Analgesic effects of breast- and formula feeding during routine childhood immunizations up to 1 year of age.
Pediatr Res
; 89(5): 1179-1184, 2021 04.
Article
de En
| MEDLINE
| ID: mdl-32392576
ABSTRACT
BACKGROUND:
Data on analgesic effects of breast/formula milk sucking while receiving routine childhood immunizations are available only in early infancy, have rarely been compared in the same study, and are not accompanied by information on mothers' satisfaction/acceptance. Here we aimed to compare the analgesic effect of both methods vs. held-only controls up to 1 year of age, and verify mothers' satisfaction.METHODS:
Two to 12 months children subjected to vaccine were allocated into three groups breastfed, formula-fed, and held-only controls. A video recording was performed to analyze pain parameters crying latency/duration and specific scales [FLACC (Face, Legs, Activity, Cry, and Consolability), NIPS (Neonatal Infant Pain Scale)]. After the procedure, mothers filled in a satisfaction questionnaire.RESULTS:
One-hundred and sixty-two children were recruited 54 breastfed, 35 formula fed, and 73 controls. Breastfed showed the longest crying latency, and together with formula fed, had the shortest duration and lowest pain scores. Most mothers appreciated not only the respective feeding-mediated pain mitigation method used, but also the simply-holding procedure. In all cases, they felt reassured, with an unexpected frequent underestimation of their child's pain during the shot.CONCLUSIONS:
The analgesic effect of breastfeeding during vaccination extends also to children >6 months old, and is obtained by formula too. Embracing the child may help to reassure mothers. IMPACT We confirmed the analgesic effect of breastfeeding during the vaccination procedures in early infancy. We show for the first time that this effect is extended also to children up to 1 year of age, and it may be obtained by formula feeding as well. Most mothers appreciated pain mitigation not only through feeding, but also the simply-holding procedure. In all cases, mothers felt reassured, with an unexpected frequent underestimation of their child' pain during the shot. The promotion of these easily feasible and well-accepted strategies should be further encouraged within health professionals during vaccination procedures.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Douleur
/
Allaitement naturel
/
Immunisation
/
Analgésie
/
Aliment du nourrisson au cours de la première année
Type d'étude:
Clinical_trials
Limites:
Female
/
Humans
/
Infant
/
Male
Langue:
En
Journal:
Pediatr Res
Année:
2021
Type de document:
Article
Pays d'affiliation:
Italie