3
Revista Iberoamericana de Educación e Investigación en Enfermería

Revista Iberoamericana de Educación e Investigación en Enfermería

OCTUBRE 2019 N° 4 Volumen 9

Pain care in newborns: effectiveness of breast milk or sucrose

Section: Reviews

How to quote

Mejía Trujeque A, Pat Catzim LC, Pérez H, May Uitz S. Cuidado del dolor en el neonato: eficacia de la leche materna o sacarosa. Rev. iberoam. Educ. investi. Enferm. 2019; 9(4):48-60.

Authors

1 Alexis Mejía Trujeque, 1 Leydi Cristina Pat Catzim, 1 Héctor Pérez Martín, 2 Saúl May Uitz

Position

1 Licenciada/o en Enfermería. Facultad de Enfermería. Universidad Autónoma de Yucatán. Mérida, Yucatán, México.2 Doctor en Ciencias de Enfermería. Docente de tiempo completo de la Facultad de Enfermería. Universidad Autónoma de Yucatán. Mérida, Yucatán, México.

Contact email: saul.may@correo.uady.mx

Abstract

Introduction: newborns require diagnostic and preventive procedures from the first days of life which are often associated with a painful sensation. Currently available data support the statement that the newborn is able to perceive pain, and that this causes short and long-term adverse effects. Among pain relief methods, non-pharmacological interventions are particularly important due to their safety, efficacy, and low cost.
Purpose: to assess the efficacy of breast milk compared to sucrose for pain care in neonates in NICUs.
Methods: a bibliographic review; the clinical question was translated into documentary language using Health Sciences Descriptors (DeCS, Descriptores en Ciencias de la Salud). A literature search was carried out in the following databases: PubMed, Google Scholar, Biblioteca Virtual en Salud (BVS), LILACS, and Cochrane, using English, Spanish and Portuguese languages. Search strategy was based on Boolean operators (AND and OR); references older than five years were excluded.
Results: 35 papers were selected and assessed by means of the Spanish Critical Appraisal Skills Programme (CASPe); 13 did not fulfill the quality criteria and were excluded; 22 were finally evaluated and were assigned a level of evidence and a grade of recommendation using SIGN, OCEBM, and AATM scales. Currently, non-pharmacological measures are very important to provide comprehensive and quality care. Advances in care and management contribute to the survival of newborns who have undergone painful procedures or interventions.

Keywords:

newborn; Pain management; breast milk; sucrose; neonatal intensive care

Versión en Español

Título:

CUIDADO DEL DOLOR EN EL NEONATO: EFICACIA DE LA LECHE MATERNA O SACAROSA

Artículo completo no disponible en este idioma / Full article is not available in this language

Bibliography

  1. Chambers CT, McGrath PJ. Pain Measuremen in Children. In: Ashburn MA, Rice LJ (eds.). The management of pain. New York: Churchill Livingstone, 1998. p. 625-34.
  2. Milenio novedades. Diabetes e hipertensión traen bebés por adelantado. Instituto Mexicano del Seguro Social (IMSS). 2015.
  3. Unidad neonatal de cuidados intensivos (UNCI). Stanford Children's Health. [internet] 2019. [citado 16 sep 2019]. Disponible en: https://www.stanfordchildrens.org/es/topic/default?id=the-neonatal-intensive-care-unit-nicu-90-P05498
  4. González C, Fernández I. Revisión bibliográfica en el manejo del dolor neonatal. ENE. Revista de Enfermería. Dic. 2012; 6(3).
  5. Hernández R, Vázquez E, Juárez A, Villa M, Villanueva D, Murguía T. Valoración y manejo del dolor en neonatos. Bol Méd Hosp Infant Méx 2004; 61(2):164-73.
  6. Aguilar M, Baena L, Sánchez M, Mur N, Fernández R, García I. Procedimientos no farmacológicos para disminuir el dolor de los neonatos; revisión sistemática. Nutr Hosp. 2015; 32(6):2496-507.
  7. Flores MA. Neurofisiología del dolor en el feto y en el recién nacido. Foro de Investigación y tratamiento del dolor para la comunidad médica. Escala de valoración del dolor en neonatología [internet] [citado 16 sep 2019]. Disponible en: https://www.intramed.net/contenidover.asp?contenidoid=33517
  8. Hartley C, Goksan S, Poorun R. The relationship between nociceptive brain activity, spinal reflex withdrawal and behaviour in newborn infants. Sci Rep. 2015; 5:12519.
  9. Romero H, García C, Galindo J. Manejo del dolor en neonatos hospitalizados revisión ampliada de la literatura. Repert. med. cir. 2015; 24(3):182-93.
  10. Hall RW, Anand KJS. Pain management in newborns. Clin Perinatol. [internet]. 2014 [cited 16 sep 2019]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4254489/
  11. Critical Appraisal Skills Programme español CASPe 2019 [sed web]. [cited 16 sep 2019]. Available from: http://www.redcaspe.org/
  12. Soltani S, Zohoori D, Adineh M. Comparison the effectiveness of breast feeding, oral 25% of dextrose, kangoroo-mother care method and EMLA cream on pain score level following heel pick sampling in newborns. Electronic Physician. May 2018; 10(5):6471-8.
  13. Sxener A, Erdem E. Comparison of Breast Milk and Sucrose in Reducing Neonatal Pain During Eye Exam for Retinopathy of Prematurity. Breastfeeding Medicine. 2017; 12(5).
  14. Hatami Z, Hemati K, Sayehmiri K, Asadollahi P, Abangah G, Azizi M. Effects of breast milk on pain severity during muscular injection of hepatitis B vaccine in neonates in a teaching hospital in Iran. Elsevier Masson SAS Archives de Pediatrie 2018.
  15. Rodrigues L, Nesargi S, Fernandes M, Shashidhar A, Rao S, Bhat S. Analgesic Efficacy of Oral Dextrose and Breast Milk during Nasopharyngeal Suctioning of Preterm Infants on CPAP: A Blinded Randomized Controlled Trial. Journal of Tropical Pediatrics. 2017; 63(6).
  16. Braga N, Rossato L, Bueno M, Fumiko A, Costa T, Batista D. Assessment and management of pain in newborns hospitalized in neo natal intensive care unit. Revista latino-americano de enfermagen 2017.
  17. Peng, Hsueh-Fang Ti, Yi, Yang L, Wang Chi C, Yue-Cune J, Mei-Jy, Liaw, JJ. Non-nutritive sucking, oral breast milk and facilitated tucking relieve preterm infant pain during heel-stick procedures: a prospective, randomized controlled trial. IJNS, 2017.
  18. De Bernardo G, Riccitelli M, Sordino D, Giordano M, Piccolo S, Buonocore G, Perrone S. Oral 24% sucrose with nonnutritive sucking for pain control in healthy term newborns receiving venipuncture beyond the first week of life. Pain Res 2019; 12:299-305.
  19. Mangat A, Oei J, Chen K, Quah-Smith I, Schmölzer G. A review of nonpharmacological treatments for pain management in new born infants. Creative commons MDPI. 2018.
  20. Collados-Gómez L, Ferrera-Camacho P, Fernández-Serrano E, Camacho-Vicente V, Flores-Herrero C, García-Pozo A, Jiménez-García M. Randomized crossover trial showed that using breast milk or sucrose provided the same analgesic effect in preterm infants of at least 28 weeks. Acta Sanitaria 2017.
  21. Romero H, García C, Galindo J. Manejo del dolor en neonatos hospitalizados revisión ampliada de la literatura, Repert.med.cir.2015; 24(3):182-93.
  22. Zeller B, Giebe J. Pain in the neonates: focus on non-pharmacologic interventions. Continuing nursing education. Noviembre/Diciembre 2014. Vol. 30 NO. 6.
  23. Bonutti D, Daré M, Csstral T, Morales A, Vici J, Silvan C. Dimensionamiento de los procedimientos dolorosos e intervenciones para alivio del dolor agudo en prematuros. Rev. Latino-Am. Enfermagem 2017; 25(2917).
  24. Aguilar M, Mur N, García I, Rodríguez M, Rizo M. Oral glucose and breast milk as a strategy for pain reduction during de the heel lance procedure in newborns. Nutr Hosp. 2014; 30(5):1071-6.
  25. Zurita-Cruz J, Rivas-Ruíz R, Gordillo-Álvarez V, Villasís-Keever M. Lactancia materna para control del dolor agudo en lactantes. Nutr Hosp. 2017; 34(2):301-7.
  26. Benoit B, Martin-Misener R, Latimer M, Campbell-Yeo M. Breast feeding analgesia in infants. Wolters Kluwer Health, Inc. J Perinat Neonat Nurs. 2017; 31(2):145-59.
  27. Harrison D, Reszel J, Bueno M, Sampson M, Shah VS, Taddio A, Larocque C, Turner L. Breast feeding for procedural pain in infants beyond the neonatal period. The Cochrane database of systematic reviews 2016; 10. Art. NO. CD011248.
  28. Silva A, Moreira S, Nogueira S, Valeska A, Oliveira M, Camelo E Medidas não farmacológicas no manejo da dor em recém-nascido: cuidado de enfermagem. Universidade Estadual do Ceará. Fortaleza, CE, Brasil. Rev Rene. 2016 Mayo-Junio; 17 (3):435-42.
  29. Thakkar P, Arora K, Goyal K, Das RR, Javadekar B, Aiyer S, Panigrahi SK. To evaluate and compare the efficacy of combined sucrose and non-nutritive sucking for analgesia in newborns undergoing minor painful procedure: a randomized controlled trial. J Perinatol. 2016 Jan; 36(1):67-70.
  30. Stevens B, Yamada J, Ohlsson A, Haliburton S, Shorkey A. Sucrose for analgesia in newborn infants undergoing painful procedures. The Cochrane Database of Systematic Reviews 2016, Issue 7. Art. No.: CD001069.