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Oral sweet solution to prevent pain during neonatal hip examination: a randomised controlled trial

Emma Olsson1,2, Miriam Pettersson1,3, Mats Eriksson1,2

  • 1Department of Pediatrics, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

Acta Paediatrica (Oslo, Norway : 1992)
|September 25, 2018
PubMed

Insights

Oral glucose significantly reduces pain in newborn infants during hip examinations. This simple intervention lessens crying time and pain scores, offering a safe and effective method for pain relief.

Area of Science:

  • Neonatal care
  • Pediatric pain management
  • Evidence-based medicine

Background:

  • Routine newborn physical examinations can cause pain.
  • Pain assessment in infants is crucial for well-being.
  • Non-pharmacological pain relief methods are sought for infants.

Purpose of the Study:

  • To evaluate the pain-relieving efficacy of oral glucose in newborns during hip examinations.
  • To compare oral glucose versus water for pain reduction in infants.

Main Methods:

  • A randomized controlled trial involving 100 newborn infants.
  • Infants received either oral glucose or water before a hip examination.
  • Pain was measured using crying duration, ALPS-Neo, and VAS scales.

Main Results:

  • Oral glucose significantly decreased total crying time, crying during hip examination, and ALPS-Neo scores.
  • Physician-assessed Visual Analogue Scale (VAS) scores were significantly lower in the glucose group.
  • Parent-assessed VAS scores did not reach statistical significance.

Conclusions:

  • Oral glucose administration effectively reduces pain in newborn infants undergoing hip examinations.
  • Glucose serves as a safe and beneficial analgesic for neonatal procedures.
  • This study supports the use of oral glucose for procedural pain management in infants.
Abstract

Keywords:
Hip examinationNewbornOral glucosePain

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