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Can breastfeeding reduce pain in preterm infants?
Date:10/18/2011

Philadelphia, PA, October 19, 2011 Poorly managed pain in the neonatal intensive care unit has serious short- and long-term consequences, causing physiological and behavioral instability in preterm infants and long-term changes in their pain sensitivity, stress arousal systems, and developing brains. In a study published in the November issue of PAIN, researchers report that breastfeeding during minor procedures mitigated pain in preterm neonates with mature breastfeeding behaviors.

Currently, pain associated with minor procedures such as pricking for blood tests is managed with interventions such as skin-to-skin contact, pacifiers, and sweet tastes, but these produce only modest and/or inconsistent relief. In normal term-born infants, breastfeeding during painful procedures has been shown to reduce pain response by 80-90% and has no serious side effects, but this approach had not previously been tested in preterm infants. One concern is that preterm infants might come to associate breastfeeding with the painful procedure, jeopardizing their ability to feed effectively enough to adequately gain weight.

In a randomized clinical trial, investigators from the Child & Family Research Institute at BC Children's Hospital and The University of British Columbia in Vancouver, BC, conducted a study to learn if preterm infants would show lower pain scores when breastfed during blood collection. They also looked at whether breastfeeding during the painful procedure would have a negative impact on the development of breastfeeding skills, and whether infants who had more mature breastfeeding behaviors would have lower pain scores and heart rates during blood collection than less experienced feeders.

Fifty-seven infants born at 30 to 36 weeks gestational age were divided into two groups. One group was breastfed during blood collection. The other group was given a pacifier. During the procedure, their faces and hands were videotaped,
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Contact: Christine Rullo
painmedia@elsevier.com
215-239-3709
Elsevier Health Sciences
Source:Eurekalert

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