We strongly encourage childhood vaccinations at the West Carleton Family Health Team. We wish to make these less painful for infants and children by recommending the following evidence based techniques. Our hope is for parents to work with us to achieve this goal.
Recommendations for parents of infants and children:
- Mothers can breastfeed their baby during vaccinations. If the baby cannot breastfeed, the administration of a sweet-tasting solution – like a bottle of sugar water OR a soother dipped in white table sugar – may also help to reduce pain.
- Parents hold or cuddle their baby/child during vaccinations.
- Tactile stimulation (rubbing) at the injection site prior to injection results in less pain in infants, children, and even adults.
- Distraction during injections can help to reduce stress in children. Parents may bring a favourite book or toy to the well baby / child check-up. We have a few tricks which will also be available to the child.
- Topical anesthetics – like EMLA cream or patch (Lidocaine-prilocaine 5%), Ametop gel (Amethocaine 4%) or Maxilene cream (Liposomal 4%) – are available “over the counter” at your pharmacy (Please call us if you require a prescription). The vaccination injection site depends on the child’s age and the vaccine being given. If you would like to apply an anesthetic cream to the injection site prior to vaccinations, please ask your provider before leaving the office where the next injection site will likely be. Please remember to apply the anesthetic product if you so choose 20 to 60 minutes prior to vaccinating (30 minutes works well).
Please DO NOT tell children, “It won’t hurt.” This has not shown to be effective in reducing pain.
** PLEASE DO NOT ** give your infant / child fever reducing medication – like Tylenol, Tempra, or Advil – prior to immunizations and until at least 4 hours after vaccinations, if required. The administration of any of these products may reduce the level of disease preventing antibodies produced in your infant / child’s body after vaccination. **
Next-step safety tips (as baby grows and develops):
- Never use a baby walker. Walkers are dangerous and don’t help babies learn to walk.
- Open doors cautiously. Babies can be hidden behind them. When you close a door, make sure baby’s fingers are not in the way.
- Never leave your baby in the care of small children.
- Keep unsteady furniture out of reach. It can be pulled over easily.
- Due to the risk of suffocation, never use ribbons, chains or strings to attach a pacifier.
- Beware of electrical outlets; all outlets should have a plastic cover.
- Never leave baby alone in the bath. Not even for a few seconds.
- Never leave baby near a fire, oven door, electric iron, kettle, or fan.
- Keep the crib sides up. Baby can easily topple out at this age.
- Never place baby’s highchair near a stove, electric appliance, plants, or in a high traffic area.
- Keep babies away from stairs. Stairs are dangerous.
- Unplug electric appliances when not in use and keep cords out of baby’s reach as they can bite them or trip over them.
- Avoid play areas with sharp-edges tables and furniture, or cover table corners.
- Avoid feeding infants hard-to-swallow foods such as nuts, raw carrots, orange segments, candies, chips, gum, grapes, raisins, and hot dogs, as these can choke a young child.
(Information containing safety tips as above sourced from: Ontario Medical Association’s Committee on Accidental Injuries)