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Breastfeeding Is Analgesic in Healthy Newborns
Abstract
Context This study identifies a behavioral and nonpharmacologic means of preventing newborn pain. Objective To determine whether breastfeeding is analgesic in newborn infants undergoing heel lance-a routine, painful, hospital procedure. Design A prospective, randomized, controlled trial. Setting Hospital maternity services at Boston Medical Center, Boston, Massachusetts, and Beverly Hospital, Beverly, Massachusetts. Participants A random sample of 30 full-term, breastfed infants. Interventions Infants in the intervention group were held and breastfed by their mothers during heel lance and blood collection procedures for the Newborn Screening Program Blood Test. Infants in the control group experienced the same blood test while receiving the standard hospital care of being swaddled in their bassinets. Outcomes measures Crying, grimacing, and heart rate differences were analyzed between the breastfeeding and the control infants before, during, and after blood collection. Results Crying and grimacing were reduced by 91% and 84%, respectively, from control infant levels during the blood collection. Heart rate was also substantially reduced by breastfeeding. Conclusions Breastfeeding is a potent analgesic intervention in newborns during a standard blood collection.
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Breastfeeding can be regarded as the final stage of labor, providing a natural analgesic for infants.
“Breastfeeding can be regarded as the final stage of labor (Labbok, 2001), providing a natural analgesic for infants (Gray et al., 2002).”
From The evolved nest, oxytocin functioning, and prosocial development (2023) · cites this paper as Gray et al., 2002
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Abdel-Latif, M. E., Pinner, J., Clews, S., Cooke, F., Lui, K., & Oei, J. (2006) · Pediatrics · doi:10.1542/peds.2005-1561 · Cited by 266
Early skin-to-skin contact for mothers and their healthy newborn infants
Moore, E. R., Anderson, G. C., & Bergman, N. (2007) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003519.pub2 · Cited by 236
The evolved nest, oxytocin functioning, and prosocial development
Tarsha, M. S., & Narvaez, D. (2023) · Frontiers in Psychology · doi:10.3389/fpsyg.2023.1113944 · Cited by 25
“Breastfeeding can be regarded as the final stage of labor (Labbok, 2001), providing a natural analgesic for infants (Gray et al., 2002).”
BackgroundMOSCARDINO, U., AXIA, G., & ALTOÈ, G. (2006) · Acta Paediatrica · doi:10.1080/08035250600764818 · Cited by 13
Metadata
- Authors
- Gray, L., Miller, L. W., Philipp, B. L., & Blass, E. M.
- Affiliations
- University of Chicago (US)
- Boston Medical Center (US)
- ORCID
- Philipp, Barbara L.
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2002-04-01
- Volume
- 109
- Issue
- 4
- Pages
- 590-593
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W1994600407
- Cited by
- 265
- References
- 0
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 3 · 2023: 6 · 2022: 8 · 2021: 5 · 2020: 11 · 2019: 10 · 2018: 8 · 2017: 7 · 2016: 20 · 2015: 15 · 2014: 8 · 2013: 12 · 2012: 14
- FWCI
- 9.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service (MCJ-259169)
- National Institute of Mental Health (R0-1 MH51705-04A1, KO-5 MH5 00524, R01MH051705)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Health and Development
- Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
- Keywords
- breastfeeding, neonatal pain, analgesia, heel lance, blood collection, newborn screening, crying, facial grimacing, heart rate
- MeSH terms
- Blood Specimen Collection, Breast Feeding, Crying, Feeding Behavior, Female, Heart Rate, Heel, Humans, Infant, Newborn, Male, Pain, Prospective Studies, Punctures, Infant Behavior
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