Abstract | OBJECTIVE: To assess the effectiveness of expressed breast milk (EBM) on neonatal pain during screening for retinopathy of prematurity (ROP). METHODS: Neonates who were on oral feeds undergoing ROP screening were included. Babies were randomized into intervention group (EBM + Standard practice) and control group. The standard practice is proparacaine, nesting and swaddling. Pain was assessed by PIPP scale, during and at 1 and 5 min after the procedure by the principal investigator who was blinded. RESULTS: The groups were similar in baseline characteristics. The group receiving EBM had significantly lower PIPP scores during the procedure 12.7 ± 1.69 compared to the control group 15.5 ± 1.78 (p < 0.05). The beneficial effect persisted at 1 min and 5 min after the procedure 6.20 ± 1.9 vs. 12.4 ± 2.54 (p ≤ 0.05) at 1 min; 3.2 ± 1.5 and 6.85 ± 2.4 (p < 0.05) at 5 min. CONCLUSION: Oral EBM significantly reduces pain during and after ROP screening.
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Authors | Lalitha Rosali, Saudamini Nesargi, Shiny Mathew, Usha Vasu, Suman P N Rao, Swarnarekha Bhat |
Journal | Journal of tropical pediatrics
(J Trop Pediatr)
Vol. 61
Issue 2
Pg. 135-8
(Apr 2015)
ISSN: 1465-3664 [Electronic] England |
PMID | 25541552
(Publication Type: Journal Article, Randomized Controlled Trial)
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Copyright | © The Author [2014]. Published by Oxford University Press. All rights reserved. For Permissions, please email: [email protected]. |
Chemical References |
- Anesthetics, Local
- proxymetacaine
- Propoxycaine
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Topics |
- Anesthetics, Local
(administration & dosage)
- Breast Feeding
- Double-Blind Method
- Female
- Humans
- Infant, Newborn
- Male
- Mass Screening
- Milk, Human
- Outcome Assessment, Health Care
- Pain
(physiopathology, prevention & control)
- Pain Measurement
(methods)
- Propoxycaine
(administration & dosage)
- Retinopathy of Prematurity
(diagnosis)
- Vision Screening
(methods)
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