Breastfeeding as an analgesic method during vaccinations.
Elsa Vitale1,2, Lucia R De Angelis3
1Mental Health Center in Modugno, Local Health Company, Bari, Italy - vitaleelsa@libero.it.
Minerva Ginecologica
|May 15, 2020
Summary
Breastfeeding effectively reduces pain and crying in infants during vaccinations, according to a literature review. While pain scores and cry duration decreased, physiological parameters showed no significant change.
Area of Science:
- Pediatrics
- Pain Management
- Evidence-Based Medicine
Background:
- Infants experience significant pain during vaccinations (intradermal, intramuscular).
- Various analgesic methods have been explored to mitigate vaccination pain in infants and children.
Purpose of the Study:
- To review non-pharmacological interventions for pain relief during infant vaccinations.
- To synthesize evidence on the efficacy of breastfeeding as an analgesic method.
Main Methods:
- A literature review of Medline (PubMed) database was conducted.
- Focused on studies from the last ten years, including randomized clinical trials and systematic reviews.
- Eight relevant articles were critically analyzed.
Main Results:
- All reviewed studies indicated a reduction in pain scores and cry duration in breastfed infants during and after vaccination.
- Validated rating scales and cry duration measurements supported these findings.
- No statistically significant improvement was observed in physiological parameters.
Conclusions:
- Breastfeeding is a demonstrated effective non-pharmacological intervention for reducing vaccination pain in infants.
- Further research is needed to investigate changes in vital parameters during breastfeeding for clearer clinical trial comparisons.
Related Concept Videos
01:51Vaccinations
50.9K
Overview
50.9K
01:29Local Anesthetics: Clinical Application as Epidural Anesthesia
631
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
631
01:16Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
992
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
992
01:24Parenteral Anesthetics: Overview
503
Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
503
01:29Drug Dosing: Infants and Children
172
Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
172