ORAL DEXTROSE V/S BREAST MILK FOR THE PAIN RELIEF OF NEWBORN INFANTS

Objective- In newborn infant’s pain management is underused particularly for mild to moderate pain. For this purpose, glucose and sucrose use can be very effective. The main objective of this is to analyze the oral dextrose effects on pain relief in newborn infants. 

Methodology- For this study 124 newborn infants were enrolled for clinical trial which was randomized controlled. The Study was conducted in Bahawalpur Victoria Hospital in Paediatric unit .Before venipunctures, the enrolled infants were randomized to get breast milk or oral dextrose (25%) two minutes. After venipunctures, to know the pain reactions oxygen saturation, heart rate, and NIPS pain scoring system was recorded.

Results- After venipunctures in dextrose group, pain was significantly lower (at 1^st minute NIPS pain score was 6.62+0.82 and 4.67+1.04, at 2^nd minutes it was 4.08 ± 1.05 and 2.04 ± 1.45 and at 3^rd minutes it was 3.02+1.08 and 1.63+0.76 respectively). After comparison it was observed that 1^st group heart rate was higher than the 2^nd group as in 2^nd group it was (144.8 ± 12.44/min) and in 1^st group it was (166.57 ± 12.25/min). In both groups, desaturation was observed.

Conclusion- In newborn to manage pain from mild to moderate the solution of 2ml of 25% dextrose is non-pharmacologic, non-expensive, easy, and useful method.

Keywords: analgesia, breast milk, dextrose, newborn, pain.