as useful adjuncts after FNL; however, they are less feasible strategies during FNL which necessitates direct access to the infant nose. In addition, FNL may need to be done in different positions (upright vs. supine) further limiting use of these strategies in clinical settings.…”

Section: Discussionmentioning

confidence: 99%

Oral Sucrose in Infants Undergoing Flexible Nasolaryngoscopy: A Blinded Randomized Pilot Study

Wolter,

Tepsich,

Daien

et al. 2024

The Laryngoscope

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IntroductionFlexible nasolaryngoscopy (FNL) is a common, uncomfortable procedure performed to assess the upper airway in infants. Oral sucrose is used during various painful procedures in infants but has not been used during FNL. Our objective was to understand the impact of oral sucrose on discomfort in infants undergoing FNL.MethodsInfants (<12‐months‐old) undergoing FNL in the otolaryngology clinic were randomized to treatment (0.5 mL 24% oral sucrose) or standard management (no sucrose). Sucrose was administered <2 min prior to FNL performed by a single endoscopist. Outcome measures included: EVENDOL pain scale and cry duration and visit duration. Infant discomfort was measured by a second observer who was blinded to treatment group.ResultsForty‐seven infants were included, 23 were treated with sucrose and 24 with standard management. The median (IQR) age was 3.0 (2–5.7) months. There were no significant differences in age, weight, or sex across groups. The median (IQR) duration of FNL was 35.2 (26.5–58.4) and 36.4 (28.9–51.8) seconds for treatment and standard management groups, respectively. Mean (SD) EVENDOL scores were significantly lower in the sucrose group [4.9 (2.0)] than standard group (6.7 [2.1]) (p = 0.003). Mean cry duration after FNL was significantly shorter in the sucrose group (29.9 [20.4] seconds) than the standard group (52.7.0 [40.6] seconds) (p = 0.02). Median (IQR) visit duration did not differ across groups (1.1 [0.9–1.3] vs. 1.1 [0.7–1.4] h [p = 0.15]).ConclusionOral sucrose given before FNL reduced EVENDOL scores and cry duration after FNL and did not prolong clinic visits in this randomized pilot study.Level of Evidence2 Laryngoscope, 2024

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Section: Discussionmentioning

confidence: 99%

Oral Sucrose in Infants Undergoing Flexible Nasolaryngoscopy: A Blinded Randomized Pilot Study

Wolter,

Tepsich,

Daien

et al. 2024

The Laryngoscope

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“…Thirty-six studies examining the efficacy of breastfeeding for procedural pain relief in infants were included in a recent Cochrane review, most evaluated heel stick, intramuscular injection, and venipuncture. Breastfeeding reduced pain indicators such as duration of crying, heart rate increase and the pain scales NIPS, NFCS and DAN ( 23 ). As described above, the pain-relieving effect of breastfeeding can be enhanced when combined with skin-to-skin contact but also with maternal holding ( 21 , 24 ).…”

Section: Reviewmentioning

confidence: 99%

“…As described above, the pain-relieving effect of breastfeeding can be enhanced when combined with skin-to-skin contact but also with maternal holding ( 21 , 24 ). Giving the infant expressed breastmilk in isolation of the mother however does not appear to effectively reduce pain scores ( 23 , 25 ), nor does waiting 1–2 h after the breastfeeding before performing the painful procedure ( 26 ).…”

Section: Reviewmentioning

confidence: 99%

Parent-led neonatal pain management—a narrative review and update of research and practices

Ullsten,

Campbell-Yeo,

Eriksson

2024

Front. Pain Res.

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IntroductionResearch related to parent-led neonatal pain management is increasing, as is the clinical implementation. Skin-to-skin contact, breastfeeding and parents' vocalizations are examples of pain reducing methods that give parents an opportunity to protect their infant from harm while alleviating their anxiety and developing their parenting skills.MethodsIn this paper we will provide a narrative review and describe the current research about parent-led neonatal pain management. Based on this we will discuss clinical challenges, implementation strategies and implications for future research.ResultsParents express great readiness to embrace opportunities to increase their self-efficacy in their ability to address infant pain. Parent-led pain-reducing methods are effective, feasible, cost-effective, culturally sensitive, and can be individualized and tailored to both the parent's and infant's needs. Both barriers and facilitators of parent-led pain care have been studied in research highlighting structural, organizational, educational, and intra- and interpersonal aspects. For example, health care professionals' attitudes and beliefs on parent-led methods, and their concern that parental presence during a procedure increases staff anxiety. On the other hand, the presence of a local pain champion whose duty is to facilitate the adoption of pain control measures and actively promote parent-professional collaboration, is crucial for culture change in neonatal pain management and nurses have a key role in this change. The knowledge-to-practice gap in parent-led management of infants' procedure-related pain highlight the need for broader educational applications and collaborative professional, parental and research initiatives to facilitate practice change.ConclusionParent-led neonatal pain management is more than simply a humane and compassionate thing to do. The inclusion of parent-led pain care has been scientifically proven to be one of the most effective ways to reduce pain associated with repeated painful procedures in early life and parents report a desire to participate. Focus on enablers across interprofessional, organizational and structural levels and implementation of recommended pediatric pain guidelines can support the provision of optimal evidence-based family-centered neonatal pain management.

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Olfactory stimulation for promoting development and preventing morbidity in preterm infants

Lenells,

Prescott,

Wróblewska-Seniuk

et al. 2024

Cochrane Database of Systematic Reviews

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Breastfeeding or breast milk for procedural pain in neonates

Cited by 9 publications

References 100 publications

Oral Sucrose in Infants Undergoing Flexible Nasolaryngoscopy: A Blinded Randomized Pilot Study

Oral Sucrose in Infants Undergoing Flexible Nasolaryngoscopy: A Blinded Randomized Pilot Study

Parent-led neonatal pain management—a narrative review and update of research and practices

Olfactory stimulation for promoting development and preventing morbidity in preterm infants

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