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Pain Research and Management
Volume 2017, Article ID 3273171, 7 pages
Clinical Study

Comparative Survey of Holding Positions for Reducing Vaccination Pain in Young Infants

1Department of Nursing, Chang Gung Memorial Hospital, College of Nursing, Chang Gung University, Taipei 105, Taiwan
2Department of Pediatrics, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taipei 105, Taiwan
3Department of Public Health, Kaohsiung Medical University, Kaohsiung 807, Taiwan
4Master Program in Global Health and Development, College of Public Health, Taipei Medical University, Taipei 11031, Taiwan

Correspondence should be addressed to Yi-Hao Weng; wt.gro.hmgc@gnewoahiy

Received 12 May 2016; Revised 24 November 2016; Accepted 9 January 2017; Published 26 January 2017

Academic Editor: Filippo Brighina

Copyright © 2017 Hui-Chu Yin et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Infant holding position may reduce vaccination pain. However, the optimal position for young infants remains controversial. Objectives. To compare the effectiveness of holding infants in the supine position and the effectiveness of holding infants in upright position for relieving acute pain from vaccine injection. Methods. This prospective cohort study enrolled 6–12-week-old healthy infants. We examined infant pain responses by evaluating the following three categories: (1) crying, (2) irritability, and (3) facial expression. Results. In total, 282 infants were enrolled, with 103 and 179 held in the supine and upright positions, respectively. At 30 s after vaccination, the infants in the supine position showed a larger decrease in crying (), irritability (), and pained facial expression () than did those in the upright position. However, there was no significant difference in pain response between two groups at 180 s after intervention. Conclusion. In 2-month-old infants, the supine position may reduce acute pain more effectively than does the upright position. Our findings provide a clinical strategy for relieving vaccination pain in young infants.