Human milk for neonatal pain relief during ophthalmoscopy

Ophthalmoscopy performed for the early diagnosis of retinopathy of prematurity (ROP) is painful for preterm infants, thus necessitating interventions for minimizing pain. The present study aimed to establish the effectiveness of human milk, compared with sucrose, for pain relief in premature infants...

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Bibliographic Details
Main Authors: Laiane Medeiros Ribeiro, Thaila Correa Castral, Liciane Langona Montanholi, Mariana Firmino Dare, Aline Carolina de Araujo Silva, Sonir Roberto Rauber Antonini, Carmen Gracinda Silvan Scochi
Format: Article
Language:English
Published: Universidade de São Paulo 2013-10-01
Series:Revista da Escola de Enfermagem da USP
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342013000501039&lng=en&tlng=en
Description
Summary:Ophthalmoscopy performed for the early diagnosis of retinopathy of prematurity (ROP) is painful for preterm infants, thus necessitating interventions for minimizing pain. The present study aimed to establish the effectiveness of human milk, compared with sucrose, for pain relief in premature infants subjected to ophthalmoscopy for the early diagnosis of ROP. This investigation was a pilot, quasi-experimental study conducted with 14 premature infants admitted to the neonatal intensive care unit (NICU) of a university hospital. Comparison between the groups did not yield a statistically significant difference relative to the crying time, salivary cortisol, or heart rate (HR). Human milk appears to be as effective as sucrose in relieving acute pain associated with ophthalmoscopy. The study’s limitations included its small sample size and lack of randomization. Experimental investigations with greater sample power should be performed to reinforce the evidence found in the present study.
ISSN:1980-220X