Efficacy of Expressed Breast Milk in Reducing Pain During ROP Screening-a Randomized Controlled Trial

被引：25

作者：

Rosali, Sr Lalitha ^{[1
]}

Nesargi, Saudamini ^{[2
]}

Mathew, Shiny ^{[3
]}

Vasu, Usha ^{[4
]}

Rao, Suman P. N. ^{[2
]}

Bhat, Swarnarekha ^{[2
]}

机构：

[1] St Johns Coll Nursing, Dept Child Hlth, Bangalore 5600034, Karnataka, India

[2] St Johns Med Coll, Dept Neonatol, Bangalore 5600034, Karnataka, India

[3] St Johns Coll Nursing, Dept Childhlth, Bangalore 5600034, Karnataka, India

[4] St Johns Med Coll Hosp, Dept Ophthalmol, Bangalore 5600034, Karnataka, India

来源：

JOURNAL OF TROPICAL PEDIATRICS | 2015年 / 61卷 / 02期

关键词：

retinopathy of prematurity; screening; expressed breast milk; premature infant pain profile scale: PIPP; TOPICAL ANESTHESIA; EYE EXAMINATIONS; RETINOPATHY;

D O I：

10.1093/tropej/fmu073

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

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.

引用

页码：135 / 138

页数：4

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