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2024, Number 1

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Arch Inv Mat Inf 2024; 15 (1)

Breastfeeding, management of pain and side effects during vaccination in children under one year

Martínez-Ortega KJ, Bustamante-Montes LP, Toxqui-Tlachino MJG, Segundo-Flores A, Cañas-López T, Álvarez-Solorza I

Language: Spanish
References: 27
Page: 9-14
PDF size: 231.91 Kb.


ABSTRACT

Introduction: the procedural pain by vaccines in babies has negative physiological and behavioral effects. But there are strategies like breastfeeding to manage the pain. Objective: to assess the efficiency of breastfeeding for managing the pain and side effects during the vaccination in children under one year. Material and methods: a mixed approach study of sequential explanatory type; an exploratory quantitative cross-sectional study was held in the health center during 2021 in 55 mother-child binomials: 39 breastfed babies and 16 babies who use substitutes at two, four and six months of age with up-to-date vaccination schedule were selected for consecutive cases. The measurement of pain was performed with the FLACC scale. The data was analyzed through descriptive statistical methods and inference through STATA version 18. In the qualitative study, 37 women were interviewed by telephone, where they were asked about their experience in vaccination with breastfeeding and the side effects of vaccination. The data analysis was performed by content. Results: the 61.82% of babies who breastfed while vaccinated had no pain, the 97.3% had no persistent crying and the 97.3% did not develop fever. Breastfeeding proved to be protective against these factors (p ≤ 0.001). In the qualitative study it was identified that women feel safety and relief. Conclusions: breastfeeding has a positive effect on pain, crying and fever during vaccination. It is reaffirmed that it is a procedure that must be disseminated.


REFERENCES

  1. Valenzuela MT. Importancia de las vacunas en salud pública: hitos y nuevos desafíos. Rev Méd Clín Condes. 2020; 31 (3-4): 233-239. doi: 10.1016/j.rmclc.2020.03.0052.

  2. Organización Mundial de la Salud (OMS). Cobertura de Inmunización. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/immunization-coverage

  3. Organización Panamericana de la Salud (OPS). Datos y estadísticas de inmunización. https://www.paho.org/es/inmunizacion/datos-estadisticas-inmunizacion.

  4. Spencer JP, Trondsen-Pawlowski RH, Thomas S. Vaccine adverse events: separating myth from reality. Am Fam Physician. 2017; 95 (12): 786-794.

  5. Riaz A, Husain S, Yousafzai MT, Nisar I, Shaheen F, Mahesar W et al. Reasons for non-vaccination and incomplete vaccinations among children in Pakistan. Vaccine. 2018; 36 (35): 5288-5293. doi: 10.1016/j.vaccine.2018.07.024.

  6. Mills E, Jadad AR, Ross C, Wilson K. Systematic review of qualitative studies exploring parental beliefs and attitudes toward childhood vaccination identifies common barriers to vaccination. J Clin Epidemiol. 2005; 58 (11): 1081-1088. doi: 10.1016/j.jclinepi.2005.09.002.

  7. Shukla VV, Shah RC. Vaccinations in primary care. Indian J Pediatr. 2018; 85 (12): 1118-1127. doi: 10.1007/s12098-017-2555-2.

  8. Kimmel SR. Vaccine adverse events: separating myth from reality. Am Fam Physician. 2002; 66 (11): 2113-2120.

  9. Smith LE, Weinman J, Amlot R, Yiend J, Rubin GJ. Parental expectation of side effects following vaccination is self-fulfilling: a prospective cohort study. Ann Behav Med. 2019; 53 (3): 267-282. doi: 10.1093/abm/kay040.

  10. Goksan S, Hartley C, Emery F, Cockrill N, Poorun R, Moultrie F et al. fMRI reveals neural activity overlap between adult and infant pain. Elife. 2015; 4: e06356. doi: 10.7554/eLife.06356.

  11. Anderson PO. Maternal vaccination and breastfeeding. Breastfeed Med. 2019; 14 (4): 215-217. doi: 10.1089/bfm.2019.0045.

  12. Johnston C, Campbell-Yeo M, Disher T, Benoit B, Fernandes A, Streiner D et al. Skin-to-skin care for procedural pain in neonatos. Cochrane Database Syst Rev. 2017; 2: CD008435. doi: 10.1002/14651858.

  13. Stevens B, Yamada J, Ohlsson A, Haliburton S, Shorkey A. Sucrose for analgesia in newborn infants undergoing painful procedures. Cochrane Database Syst Rev. 2016; 7: CD001069. doi: 10.1002/14651858.

  14. Bueno M, Yamada J, Harrison D, Khan S, Ohlsson A, Adams-Webber T et al. A systematic review and meta-analyses of nonsucrose sweet solutions for pain relief in neonates. Pain Res Manag. 2013; 18 (3): 153-161. doi: 10.1155/2013/956549.

  15. Martin CR, Ling RR, Blackburn GL. Review on infant feeding: key features of breast milk and infant formula. Nutrients. 2016;8(5):279. doi: 10.3390/nu8050279.

  16. Toddio A, Appleton M, Borolussi P, Chambers C, Dubey V, Halperin S, et al. Reducing the pain of chilhood vaccination: and evidence-based clinical practice guideline. CMAJ. 2010;182(18):E843-55. doi: 10.1503/cmaj.101720.

  17. Harrison D, Reszel J, Bueno M, Sampson M, Shah VS, Taddio A et al. Breastfeeding for procedural pain in infants beyond the neonatal period. Cochrane Database Syst Rev. 2016; 10 (10): CD011248. doi: 10.1002/14651858.CD011248.pub2.

  18. Vieira ACG, Bueno M, Harrison D. "Be sweet to babies": use of Facebook as a method of knowledge dissemination and data collection in the reduction of neonatal pain. Paediatr Neonatal Pain. 2020; 2 (3): 93-100. doi: 10.1002/pne2.12022.

  19. Secretaría de salud. Manual de vacunación. Disponible en: https://drive.google.com/file/d/19am3cMC-88a28QxUjb1OO34vO_jLkFh3/view

  20. Zurita-Cruz JN, Rivas-Ruiz R, Gordillo-Álvarez V, Villasis-Keever MÁ. Lactancia materna para control del dolor agudo en lactantes: ensayo clínico controlado, ciego simple [Breastfeeding for acute pain control on infants: a randomized controlled trial]. Nutr Hosp. 2017; 34 (2): 301-307. doi: 10.20960/nh.163.

  21. Boroumandfar K, Khodaei F, Abdeyazdan Z, Maroufi M. Comparison of vaccination-related pain in infants who receive vapocoolant spray and breastfeeding during injection. Iran J Nurs Midwifery Res. 2013; 18 (1): 33-37.

  22. Esfahani MS, Sheykhi S, Abdeyazdan Z, Jodakee M, Boroumandfar K. A comparative study on vaccination pain in the methods of massage therapy and mothers' breastfeeding during injection of infants referring to Navabsafavi Health Care Center in Isfahan. Iran J Nurs Midwifery Res. 2013; 18 (6): 494-498.

  23. Dilli D, Kücük IG, Dallar Y. Interventions to reduce pain during vaccination in infancy. J Pediatr. 2009; 154 (3): 385-390. doi: 10.1016/j.jpeds.2008.08.037.

  24. Goswami G, Upadhyay A, Gupta NK, Chaudhry R, Chawla D, Sreenivas V. Comparison of analgesic effect of direct breastfeeding, oral 25% dextrose solution and placebo during 1st DPT vaccination in healthy term infants: a randomized, placebo controlled trial. Indian Pediatr. 2013; 50 (7): 649-653. doi: 10.1007/s13312-013-0196-8.

  25. Gorrotxategi-Gorrotxategi P, Zabaleta-Rueda A, Urberuaga-Pascual A, Aizpurua-Galdeano P, Juaristi-Irureta S, Larrea-Tamayo E. Nonpharmacological pain management in vaccination. Perception of paediatricians, patients and guardians. An Pediatr (Engl Ed). 2022; 97 (3): 199-205. doi: 10.1016/j.anpede.2022.07.002.

  26. Taavoni S, ShahAli S, Haghani H, Neisani-Samani L. Comparison the effect of breast feeding with routine clinical procedure on pain relieving during immunization injection. J Arak Uni Med Sci. 2008; 11 (4): 33-40. Disponible en: http://jams.arakmu.ac.ir/article-1-284-en.html

  27. Shah PS, Herbozo C, Aliwalas LL, Shah VS. Breastfeeding or breast milk for procedural pain in neonates. Cochrane Database Syst Rev. 2012; 12 (12): CD004950. doi: 10.1002/14651858.CD004950.pub3.




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