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How to Help Your Child Cope with Immunizations

reviewed and revised by Robert Needlman, M.D., F.A.A.P.
This article comes from Barbara Felt and her colleagues at the University of Michigan, Ann Arbor. When Dr. Felt had parents read these suggestions, their infants (ages 2 to 24 months) not only cried less after immunizations, they also made less of the stress hormone, cortisol. The children were physiologically less distressed. Doctors have known for ages that a comforting parent is strong medicine. But it's nice to have proof!
---Robert Needlman, MD

Immunizations are important for your child's good health. Your child may cope with immunizations better with your help. Use any of the following suggestions before, during, and after your child's immunization today.

For all ages:
  • Hold your child snugly but comfortably before, during, and after the immunization.

  • Use a sitting position with your child facing you or sideways on your lap.

  • Talk about what will happen, for example, "Now the nurse will clean your leg--how does that feel? Does it feel cool?"

  • Some infants and children watch what is happening and others do not. Watching may help your child feel in control.

  • Use positive words, for example
      "immunization" or "medicine" instead of "shot."
      "I wonder how it will feel to you?" instead of "It will hurt."
      "I am here to help you."
      "I'm proud of how well you held still."
      "What a good, loud voice you have."
Use one or more of the following, before, during, and after the immunization:

Infants and toddlers
  • Pacifier

  • Stroking

  • Rocking

  • Talk and/or sing softly

  • Cuddly/blanket/favorite toy

  • Interesting toy to look at or listen to
Toddlers and preschoolers
  • Blowing pinwheel, bubbles, imaginary candles

  • Talk or sing

  • Play with an interesting toy or activity (bring a favorite old toy or hand-held game, or an exciting new one)

  • Imagine running, riding, or playing

  • Tell your child you are proud of him or her.

(For a more detailed description of Dr. Felt's research, see Dr Felts' Abstract)

 RELATED INFORMATION
*  Immunizations: General
*  Immunizations: The Shot Visit


Adapted from Barbara Felt, MD (author)
Reviewed and revised September 22, 2000
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