Hello,
Ibu modern cendrung segra melepaskan anaknya utk tdk disusui, tetapi
sebenarnya menyusui tdk hanya berguna sebagai penjarangan kelahiran,
tetapi juga berguna bagi sang baby.
Apa ia??
WASHINGTON, D.C. -- July 19, 2006 -- In the first 24 hours after birth,
nearly every newborn in the United States is subjected to a painful, but
routine heel prick or needle stick to screen the blood for disease or
rare genetic disorders. In most cases that needle stick is administered
without pain relief. But a new review of evidence suggests that
breastfeeding can ease the pain of such routine newborn procedures. "The
babies who were breastfed experienced less pain, compared to not giving
anything, or just swaddling them or a placebo of sterile water," said
lead reviewer Prakeshkumar Shah, a neonatologist at Mount Sinai Hospital
in Toronto. Shah's team gathered data from eleven studies of more than
1,000 newborns. The trials tested the effectiveness breastfeeding and
breast milk compared to sugar water or pacifier -- to counter the
discomfort of the babies' first blood draw. Breastfeeding works better
than no intervention or placebo to extinguish the signs of pain, but
breastfeeding was about as effective as highly concentrated sugar water,
the review found. It's uncertain exactly how breastfeeding dampens pain,
but the reviewers suspect that a mother's comforting presence,
skin-to-skin contact, diversion of attention and the sweetness of breast
milk all work together to soothe infants. The meta-analysis appears in
the current issue of [The Cochrane Library, a publication of The
Cochrane Collaboration, an international organization that evaluates
research in all aspects of health care. Systematic reviews draw
evidence-based conclusions about medical practice after considering both
the content and quality of existing trials on a topic.Whether or not a
newborn is given pain relief for a one-time, routine procedure varies
greatly from hospital to hospital and from one mom-and-baby unit to
another, Shah said. Shah said some people don't perceive one procedure
as significant enough to require pain relief.
Lawrence Gray, a University of Chicago Hospitals pediatrician, studies
newborn behavior and development. He said hospitals have a lot to
accomplish in the first 48 hours after birth.
"To get all those things done, a lot of things sort of happen
automatically. And it's in that automaticity that babies get prodded and
poked. The hospital's not a bunch of mean people. They are trying to get
their stuff done, so the family can go home on time," Gray said.
The Cochrane review shows that breastfeeding is well tested as a
pain-relief alternative, Gray said, and it should be offered to parents
as the standard of care for newborns.
"Of course getting breastfeeding to work, as a hospital system, is much
more labor-intensive than giving a baby a pacifier or swaddling the
baby," he added. "You are really changing hospital culture."
The review compiles evidence from trials of babies exposed to an
isolated painful procedure, and most of the data is from healthy
full-term newborns. But the findings also suggest that breastfeeding is
a pain-relief possibility for tiny premature babies. Preemies often have
to undergo many painful procedures during their stay in the neonatal
intensive care unit.
"We are looking for a natural, inexpensive, easily available approach to
reduce pain in those babies," Shah said.
Repeated painful procedures can cause premature babies to suffer
increases in blood pressure and heart rate, as well as lower oxygen
levels, Shah said. And under stress, extremely premature newborns have a
higher risk for brain hemorrhage, he said.
"Right now quite a lot of hospitals have adopted the practice of giving
sugar water to those babies for analgesia. But we don't know what
happens to them long term by exposing them to high concentrations of
sugar." While the long-term effects aren't clear, Shah said, some short
term studies have found delayed motor skills and lower neurological
scores for preemies given sugar water for pain.
Breast milk has about 7 percent sugar, Shah said. But sugar water has to
be highly concentrated -- 20 percent to 25 percent sucrose or glucose --
to provide true pain-relieving effect, he added.
"I think more research is needed on the effectiveness of breastfeeding
and breast milk for those babies. What we are proposing in this review
is to do further research on those sick babies that are admitted to the
unit who are exposed to multiple painful procedures," Shah said.
REFERENCE:
Shah PS, Aliwalas LL, Shah V. Breastfeeding or breast milk for
procedural pain in neonates. The Cochrane Database of Systematic Reviews
2006, Issue 3.
SOURCE: Health Behavior News Service
--
"Absolutely Drug less Health Care solution Organization"
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