Efficiency of expressed breast milk versus Dextrose administration on pain during blood sampling in neonates – A Comparative Study
Year: 2025; Volume: 5; Issue: 1; Page No: 14 – 19
Article Type: Original Article
Authors: Brinda P1*
, Reetha KF2, Keka Chatterjee 3, Saritha Sudharma4
https://doi.org/10.55349/ijmsnr.2025511419
Affiliations:
1Lecturer, College of Nursing, INHS Asvini, Colaba, Mumbai, Maharashtra, India.
2Ward Sister, INHS Asvini, Colaba, Mumbai, Maharashtra, India.
3 Vice Principal, College of Nursing, INHS Asvini, Colaba, Mumbai, Maharashtra, India.
4 Principal, College of Nursing, INHS Asvini, Colaba, Mumbai, Maharashtra, India.
| How to cite this article: Brinda P, Reetha KF, Chatterjee K, Sudharma S. Efficiency of expressed breast milk versus Dextrose administration on pain during blood sampling in neonates – A Comparative Study. Int J Med Sci and Nurs Res 2025;5(1):14–19. DOI: 10.55349/ijmsnr.2025511419 |
Article Summary: Submitted: 10-January-2025 Revised: 15-February-2025 Accepted: 20-March-2025 Published: 31-March-2025
Abstract
Background: Pain is a state frequently experienced in neonatal period during illness and invasive interventions. The stress that emerges from recurrent painful procedures might lead to deterioration in clinical condition as well as potential long-term negative consequences. Hence assessment of pain and provision of pain relief should be among the primary interventions. The main objectives were to assess the pain scores in experimental group-I and experimental group-II, to identify the efficacy of expressed breast milk vs 25% dextrose in pain relief during blood sampling in neonates, and to identify the association of sociodemographic variables with pain scores in both groups
Materials and Methods: A pre-experimental design using convenient techno following pre-designed inclusion & exclusion criteria among 60 neonates was done. Informed consent was taken from parents. Ethical clearance and permission from administration was obtained. A standardized tool (NIPS) was used to assess the pain during blood sampling. Pilot study was conducted and samples of the pilot study were excluded from the main study. Expressed breast milk group was assigned as the experimental group-I & 25% dextrose group was assigned as experimental group-II.
Results: The mean pain score of group-I was 3.73 ±1.55, in contrast to the group-II 2.67±0.96 indicating that pain experienced by neonates in group-II was lower than that in group-I. Independent t-test was done. The findings were statistically significant with t = -2.52, p=0.014.
Conclusion: This study reveals that 25% dextrose administered orally is effective in reducing pain during blood sampling in neonates as compared to expressed breast milk.
Keywords: expressed breast milk, 25% Dextrose, efficacy, blood Sampling, tertiary care hospital
Source of funding: None
Conflict of Interest: Nothing declared by the authors
Corresponding Author:
Ms. Brinda P,
Lecturer, College of Nursing,
HIS ASVII,
Mumbai.
Maharashtra, India.
Email ID: brindzpure@rediffmail.com
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