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Sugar may not stop pain when babies get needles

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Date: Thursday Sep. 2, 2010 9:35 AM ET

Did Mary Poppins have it all wrong when she advised sugar to help the medicine go down? Doctors in England suspect she may have, at least when it comes to newborns.

A new study suggests that giving a small amount of sugar solution to newborns to help relieve pain from needle pricks does nothing to stop the pain.

Infants are routinely given tiny amounts of sugar in hospitals around the world. The thinking had been that because the baby's facial expressions changed after they were given the sugar, from puckered-up to relaxed, the sugar was at least distracting the babies from their pain, if not relieving it altogether.

Many previous studies have found that the practice works, including a review of all the existing medical literature on the subject, conducted by the influential Cochrane Review.

But the new study, published in The Lancet, says those studies were flawed because they measured facial expressions rather than pain receptors.

Dr. Rebeccah Slater of University College London and colleagues pricked the heels of 59 newborns -- a procedure that was required anyway to draw a blood sample -- and monitored pain activity in the brain and spine, using a neonatal electroencephalography (EEG) cap on their heads, and spinal reflexes activity recorded with electromyography (EMG).

Half the babies were given either sterile water or a tiny amount of sucrose solution, on their tongues about two minutes before the heel lance.

They found that although the babies given the sugar water didn't wince as much, pain activity did not differ significantly between the two groups. The babies' leg reflexes also indicated they still felt pain despite receiving the sugar.

While it may seem safe enough to give babies a tiny amount of sugar, some babies who need lots of medical treatment in the early weeks of their lives may receive many doses of sugar.

She notes that it's not clear whether it's safe for babies to have multiple doses of sugar, and therefore advises that the practice of offering sugar water be stopped.

"This notion is especially important in view of the increasing evidence for short-term and long-term adverse effects of infant pain experience on neurodevelopment," the authors wrote

"The absence of evidence for an analgesic action of sucrose in this study, together with uncertainty over the long-term benefits of repeated sucrose administration, suggest that sucrose should not be used routinely for procedural pain in infants without further investigation," Slater's team said.

Authors of an accompanying commentary in The Lancet called the findings "premature." They said the study was not set up to test for more subtle effects.

"Therefore we should not be surprised that the study failed to detect an effect of sucrose on cortical evoked responses," the commentators wrote.

They added that the "study adds an important and innovative measurement to evaluating pain management in newborn babies," but that larger studies were needed.

Comments are now closed for this story

Shannon
said

A spoonfull of sugar helps the medicine go down...the taste that is. Dont remember mary poppins giving the children needles =S


CYL
said

If I eat sugar when I get pricked, it doesn't work so why would it work on a baby. It's a sin to use babies as pin cushion, why not give them everything orally. To prick for blood the best way is to squeeze an area to tie the blood flow first, it's better to feel the squeeze than the prick. Poor babies !!!


Kris
said

I think this article is missing a vital ingredient. The analgesic qualities of breastmilk. Breastmilk has been proven to be a pain reliever. Rather than giving sugar to babies before painful procedures, simply have them nurse. It is much more effective and healthier.


Sweet
said

Knowledge is Power! I sense an incredible fulfilling day ahead armed with this nugget of info. Did you ever notice how much "stuff" reported by so called "news" outlets doesn't even equate to trivia? Fire them and get some reporters who find news! All these outlets just recycle each others nonsense. Solomon was right when he said "there's really nothing new under the sun"


Liiii
said

What a useless study.... Needles hurt and children get scared in a doctors office. That wont change. It's for their own good and I have never heard of any baby being traumatized by this. Parents and bleeding hearts: stop going crazy every time your child has some discomfort. Your dramatizing is often contributing to the child's distraught state.


Earthwatcher
said

I was always under the impression (lessons learned from my mother when I raised my child) that the sugar water or sugar cube was merely to pacify the baby, a treat for the pain. Not to actually kill the pain of the needle (or make the nasty tasting syrup a bit more palatable)


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