PMID: 11904624Mar 21, 2002Paper

An evaluation of the effects of sucrose on neonatal pain with 2 commonly used circumcision methods

American Journal of Obstetrics and Gynecology
Gary E KaufmanElliott M Blass

Abstract

The purpose of this study was to identify the least painful circumcision method. The infants were circumcised with either the Mogen or the Gomco procedure and were given a sweetened pacifier or a pacifier dipped in water. All infants had a eutectic mixture of local anesthetic cream applied before circumcision. The duration of the crying and grimacing were measured. The Gomco procedure took 1.9 times longer to complete. Infants who were circumcised with the Mogen procedure cried and grimaced far less than infants who were circumcised with the Gomco procedure (P =.0001). Sucrose on a pacifier was far more analgesic than water on a pacifier for infants in the Gomco group. On the basis of these and other findings on pain prevention and amelioration, we recommend that a local anesthetic be administered in advance of circumcision and that the Mogen procedure be used, unless contraindicated. We also recommend that infants be given a sweetened pacifier before, during, and after circumcision if the Gomco method is used.

References

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Citations

Jun 14, 2013·Italian Journal of Pediatrics·Carlo V BellieniGiuseppe Buonocore
Oct 29, 2008·Evidence-based Complementary and Alternative Medicine : ECAM·Jennie C I TsaoLonnie K Zeltzer
Jan 10, 2012·Journal of Pediatric Nursing·Manal Ibrahim KassabMaralyn Foureur
Dec 13, 2006·Pediatric Dermatology·Sujana ReddyRobert B Skinner
Apr 4, 2017·Clinical Pediatrics·Ahdi AmerHoward Fischer
Apr 21, 2004·Obstetrical & Gynecological Survey·Mark C Alanis, Richard S Lucidi
Oct 21, 2004·The Cochrane Database of Systematic Reviews·B Brady-FryerJ A Lander
Jul 16, 2016·The Cochrane Database of Systematic Reviews·Bonnie StevensAllyson Shorkey
Jul 29, 2003·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Nancy L Kraft
Sep 23, 2003·MCN. the American Journal of Maternal Child Nursing·Margaret MalnoryRussell S Kirby
Aug 5, 2020·European Journal of Pediatrics·Serena RossiCarlo Valerio Bellieni
Jan 28, 2005·Journal for Specialists in Pediatric Nursing : JSPN·Debbie Gearner Thompson
Jan 15, 2013·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Rebeca M PlankShahin Lockman
Oct 11, 2020·Journal of Pediatric Urology·Muhieddine LabbanAhmad Zaghal

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