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Neonatal Pain And Preventive Strategies: An Experience In A Tertiary Care Unit.

Shahid Mahmud1, Sajid Ali Shah2, Saeed Zaman Khattak2

  • 1Department of Paediatrics, CMH Medical College/ CMH Lahore, Pakistan.

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Summary

Oral dextrose effectively manages neonatal pain during procedures. This study in Pakistan found 10% dextrose significantly reduced pain scores compared to sterile water in the neonatal intensive care unit.

Keywords:
Nasogastric tubeNeonatePainVenepuncture

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Area of Science:

  • Neonatal care
  • Pain management
  • Clinical research

Background:

  • Limited data exists on neonatal pain assessment and management in Pakistan.
  • Neonatal intensive care units (NICUs) frequently perform painful procedures on infants.
  • Understanding pain scoring and effective interventions is crucial for neonatal well-being.

Purpose of the Study:

  • To investigate neonatal pain scoring in Pakistan.
  • To evaluate the effectiveness of oral dextrose in managing procedural pain in neonates.
  • To assess the efficacy of 10% dextrose versus sterile water for pain relief.

Main Methods:

  • A randomized controlled trial was conducted in a military hospital's NICU.
  • 252 neonates were enrolled and randomized to receive either 10% dextrose or sterile water.
  • Neonatal pain was assessed using the Modified Behavioural Pain Scale (MBPS) after painful procedures.

Main Results:

  • The study included 252 neonates (55% male, 45% female).
  • Common painful procedures were heel lancing (48%), IV cannulation (24%), and venepuncture (16%).
  • Mean MBPS scores were significantly lower with 10% dextrose (4.31) compared to sterile water (6.26).

Conclusions:

  • Oral dextrose is a cost-effective and readily available option for neonatal pain management.
  • 10% dextrose demonstrates significant efficacy in reducing pain during common neonatal procedures.
  • This intervention can be easily integrated into clinical practice for neonates undergoing painful procedures.