Breastfeeding
may be the ultimate natural painkiller for newborn
babies.
A review of research found that breastfeeding
newborns helps relieve the pain from a needle
prick used to screen their blood for disease.
Breastfed babies appeared to experience less
pain than those who were swaddled, given a pacifier,
or a placebo. Comfort from a mother's presence
may be key.
The Cochrane Library review, by Toronto's Mount
Sinai Hospital, was based on data from over 1,000
babies.
The researchers say that breastfeeding could
possibly help relieve pain for premature babies
who need to undergo many painful intensive care
procedures.
However, they stress that their study did not
test the impact of breastfeeding on the pain associated
with repeated procedures.
The Mount Sinai team assessed pain by measuring
changes in heart and breathing rates, and the
length of time a baby cried after receiving the
needle prick.
Comfort
The researchers say that the key to the effect
of breastfeeding may be that an infant simply
draws comfort from the close proximity of its
mother.
Alternatively, breastfeeding may help to divert
attention away from the pain of a needle prick.
They also suggest that the sweetness of breast
milk may be a factor.
Another theory is that breast milk contains
a high concentration of a chemical which could
ultimately trigger the production of natural painkillers
called endorphins.
The researchers also found that giving babies
a sugar solution seemed to be effective.
But researcher Dr Prakeshkumar Shah said: "Based
on this review we concluded that for a neonate
undergoing painful procedure breastfeeding is
superior to no treatment, placebo, or swaddling
alone for relieving pain.
"As it is the most inexpensive, safe and advantageous
from other perspectives, it should be offered
to all neonates to relieve procedural pain when
possible."
Dr Tony Williams, an expert in neonatal care
at London's St George's Hospital, said: "Newborn
babies are often given dummies soaked in concentrated
glucose to help reduce distress during painful
procedures.
"This study shows that babies would do just
as well by being breastfed."