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The Effect of White Noise and Brahms' Lullaby on Pain in Infants during Intravenous Blood Draw: A Randomized

Tülay Sağkal Midilli, Eda Ergin

    Alternative Therapies in Health and Medicine
    |October 14, 2022
    PubMed

    Insights

    White noise and Brahms' lullaby effectively reduced pain and crying time in infants during blood draws. These auditory interventions offer a non-pharmacological approach to pain management in pediatric settings.

    Area of Science:

    • Pediatrics
    • Pain Management
    • Neonatal Care

    Background:

    • Intravenous blood draws are a common and often painful procedure for infants.
    • Effective pain management strategies are crucial for infant well-being during medical procedures.
    • Non-pharmacological interventions are increasingly explored for their safety and efficacy in pediatric pain relief.

    Purpose of the Study:

    • To investigate the efficacy of white noise and Brahms' lullaby in managing pain in infants undergoing intravenous blood draws.
    • To compare the pain and crying duration in infants exposed to white noise, Brahms' lullaby, or a control condition.

    Main Methods:

    • An experimental, randomized controlled trial was conducted with 59 infants aged 0-12 months.
    • Infants were randomly assigned to three groups: white noise, Brahms' lullaby, or control.
    • Pain was assessed using the Neonatal Infant Pain Scale (NIPS), with measurements taken before, during, and after the procedure. Crying time was also recorded.

    Main Results:

    • Infants in the white noise and Brahms' lullaby groups exhibited lower NIPS scores compared to the control group, particularly during and after the procedure (P < .05).
    • Crying time was significantly reduced in the white noise and Brahms' lullaby groups after the procedure compared to the control group (P < .05).

    Conclusions:

    • Both white noise and Brahms' lullaby demonstrated effectiveness in reducing pain in infants during intravenous blood draws.
    • These auditory interventions represent a viable non-pharmacological method for mitigating procedural pain in infants.
    Abstract

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