Oral Sucrose Associated With Decreased Discomfort During Newborn Screening
by Pamela Jones, MA
The newborn screening is a blood test done to help identify certain health issues that would not otherwise be seen as early in newborns. Unfortunately, this screening requires that blood be drawn. A heelstick was the common method to withdraw blood, but venipuncture (from the back of the hand) has become a more common approach because it is associated with less discomfort for the newborn. However, venipuncture still causes some unhappiness. Making a newborn cry is bad enough but early negative experiences can also lead to higher anxiety and pain with future medical tests. Oral sucrose, a sugar solution, has been found to have a pain-relieving and calming effect with infants receiving vaccinations.
Researchers from Canada examined steps to reduce discomfort for infants including a topical medication lidocaine, a sucrose solution, or sucrose plus lidocaine. The study, published in Pediatrics, found that oral sucrose was effective at reducing pain in infants during venipuncture.
About the Study
The study was a randomized trial that included 330 healthy full-term newborns. Before their venipuncture, the infants were given one of three treatments to decrease pain:
The infants were also swaddled and held by a nurse during the venipuncture.
A facial grimace scale assessed pain with scores ranging from 0-100. The average grimace score during venipuncture was:
Both groups with sucrose were significantly lower than lidocaine alone. There was no significant difference between sucrose or sucrose and lidocaine.
How Does This Affect You?
Randomized trials are considered a very reliable form of research trial. Although no trial can be perfect this trial was well-done and the results are likely to be true. The lidocaine, which is often used for pain reduction in medical procedures, appeared less effective at reducing pain during venipuncture compared to sucrose.
It is not clear if the sucrose directly affects pain levels or if it is simply a happy distraction, but it appears effective in decreasing the stress. The small sucrose delivered was not associated with adverse events, so it may be a safe way to make venipuncture a little less distressing for newborns.
Taddio A, Shah V, Stephens D, et al. Effect of liposomal lidocaine and sucrose alone and in combination for venipuncture pain in newborns. Pediatrics. 2011 Apr;127(4):e940-947.
Last reviewed July 2011 by Brian P. Randall, MD
EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
To send comments or feedback to our Editorial Team regarding the content please email us at email@example.com. Our Health Library Support team will respond to your email request within 2 business days.