Sucrose as an Analgesic for Newborn Infants
1 From the Department of Psychology, Johns Hopkins University, Baltimore, Maryland
The effectiveness of sucrose as an analgesic agent for newborn infants was assessed during two standard painful hospital procedures: blood collection via heel lance and circumcision. Infants who drank 2 mL of a 12% sucrose solution prior to blood collection cried 50% less during the blood collection procedure than did control infants who had received 2 mL of sterile water. Crying of infants who ingested sucrose returned to baseline levels within 30 to 60 seconds after blood collection whereas control infants required 2.5 to 3.0 minutes to return to baseline. Like findings were obtained for infants who received sucrose on a pacifier prior to and during circumcision. Specifically, control infants who underwent a standard circumcision procedure without intervention cried 67% of the time. A water-moistened pacifier reduced crying to 49% (P < .01). Crying was reduced further to 31% (P < .05) by providing infants with a sucrose-flavored pacifier to suck. These findings, which parallel results obtained in studies of pain in infant rats, provide a potent yet simple, benign intervention to help alleviate stress and pain routinely experienced by human infants.
Key Words: sucrose pain analgesic
Submitted on August 2, 1989
Accepted on December 28, 1989
This article has been cited by other articles:
![]() |
K. Eggleston, T. L. White, and P. R. Sheehe Adding Cocoa to Sucrose: The Effect on Cold Pain Tolerance Chem Senses, May 1, 2010; 35(4): 269 - 277. [Abstract] [Full Text] [PDF] |
||||
![]() |
A M Weindling How has research in the last 5 years changed my clinical practice? Arch. Dis. Child. Fetal Neonatal Ed., January 1, 2010; 95(1): F59 - F63. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. Foo and P. Mason Analgesia Accompanying Food Consumption Requires Ingestion of Hedonic Foods J. Neurosci., October 14, 2009; 29(41): 13053 - 13062. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. C. I. Tsao, S. Evans, M. Meldrum, T. Altman, and L. K. Zeltzer A Review of CAM for Procedural Pain in Infancy: Part I. Sucrose and Non-nutritive Sucking Evid. Based Complement. Altern. Med., December 1, 2008; 5(4): 371 - 381. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. Bhatia, F. Greer, and and the Committee on Nutrition Use of Soy Protein-Based Formulas in Infant Feeding Pediatrics, May 1, 2008; 121(5): 1062 - 1068. [Abstract] [Full Text] [PDF] |
||||
![]() |
S McCullough, T Halton, D Mowbray, and P I Macfarlane Lingual sucrose reduces the pain response to nasogastric tube insertion: a randomised clinical trial Arch. Dis. Child. Fetal Neonatal Ed., March 1, 2008; 93(2): F100 - F103. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. E. Teitelbaum and J. P. Lagmay Familiarity of Pediatricians With Different Commercially Available Neonatal and Infant Formulas Clinical Pediatrics, June 1, 2007; 46(5): 418 - 423. [Abstract] [PDF] |
||||
![]() |
A. E. Dunbar III, P. J. Sharek, N. A. Mickas, K. L. Coker, J. Duncan, D. McLendon, C. Pagano, T. D. Puthoff, N. L. Reynolds, R. J. Powers, et al. Implementation and Case-Study Results of Potentially Better Practices to Improve Pain Management of Neonates Pediatrics, November 1, 2006; 118(Supplement_2): S87 - S94. [Abstract] [Full Text] [PDF] |
||||
![]() |
F. R. Hauck, O. O. Omojokun, and M. S. Siadaty Do Pacifiers Reduce the Risk of Sudden Infant Death Syndrome? A Meta-analysis Pediatrics, November 1, 2005; 116(5): e716 - e723. [Abstract] [Full Text] [PDF] |
||||
![]() |
S Ogawa, T Ogihara, E Fujiwara, K Ito, M Nakano, S Nakayama, T Hachiya, N Fujimoto, H Abe, S Ban, et al. Venepuncture is preferable to heel lance for blood sampling in term neonates Arch. Dis. Child. Fetal Neonatal Ed., September 1, 2005; 90(5): F432 - F436. [Abstract] [Full Text] [PDF] |
||||
![]() |
G. R. Kracke, K. A. Uthoff, and J. D. Tobias Sugar Solution Analgesia: The Effects of Glucose on Expressed Mu Opioid Receptors Anesth. Analg., July 1, 2005; 101(1): 64 - 68. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Y. Pepino and J. A. Mennella Factors Contributing to Individual Differences in Sucrose Preference Chem Senses, January 1, 2005; 30(suppl_1): i319 - i320. [Full Text] [PDF] |
||||
![]() |
S. A. Lederman, S. R. Akabas, B. J. Moore, M. E. Bentley, B. Devaney, M. W. Gillman, M. S. Kramer, J. A. Mennella, A. Ness, and J. Wardle Summary of the Presentations at the Conference on Preventing Childhood Obesity, December 8, 2003 Pediatrics, October 1, 2004; 114(4/S1): 1146 - 1173. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Kharasch, G. Saxe, and B. Zuckerman Pain Treatment: Opportunities and Challenges Arch Pediatr Adolesc Med, November 1, 2003; 157(11): 1054 - 1056. [Full Text] [PDF] |
||||
![]() |
E. C. Reis, E. K. Roth, J. L. Syphan, S. E. Tarbell, and R. Holubkov Effective Pain Reduction for Multiple Immunization Injections in Young Infants Arch Pediatr Adolesc Med, November 1, 2003; 157(11): 1115 - 1120. [Abstract] [Full Text] [PDF] |
||||
![]() |
N. Horwitz Does oral sucrose reduce the pain of neonatal procedures? Arch. Dis. Child., July 1, 2002; 87(1): 80 - 81. [Full Text] [PDF] |
||||
![]() |
Committee on Psychosocial Aspects of Child and Fam and Task Force on Pain in Infants, Children, and Adole The Assessment and Management of Acute Pain in Infants, Children, and Adolescents Pediatrics, September 1, 2001; 108(3): 793 - 797. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. J. S. Anand and and the International Evidence-Based Group for Neo Consensus Statement for the Prevention and Management of Pain in the Newborn Arch Pediatr Adolesc Med, February 1, 2001; 155(2): 173 - 180. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Taddio, N. Pollock, C. Gilbert-MacLeod, K. Ohlsson, and G. Koren Combined Analgesia and Local Anesthesia to Minimize Pain During Circumcision Arch Pediatr Adolesc Med, June 1, 2000; 154(6): 620 - 623. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. D. Pomonis, D. C. Jewett, C. M. Kotz, J. E. Briggs, C. J. Billington, and A. S. Levine Sucrose consumption increases naloxone-induced c-Fos immunoreactivity in limbic forebrain Am J Physiol Regulatory Integrative Comp Physiol, March 1, 2000; 278(3): R712 - R719. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. Gray, L. Watt, and E. M. Blass Skin-to-Skin Contact Is Analgesic in Healthy Newborns Pediatrics, January 1, 2000; 105(1): e14 - e14. [Abstract] [Full Text] [PDF] |
||||
![]() |
R Carbajal, X Chauvet, S Couderc, and M Olivier-Martin Randomised trial of analgesic effects of sucrose, glucose, and pacifiers in term neonates BMJ, November 27, 1999; 319(7222): 1393 - 1397. [Abstract] [Full Text] |
||||
![]() |
Task Force on Circumcision Circumcision Policy Statement Pediatrics, March 1, 1999; 103(3): 686 - 693. [Abstract] [Full Text] |
||||
![]() |
C. R. Howard, F. M. Howard, B. Lanphear, E. A. deBlieck, S. Eberly, and R. A. Lawrence The Effects of Early Pacifier Use on Breastfeeding Duration Pediatrics, March 1, 1999; 103(3): 33e - 33. [Abstract] [Full Text] |
||||
![]() |
L. A Ramenghi, D. J Evans, and M. I Levene "Sucrose analgesia": absorptive mechanism or taste perception? Arch. Dis. Child. Fetal Neonatal Ed., March 1, 1999; 80(2): 146F - 147. [Abstract] [Full Text] |
||||
![]() |
P. S. Kurtis, H. N. DeSilva, B. A. Bernstein, L. Malakh, and N. L. Schechter A Comparison of the Mogen and Gomco Clamps in Combination With Dorsal Penile Nerve Block in Minimizing the Pain of Neonatal Circumcision Pediatrics, February 1, 1999; 103(2): 23e - 23. [Abstract] [Full Text] |
||||
![]() |
R. S. Van Howe and C. J. Cold Neonatal Circumcision Arch Pediatr Adolesc Med, September 1, 1998; 152(9): 931 - 931. [Full Text] [PDF] |
||||
![]() |
H. J. Stang and L. W. Snellman Circumcision Practice Patterns in the United States Pediatrics, June 1, 1998; 101 (6): e5 - e5. [Abstract] [Full Text] [PDF] |
||||
![]() |
B. A. Larsson, G. Tannfeldt, H. Lagercrantz, and G. L. Olsson Venipuncture Is More Effective and Less Painful Than Heel Lancing for Blood Tests in Neonates Pediatrics, May 1, 1998; 101(5): 882 - 886. [Abstract] [Full Text] [PDF] |
||||
![]() |
P J Lewindon, L Harkness, and N Lewindon Randomised controlled trial of sucrose by mouth for the relief of infant crying after immunisation Arch. Dis. Child., May 1, 1998; 78(5): 453 - 456. [Abstract] [Full Text] |
||||
![]() |
M. Herschel, B. Khoshnood, C. Ellman, N. Maydew, and R. Mittendorf Neonatal Circumcision: Randomized Trial of a Sucrose Pacifier for Pain Control Arch Pediatr Adolesc Med, March 1, 1998; 152(3): 279 - 284. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. R. Howard, F. M. Howard, L. C. Garfunkel, E. A. de Blieck, and M. Weitzman Neonatal Circumcision and Pain Relief: Current Training Practices Pediatrics, March 1, 1998; 101(3): 423 - 428. [Abstract] [Full Text] [PDF] |
||||
![]() |
Committee on Nutrition Soy Protein-based Formulas: Recommendations for Use in Infant Feeding Pediatrics, January 1, 1998; 101(1): 148 - 153. [Abstract] [Full Text] [PDF] |
||||
![]() |
M Slevin, J F A Murphy, L Daly, and M O'Keefe Retinopathy of prematurity screening, stress related responses, the role of nesting Br J Ophthalmol, September 1, 1997; 81(9): 762 - 764. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. J. Stang, L. W. Snellman, L. M. Condon, M. M. Conroy, R. Liebo, L. Brodersen, and M. R. Gunnar Beyond Dorsal Penile Nerve Block: A More Humane Circumcision Pediatrics, August 1, 1997; 100(2): e3 - e3. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. M. Blass Milk-induced Hypoalgesia in Human Newborns Pediatrics, June 1, 1997; 99(6): 825 - 829. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Taddio, B. Stevens, K. Craig, P. Rastogi, S. Ben-David, A. Shennan, P. Mulligan, and G. Koren Efficacy and Safety of Lidocaine-Prilocaine Cream for Pain during Circumcision N. Engl. J. Med., April 24, 1997; 336(17): 1197 - 1201. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Markestad; and R A F BELL Use of sucrose as a treatment for infant colic • Commentary Arch. Dis. Child., April 1, 1997; 76(4): 356 - 358. [Abstract] [Full Text] |
||||
![]() |
C. Carraccio, P. Feinberg, L. S. Hart, M. Quinn, J. King, and R. Lichenstein Lidocaine for Lumbar Punctures: A Help Not a Hindrance Arch Pediatr Adolesc Med, October 1, 1996; 150(10): 1044 - 1046. [Abstract] [PDF] |
||||
![]() |
K. D. Allen, D. D. White, and J. N. Walburn Sucrose as an Analgesic Agent for Infants During Immunization Injections Arch Pediatr Adolesc Med, March 1, 1996; 150(3): 270 - 274. [Abstract] [PDF] |
||||
![]() |
N. Haouari, C. Wood, G. Griffiths, and M. Levene The analgesic effect of sucrose in full term infants: a randomised controlled trial BMJ, June 10, 1995; 310(6993): 1498 - 1500. [Abstract] [Full Text] |
||||
![]() |
F. Benini, C. C. Johnston, D. Faucher, and J. V. Aranda Topical Anesthesia During Circumcision in Newborn Infants JAMA, August 18, 1993; 270(7): 850 - 853. [Abstract] [PDF] |
||||
![]() |
E. J. Schoen and A. A. Fischell Pain in Neonatal Circumcision Clinical Pediatrics, July 1, 1991; 30(7): 429 - 432. [Abstract] [PDF] |
||||
![]() |
SUCROSE: A POTENT NEW ANALGESIC IN NEONATES Journal Watch (General), February 15, 1991; 1991(215): 4 - 4. [Full Text] |
||||



















