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Desai S, Nanavati RN, Nathani R, et al. Effect of Expressed Breast Milk versus Swaddling versus Oral Sucrose Administration on Pain Associated with Suctioning in Preterm Neonates on Assisted Ventilation: A Randomized Controlled Trial. Indian J Palliat Care. 2017;23(4):372-378doi: 10.4103/IJPC.IJPC_84_17.
Desai, S., Nanavati, R. N., Nathani, R., & Kabra, N. (2017). Effect of Expressed Breast Milk versus Swaddling versus Oral Sucrose Administration on Pain Associated with Suctioning in Preterm Neonates on Assisted Ventilation: A Randomized Controlled Trial. Indian journal of palliative care, 23(4), 372-378. https://doi.org/10.4103/IJPC.IJPC_84_17
Desai, Saumil, et al. "Effect of Expressed Breast Milk versus Swaddling versus Oral Sucrose Administration on Pain Associated with Suctioning in Preterm Neonates on Assisted Ventilation: A Randomized Controlled Trial." Indian journal of palliative care vol. 23,4 (2017): 372-378. doi: https://doi.org/10.4103/IJPC.IJPC_84_17
Desai S, Nanavati RN, Nathani R, Kabra N. Effect of Expressed Breast Milk versus Swaddling versus Oral Sucrose Administration on Pain Associated with Suctioning in Preterm Neonates on Assisted Ventilation: A Randomized Controlled Trial. Indian J Palliat Care. 2017 Oct-Dec;23(4):372-378. doi: 10.4103/IJPC.IJPC_84_17. PMID: 29123341; PMCID: PMC5661337.
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Indian J Palliat Care. 2017 Oct-Dec;23(4):372-378. doi: 10.4103/IJPC.IJPC_84_17.

Effect of Expressed Breast Milk versus Swaddling versus Oral Sucrose Administration on Pain Associated with Suctioning in Preterm Neonates on Assisted Ventilation: A Randomized Controlled Trial.

Indian journal of palliative care

Saumil Desai, Ruchi Nimish Nanavati, Rohit Nathani, Nandkishor Kabra

Affiliations

  1. Department of Neonatology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.

PMID: 29123341 PMCID: PMC5661337 DOI: 10.4103/IJPC.IJPC_84_17

Abstract

OBJECTIVE: The objective of our study was to assess the pain associated with suctioning in preterm neonates on assisted ventilation and comparing the use of expressed breast milk (EBM), sucrose, and swaddling to alleviate pain.

METHODS: Study design: A randomized controlled clinical trial.

INCLUSION CRITERIA: Preterm neonates on assisted ventilation.

EXCLUSION CRITERIA: Major congenital anomalies and severe encephalopathy.

STUDY DURATION AND SITE: 6 months in level III neonatal Intensive Care Unit. In the first phase, we used premature infant pain profile (PIPP) score to assess pain associated with suctioning in preterm neonates on assisted ventilation. In the second phase, the effect of EBM, swaddling, and sucrose on pain relief during suctioning in neonates on assisted ventilation was assessed.

RESULTS: There was a significant increase in pain associated with suctioning in preterm neonates on assisted ventilation (preprocedure PIPP score 7.90 ± 2.50; procedural PIPP score 13.63 ± 2.57;

CONCLUSIONS: Suctioning is painful for preterm neonates on assisted ventilation. There was no difference between EBM, swaddling, and sucrose in relieving pain associated with suctioning.

Keywords: Expressed breast milk; neonates; pain; sucrose; suctioning; swaddling

Conflict of interest statement

There are no conflicts of interest.

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