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PainFree Newborn Care is a program of PainFree Pediatrics.
For newborns undergoing a circumcision, the following analgesics are recommended
- ELAMAX (lidocaine cream) applied to the penis about 30 minutes before the procedure.
- Acetaminophen given orally before the procedure.
- Buffered lidocaine (with bicarbonate added) administered for penile block.
- Sucrose 12% oral solution given by syringe 2 -3 minutes before the procedure.
- Pacifier offered during the procedure (but thrown away before baby returns to parents).
- Ideally, baby should go back to parents and be held and breastfed after procedure.
For newborns undergoing a blood draw or an IV insertion:
- Babies are given sucrose 12% oral solution by syringe 2-3 minutes before the procedure.
- During the procedure, a gloved finger is offered for the baby to suck on.
- We attempt to get the baby back to the family/mother asap after a painful procedure so she can hold her baby/ breastfeed her baby.
For newborns undergoing the heel stick associated with the newborn metabolic screen, we recommend:
- Performing the heel stick while the baby is being held skin to skin.
- Performing the heel stick while the baby is breastfeeding.*
*Gray L, Miller LW, Philipp BL, Blass EM. Breatfeeding is analgesic in healthy newborns. Pediatrics 2002; 109(4): 590-593
For more information:
Jean Morgan, Administrative Assistant
The Birth Place
Boston Medical Center
840 Harrison Avenue, 3rd Floor
Boston, MA 02118
(617) 414-5202
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