Clinics in Mother and Child Health

Efficacy of non-nutritive sucking in reducing pain in infants during intravenous cannulation

28^th World Congress on Neonatology & Diagnosis

December 06-07, 2018 | Amsterdam, Netherlands

Priya Thapa

B P Koirala Institute of Health Sciences, Nepal

Posters & Accepted Abstracts: Clinics Mother Child Health

Abstract:

Neonates and infants undergo different painful procedures for diagnostic, therapeutic or preventive purpose. Pain if not treated can lead to adverse effects. Non-nutritive sucking (NNS) refers to pacifier given to infant without any breast milk or nutrition formula. NNS is assumed to reduce pain in infants via stimulation of oro-tactile chemoreceptors in mouth. Hence, objective of this study was to assess efficacy of NNS in reducing pain in infants during intravenous cannulation. A pretest and posttest experimental study was conducted at pediatric emergency and wards of BPKIHS, Nepal, from February 2017 to March 2017. A total of 100 infants were randomly allocated in experimental group (EG) and control group (CG). Both groups were assessed before and after intravenous cannulation using neonatal infant pain scale (NIPS), where only EG was provided with NNS via pacifier. Self-structured questionnaire and NIPS were used to evaluate pain response. Data were analyzed using SPSS. Pearson???s Chi-square test, Fisher???s exact test and Mann- Whitney U test were used for analysis and interpretation. With respect to study variables there was no significant difference between EG and CG. Majority (74%) in EG had no pain, while majority (80%) in CG had felt pain. Result showed highly significant difference in pain between EG and CG (p=<0.001). In CG, mean pain score increased from 1.02 (pre-procedure) to 4.80 (post-procedure), while in EG, it increased from 1.16 (pre-procedure) to 2.66 (post-procedure). Thus, the study concludes that NNS is effective in reducing pain in infants during IV cannulation.

Biography :

E-mail: priya_7riya@yahoo.com