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ABM Clinical Protocol #15: Analgesia and Anesthesia for the Breastfeeding Mother, Revised 2017 / Academy of Breastfeeding Medicine in Breastfeeding Medicine, Vol 12, n°9 (Novembre 2017)
Titre : ABM Clinical Protocol #15: Analgesia and Anesthesia for the Breastfeeding Mother, Revised 2017 Type de document : texte imprimé Auteurs : Academy of Breastfeeding Medicine, Auteur ; Sarah Reece-Stremtan, Auteur ; Matilde Campos, Auteur ; Lauren Kokajko, Auteur Année de publication : 2017 Article en page(s) : pp. 500-506 Note générale : "A central goal of The Academy of Breastfeeding Medicine is the development of clinical protocols, free from commercial interest or influence, for managing common medical problems that may impact breastfeeding success. These protocols serve only as guidelines for the care of breastfeeding mothers and infants and do not delineate an exclusive course of treatment or serve as standards of medical care. Variations in treatment may be appropriate according to the needs of an individual patient." [Note de l'éditeur] Langues : Anglais (eng) Catégories : Analgésique
Composition du lait
Prise en charge de la douleur
Thérapeutique médicamenteuse de la mère
Note de contenu : "There is little rigorous information in the scientific literature about anesthesia or procedural sedation in breastfeeding mothers. Recommendations in this area typically focus on pharmacologic properties of anesthetic agents, limited studies of milk levels, and rare infant effects. In addition to medication concerns, additional perioperative considerations may impact a breastfeeding dyad's continued breastfeeding success when a mother undergoes anesthesia or sedation. Despite the lack of controlled studies regarding outcomes of breastfeeding in mothers receiving anesthesia, multiple review articles conclude that most mothers may safely breastfeed immediately following anesthesia.1–8 (IV) (Quality of evidence [levels of evidence IA, IB, IIA, IIB, III, and IV] is based on levels of evidence used for the National Guidelines Clearing House and is noted in parentheses.)9 Most recommendations for breastfeeding in the perioperative setting come from expert opinion rather than from extensive studies or trials. Up-to-date information on specific medications can be found on the United States National Library of Medicine website LactMed,10 with additional resources listed in Table 1. Medication guidelines discussed in this protocol may be extended to mothers in the immediate postpartum period; however, specific considerations for this population are detailed in ABM Protocol #28, Peripartum Anesthesia and Analgesia for the Breastfeeding Mother. The focus of this protocol is on anesthesia and analgesia for breastfeeding mothers outside the postpartum period." [Présentation de l'auteur] Permalink :
in Breastfeeding Medicine > Vol 12, n°9 (Novembre 2017) . - pp. 500-506[article]Comparative Effect of the Smells of Amniotic Fluid, Breast Milk, and Lavender on Newborns’ Pain During Heel Lance / Esma Akcan in Breastfeeding Medicine, Vol. 11, n°6 (Juillet - Août 2016)
Titre : Comparative Effect of the Smells of Amniotic Fluid, Breast Milk, and Lavender on Newborns’ Pain During Heel Lance Type de document : texte imprimé Auteurs : Esma Akcan, Auteur ; Polat Sevinç, Auteur Année de publication : 2016 Article en page(s) : pp. 309-314 Langues : Anglais (eng) Catégories : Antalgique
Liquide et sécrétion biologique
Thérapeutique non médicamenteuse
Mots-clés : Lavande douleur Résumé : "
Introduction: The aim of this randomized controlled experimental study was to evaluate the effect of the smells of amniotic fluid, breast milk, and lavender on the pain of newborns during heel lance.
Methods: The sample of the study consisted of 102 newborn infants who complied with the sampling criteria between August and November, 2011. The newborns smelled the samples (lavender, breast milk, amniotic fluid, and distilled water) for 5 minutes before the heel lance until 5 minutes afterward. The Neonatal Infant Pain Scale (NIPS), heart rate, and oxygen saturation were evaluated 1 minute before, during, and 1 minute after the heel lance. Data were evaluated by descriptive statistics, chi-square, intraclass correlation analysis, Spearman's rho correlation, Bonferroni's advanced analysis, Shapiro–Wilk, Kruskal–Wallis, Mann–Whitney U, Friedman, and Dunnett's tests.
Results: The newborns in the control group had severe pain and the newborns in the breast milk, amniotic fluid, and lavender groups had moderate pain during the heel lance (p < 0.05). While the NIPS score of the newborns in the lavender group was lower than the breast milk and amniotic fluid groups during the heel lance, it was lower in the breast milk and amniotic fluid groups than the lavender group afterward. The lowest falls in oxygen saturation and increased in heart rate were in the breast milk and lavender groups during heel the lance.
Conclusion: The smells of lavender and breast milk prevent the increased heart rates, NIPS, falling oxygen saturation, and reduced pain during the invasive procedures in newborns more than amniotic fluid or control group." [Résumé de l'auteur]
in Breastfeeding Medicine > Vol. 11, n°6 (Juillet - Août 2016) . - pp. 309-314[article]Protocole ABM #15 sur l'analgésie et l'anesthésie chez la mère allaitante / Academy of Breastfeeding Medicine
Code-barres Cote Support Localisation Section Disponibilité aucun exemplaireThe Analgesic Effects of Maternal Milk Odor on Newborns: A Meta-Analysis / Shiyi Zhang in Breastfeeding Medicine, Vol. 13, n°5 (Juin 2018)
Titre : The Analgesic Effects of Maternal Milk Odor on Newborns: A Meta-Analysis Type de document : texte imprimé Auteurs : Shiyi Zhang, Auteur ; Fang Su, Auteur ; Jing Li, Auteur Année de publication : 2018 Article en page(s) : pp.327-334 Langues : Anglais (eng) Catégories : Antalgique
Résumé : Objective: The objective of this study was to evaluate the analgesic effects of maternal milk odor on newborns.
Materials and Methods: We searched the literature in PubMed, MEDLINE, CINAHL, EMBASE, Web of Science, and the Cochrane Central Register of Controlled Trials (CENTRAL) and collected all the randomized controlled trials (RCTs) investigating the effects of maternal milk odor versus scentless or other odors on procedural pain in newborns. The quality of included studies was assessed by the Cochrane Collaboration Risk of Bias tool. A meta-analysis was undertaken with the Review Manager 5.3 software and Stata version 11.0. Subgroup comparisons were prespecified according to the types of control groups.
Results: Eight RCTs included a total of 453 participants. The results of meta-analysis showed that compared with the scentless group, the maternal milk odor group had lower pain scores during blood sampling (standardized mean difference, −0.81; 95% confidence interval [95% CI], −1.18 to −0.44; p < 0.001) and shorter crying time afterward (mean difference, −8.10; 95% CI, −15.46 to 0.73; p = 0.03). The maternal milk odor group had lower heart rate variability and oxygen saturation variability during and after a procedure, compared with both the scentless group and the vanilla group. However, no significant difference was identified in the mean heart rate and mean oxygen saturation in terms of the maternal milk odor group compared with amniotic fluid odor or mother's scent. The maternal milk odor group versus the formula milk odor group had shorter crying duration and lower levels of salivary cortisol after sampling.
Conclusions: Maternal milk odor appears to play an analgesic role in newborns. However, more high-quality studies are needed to confirm and quantitate the effect.
in Breastfeeding Medicine > Vol. 13, n°5 (Juin 2018) . - pp.327-334[article]