Document Type : original article
Authors
1 BJ medical,Ahmedabad
2 B.J.MEDICAL, AHMEDABAD
Abstract
Neonatal pain in preterm neonates can adversely affect their
development in multiple domains as nociceptive changes, altered brain development,
stress system and functional abilities. We have plan research to determine whether
odour of mother milk is effective to reduce the pain of preterm neonates who are not
able to access their own mother’s milk for any reason. Material and method: A
prospective randomized control trial was done at postnatal ward, civil hospital,
Ahmedabad in 100 vaginally delivered Preterm neonates (34-36 weeks) without any
antenatal, intra-nata and postnatal complications; they were divided into 2 groups.
Group A (EBM group) was given odour of own mother’s milk and Group B (sterile
water group) was given odour of sterile water as an analgesic agent. Results – There
was significant decrease in PIPP score in group A (EBM group) (8.72±1.21) as
compare to group B (sterile water group) (14.12±0.86) with p value <0.0365. There
was significant decrease in maximum heart rate observed in group A (EBM group)
(132.22±13.28) as compare to group B (sterile water group) (136.54±25.12) during
30 sec from removal of needle (p value - 0.0448). There was significant decrease in
fall in oxygen saturation in group A (EBM group) (96.74±4.72) as compare to group B
(sterile water group) (94.48±7.44) with p value-0.00457. Conclusion – Inhalation of
own mother’s milk for is effective analgesic for mild to moderate pain in preterm
neonates. Inhalation of own mother milk before procedure or during procedure can
be use as non-pharmacology intervention to reduce pain in preterm neonates in
whom breastfeeding is contraindicated due to any reason. Keywords – Neonatal
Pain, Neonatal Analgesia, Preterm, PIPP score
Keywords
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