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Modified Sensory Stimulation Using Breastmilk for Reducing Pain Intensity in Neonates in Indonesia: A Randomized
Siti Yuyun Rahayu Fitri1, Lely Lusmilasari2, Mohammad Juffrie3
1Pediatric nursing department, Faculty of nursing, Universitas Padjadjaran, Bandung, Indonesia.
Journal of Pediatric Nursing
|May 14, 2020
Summary
Multisensory stimulation with breast milk or sucrose effectively reduces newborn pain during venipuncture. Both methods are superior to oral sucrose alone, offering safe, non-pharmacological pain management options for neonates.
Area of Science:
- Neonatal pain management
- Non-pharmacological analgesia
- Evidence-based practice in neonatology
Background:
- Oral sucrose is a common neonatal pain reliever, but its efficacy is limited and long-term effects are unknown.
- Breast milk offers a safe, alternative sweet solution for neonatal pain relief.
- Sensorial saturation (SS) is a non-pharmacological analgesic technique using multisensory distractors like touch and sound.
Purpose of the Study:
- To compare the analgesic effects of sensorial saturation with sucrose (SSS), sensorial saturation with breast milk (SSB), and oral sucrose alone (S24%) in neonates undergoing venipuncture.
Main Methods:
- A randomized controlled trial involving 108 neonates undergoing venipuncture.
- Neonates were randomly assigned to SSS, SSB, or S24% groups.
- Pain response was assessed using the Premature Infant Pain Profile-Revised (PIPP-R).
Main Results:
- Both SSB and SSS demonstrated significantly greater effectiveness in reducing pain compared to S24% (p=0.001).
- No significant difference in analgesic effect was found between SSB and SSS (p=0.669).
Conclusions:
- Multisensory stimulation, incorporating either breast milk or sucrose, is more effective than unimodal oral sucrose for neonatal pain reduction.
- Breast milk can be utilized as a gustatory stimulus within multisensory stimulation for comparable analgesic effects to sucrose.
- Neonatal nurses can effectively use SSB as an inexpensive, safe, non-pharmacological analgesic, warranting further research for evidence-based implementation.
