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Subject:
From:
Andrea Eastman <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Mon, 15 Apr 2002 21:28:03 -0400
Content-Type:
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It's already been published.  Full-text is only available in print edition
:-)
Andrea
--
Andrea Eastman, MA, IBCLC
Granville, Ohio

*******


http://www.pediatrics.org/cgi/content/abstract/109/4/590

PEDIATRICS Vol. 109 No. 4 April 2002, pp. 590-593

Breastfeeding Is Analgesic in Healthy Newborns

Larry Gray, MD*, Lisa W. Miller, BA, Barbara L. Philipp, MD and Elliott M. Blass,
PhD,

* Section of Behavioral and Developmental Pediatrics, University of Chicago,
Chicago, Illinois
  Department of Pediatrics, Boston Medical Center, Boston, Massachusetts
  Departments of Psychology and Neuroscience and Behavior, University of
Massachusetts, Amherst, Massachusetts

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.

Outcome 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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