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Electrophysiological Measurements and Analysis of Nociception in Human Infants
Published on: December 20, 2011
Effectiveness of oral sucrose for pain management in infants during immunizations
Donna Miles Curry1, Cindy Brown, Sharon Wrona
1College of Nursing & Health, Wright State University, Dayton, OH 45435, USA. donna.curry@wright.edu
Insights
Oral sucrose did not significantly reduce pain in infants during immunizations. Researchers found no difference in pain scores or crying time between sucrose and sterile water groups.
Area of Science:
- Pediatrics
- Pain Management
- Public Health
Background:
- Routine infant immunizations are a common source of acute pain.
- Non-pharmacological methods for pain relief are sought to minimize infant distress.
Purpose of the Study:
- To evaluate the efficacy of oral sucrose as an analgesic during infant immunizations.
- To compare different concentrations of sucrose and sterile water for pain reduction.
Main Methods:
- 113 healthy infants aged 2, 4, and 6 months were randomly assigned to receive 2 mL of 50% sucrose, 75% sucrose, or sterile water orally 2 minutes before immunization.
- Pain was assessed using the Face, Legs, Activity, Cry, Consolability (FLACC) scores and crying time.
Main Results:
- No statistically significant differences in FLACC scores or crying time were observed among the sucrose and sterile water groups.
- Pain reduction efficacy was not demonstrated for oral sucrose in this study population.
Conclusions:
- Oral sucrose at 50% or 75% concentration did not provide significant pain relief during routine infant immunizations compared to sterile water.
- Consolability factors may play a role in perceived pain, warranting further investigation.
Abstract:
This study examined the effects of oral sucrose as an analgesic agent during routine immunization for infants at 2, 4, and 6 months of age. A sample of 113 healthy infants were recruited from three ambulatory clinics and randomly assigned to one of three treatment groups. Infants were given 2 mL orally of either 50% sucrose, 75% sucrose, or sterile water 2 minutes before administration of immunizations. No significant difference was found among the different age groups with the different treatments for pain as measured with the FLACC scores and crying time. Consolability factors are felt to have some influence.
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