மருத்துவ குழந்தை மருத்துவம்: திறந்த அணுகல்
திறந்த அணுகல்

சுருக்கம்

Feeding of Breast Milk to Relieve Pain during Skin and Venipuncture in Term Neonates: A Randomized Controlled Trial

Shyam Kumar Gupta*, Bipin Karki, Varsha Verma, Rumman, Ismat Jahan, Mohammad Kamrul Hassan Shabuj, Sadeka Choudhury Moni, Sanjoy Kumer Dey, Mohammod Shahidullah, M. A. Mannan

Introduction: Increasing data suggest that neonatal pain has long-term consequences. Non-pharmacological techniques (sucrose taste, pacifier suckling, breastfeeding) are effective and now widely used to combat minor neonatal pain. This study examined the analgesic effect of breast feeding and EBM during a painful procedure in healthy full-term newborns. Objective of the study: Analgesic effect of breast milk during a painful procedure in healthy full-term newborns.

Methodology: A randomized controlled trial was conducted in department of neonatology, BSMMU, Dhaka, Bangladesh. After taking consent from the parents/guardians, information was recorded in a data collection form. Healthy term neonates who visited the NICU during study period for routine investigation was the study population. Newborn who meet the inclusion criteria was randomized by lottery method. A randomized, controlled trial included healthy, full-term newborns born at the BSMMU. Infants were given 2.0 ml EBM 2 minutes before and throughout the procedure, the other group was given breast feeding and 1 group was given nothing. We assessed pain by a pain scale NIPS. Data was analyzed by statistical package for social sciences (SPSS) version 20.

Results: 167 valid data from 179 newborns who visited procedure room of NICU were enrolled randomly constitute the basis of this study. It has been found out that in breast feeding NIPS score is significantly lowest in comparison to EBM(p-value 0.003) and no intervention group(p-value 0.000) and NIPS score of EBM group(p-value 0.000) is lower than no intervention group.

Conclusion: This randomised controlled trial showed the effectiveness of breastfeeding and expressed breast milk on induced pain during a heel capillary prick in term and healthy neonates. We also noted the superiority of the analgesic effect of breastfeeding on expressed breast milk on the score pain during heel prick and phlebotomy.