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Sweet tasting solutions.

 

You know how chocolate gives you that happy feeling? The same thing happens to babies!

Although breastfeeding and skin-to-skin contact are recommended as the best way to comfort your baby during painful procedures, sweet tasting solutions can also reduce their pain during procedures.

If you are nervous about being with your baby for the procedure, sweet tasting solutions are a great way to provide pain relief when you can’t be there.

 
 
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Sweet tasting solutions, sometimes called sugar water, come in different solutions that are given in your baby's mouth: (1,2)

Sucrose

Oral sucrose (24%) is the most common solutions used in Canada and has been studied by many researchers over the last three decades! You may hear your nurse call this solution by its brand name, "Tootsweet".

Glucose

Oral glucose (20-30%) is another sweet solution that can be used to reduce pain during procedures.

Fructose or Lactose

Solutions that use fructose or lactose aren't as sweet as sucrose, and researchers and healthcare providers say 'the sweeter, the better!' so they recommend using sucrose when it is available.

 
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The process

In hospital:

  • Your nurse is usually the one who can give sweet tasting solutions to your baby

  • You can help provide comfort during the procedure by swaddling and holding your baby, as well as letting your baby suck a gloved finger or soother for added comfort

  • Your nurse will give a small amount of sweet tasting solution directly to your baby’s tongue 2 minutes before the painful procedure and will give more during the procedure to keep them comfortable

Outside of the hospital:

For procedures outside of the hospital, like immunizations, you can make your own sweet tasting solution!

  • Mix 1 teaspoon of sugar with 2 teaspoons of water

  • Give your baby a small taste before and during the procedure

Remember, this solution should only be used to relieve pain during procedures and cannot be used to soothe babies who are upset for another reason. Always consult your healthcare provider before giving a sweet tasting solution.

 
 
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References

  1. Bueno, M., Yamada, J., Harrison, D., Khan, S., Ohlsson, A., Adams-Webber, T., … Stevens, B. (2013). A Systematic Review and Meta-Analyses of Nonsucrose Sweet Solutions for Pain Relief in Neonates. Pain Research and Management, 18(3), 153–161. https://doi.org/10.1155/2013/956549
  2. Harrison, D., Bueno, M., Yamada, J., Adams-Webber, T., & Stevens, B. (2010). Analgesic Effects of Sweet-Tasting Solutions for Infants: Current State of Equipoise. Pediatrics, 126, 894. https://doi.org/10.1542/peds.2010-1593
  3. Stevens, B., Yamada, J., Ohlsson, A., Haliburton, S., & Shorkey, A. (2016). Sucrose for analgesia in newborn infants undergoing painful procedures. Cochrane Database of Systematic Reviews, (7). https://doi.org/10.1002/14651858.CD001069.pub5