Swaddling and Shushing Help Soothe Babies After Vaccinations : Shots - Health News Nobody wants to hear a baby cry. Researchers say the same techniques that soothe a colicky infant can help relieve the pain of vaccinations.

Swaddling and Shushing Help Soothe Babies After Vaccinations

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Let's talk now about an easier problem to solve: comforting your baby when getting a shot. Researchers find that a technique used to calm infants and help them sleep also helps with pain. NPR's Patti Neighmond reports on the study published in the journal Pediatrics.

PATTI NEIGHMOND, BYLINE: Babies get lots of vaccinations. Most of them shots. And shots hurt.

DR. JOHN HARRINGTON: It probably generates more pain than you or I have when we get a shot.

NEIGHMOND: That's because the infant's so small. Dr. John Harrington, a pediatrician at Children's Hospital in Norfolk, Virginia, says it's even more stressful because the babies don't see it coming.

HARRINGTON: They're kind of like thinking, oh, hi, hi, everybody, hi.


HARRINGTON: And they get a shot.


Harrington wanted to find a way to ease the pain and stress of a shot. So he studied 230 infants, 2 months old and 4 months old. He divided them into different groups. One group received water before vaccination, the other, a sugar solution - a sort of liquid lollipop - known to distract infants from pain. After the shot, one group got typical comfort care from their parents. The other got a specific type of physical intervention called the 5 Ss.

HARRINGTON: The babies with 5 Ss stopped crying at an earlier time and their pain scores were significantly less.

NEIGHMOND: The 5 Ss: swaddling the baby, putting the baby on their stomach, gently swinging them back and forth, shushing into their ear and offering a pacifier to suck on. Even without the pacifier, infants who got the other Ss suffered less pain and stress - as measured by flailing arms and grimaces.


NEIGHMOND: The 5 Ss were developed by pediatrician Harvey Karp, who today works with 3-and a-half-week old Henry Wick to demonstrate the technique.


NEIGHMOND: Henry's hungry. But not too hungry to be soothed and calmed by Karp.

DR. HARVEY KARP: So swaddling is the first step; in a big blanket because you have to wrap really snugly with the arms down.

NEIGHMOND: Constant reassuring touch simulates the security of the womb. Karp then places Henry on his stomach - the same position as during his last few months in utero. Then Karp shushes in Henry's ear.


NEIGHMOND: It sounds loud to us. But to Henry it's sweetly reminiscent.

KARP: In the womb it's a symphony of sensations. There's the constant sound, that...


KARP: That's the sound of a blood flow through arteries.

NEIGHMOND: And all the while, Karp gently swings Henry back and forth, jiggling him, sort of like Jell-O on a plate. Henry sucks on Karp's thumb. All these Ss - swaddling, stomach, shushing, swinging and sucking work really quickly. Henry stops crying, appears peaceful - almost as if in a trance.

KARP: When parents learn this - it kind of looks like a parlor trick - could this possibly be so easy? But you have to remember is this is based on a reflex. So think of the knee reflex; if I whack your knee your foot goes out. Now it makes no sense really, why - if I hit the knee here, your foot jumps out. It's kind of magic, but it isn't really, it's just physiology.

NEIGHMOND: The 5 Ss can be used to calm babies through all kinds of stressful situations. It can help them sleep, or nap. Henry's mom, Ann Vanderpool, says it was simple to learn.

ANN VANDERPOOL: It's amazing because he does fuss right away; every time I swaddle him he doesn't like it at first but then he'll just stop crying - altogether. It works when he's a little fussy. It works when he's in a full-tilt fuss, screaming as loud as he can, and just all of a sudden shut off. It's almost unnerving.


NEIGHMOND: The technique works well up to four months. But it starts to wane after that - as babies acclimate to the world around them - and memories of the womb fade.

Patti Neighmond, NPR News.



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