The Academy of Breastfeeding Medicine Protocol Committee
BREASTFEEDING MEDICINE Volume 5, Number 6, 2010
Newborns and young infants routinely experience pain associated with commonly used invasive procedures such as blood sampling and intramuscular injections (e.g., vaccinations, vitamin K) and, in some countries, circumcision (the removal of some or all of the foreskin [prepuce] from the penis). Reduction of pain is both a professional imperative and an ethical expectation because untreated pain has detrimental consequences such as greater pain sensitivity in later childhood and may lead to permanent neuroanatomical and behavioral abnormalities as demonstrated in animal models. Moreover, pain is a source of concern and distress for new parents and may disturb mother–infant bonding.
Pain reduction therapies are often underused for the numerous minor procedures that are part of routine medical and nursing care for neonates. Growing scientific and clinical evidence from both animal and human newborns points to the efficacy of natural, non-pharmacologic interventions to reduce pain due to minor procedures.
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