ISSN - 0973-0958

Pediatric Oncall Journal View Article

Neonatal Analgesia: Effect of Sucrose Solution versus Breastfeeding in Procedural Pain
Arif Vohra, Charul Purani, K M Mehariya, Bela Shah.
Department of Pediatrics, B. J. Medical College, Civil Hospital, Ahmedabad, Gujarat, India.
Objective: To compare analgesic effect of expressed breast milk (EBM) and 24% sucrose solution (SS) on procedural pain in neonates.
Setting: This randomized control trial was conducted in the postnatal Ward of Civil Hospital, Ahmedabad, Gujarat, India from August to October 2016.
Methods: Five hundred neonates were randomized into EBM group and SS group. Neonates were fed either EBM or SS 2 min before intramuscular Hepatitis-B vaccination. Neonatal pain score was recorded after 30 sec with help of Premature Infant pain profile (PIPP) and duration of cry were recorded with help of stopwatch by blinded observer.
Results: The mean PIPP score at 30 sec were 5.7 in EBM group and 6.9 in SS group (p<0.001). The median duration of cry were 81.2 seconds in EBM group and 85.6 seconds in SS group (p=0.42).
Conclusion: Breastfeeding is sterile, easily available, cost-effective and potent analgesic for procedural pain in neonates. So whenever possible breastfeeding or expressed breast milk should be given as an analgesic.

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