Publication: Evaluating the Effect of Expressed Breast Milk and 10% Dextrose in Procedural Pain Relief in Neonates
Date
2025
Article Type
Original Article
Journal Title
Journal ISSN
1999-6217
Volume Title
Pages
Pages: 604 - 609
Publisher
Nepal Health Research Council
Abstract
Abstract:
Background: In neonates painful procedures are performed with minimum to no regard for pain relief. Even if neonates are unable to communicate pain, it doesn’t negate their ability to experience it. This study observed the effect of expressed breast milk (EBM) and 10% dextrose (10%D) during venipuncture in neonates.
Methods: A hospital based cross sectional comparative study was conducted from November 2021 to October 2022. Purposive sampling of 110 neonates who received expressed breast milk and 10% dextrose were assessed via Premature Infant Pain Profile - Revised (PIPP-R) pain assessment tool along with heart rate (HR), oxygen saturation (SpO2) and duration of cry. Data was collected and analyzed via independent t test using Statistical Package for Social Sciences version 25.
Results: The mean ± standard deviation of heart rate and oxygen saturation in expressed breast milk group was 168.57 ± 8.9 per minutes (min) and 95.31 ± 1.42% and in 10% dextrose group was 174.27 ± 9.02 per min and 93.80 ± 1.15% respectively. Mean duration of cry in expressed breast milk group was 51.89 ± 16.66 seconds (sec) and 10% dextrose group was 73.55 ± 24.05 sec with a significant difference (p=0.001). The premature infant pain profile revised score was recorded at 30 sec, 1 min and 3 min and 5 min and a significant difference was noted at 30 sec (p=0.000) and 1 min (p=0.047) after venipuncture.
Conclusions: Expressed breast milk have better analgesic effect than 10% dextrose.
Keywords: Expressed breast milk; neonate; neonatal pain; oral dextrose; PIPP
Description
Richa Baniya
Nepal Medical College Teaching Hospital, Attarkhel, Kathmandu, Nepal
Shraddha Dangol
College of Medical Sciences - Teaching Hospital, Bharatpur, Nepal
Sagun Manandhar
Patan Academy of Health Sciences, Lalitpur, Nepal
Samprada Tripathee
Nepal Medical College Teaching Hospital, Attarkhel, Kathmandu, Nepal
Ashram Poudel Upadhyaya
Nepal Medical College Teaching Hospital, Attarkhel, Kathmandu, Nepal
Sabina Shrestha
Nepal Medical College Teaching Hospital, Attarkhel, Kathmandu, Nepal
Keywords
Expressed breast milk, Neonate, Neonatal pain, Oral dextrose, PIPP
Identifier
https://doi.org/10.33314/jnhrc.v23i04.4633