The effects of breast feeding and massage on neonatus pain during intravenous blood sampling procedures

Abstract

BackgroundMost causes of hyperbilirubinemia is babies born premature. Their bilirubin levels should be checked regularly, this causes the baby to feel pain. Newborns may experience a greater sensitivity to pain and are more susceptible to the long-term effects of painful stimulation. Pain management is needed for decreased clinical complications and decreased mortality. Breastfeeding and massage were the options for treating mild pain because they were safe, non-invasive, inexpensive and could be done independently. ObjectiveThe aim of this study was to compare the effects of breastfeeding and massage on neonatus pain during intravenous blood sampling procedures. MethodsPost test-only non equivalent control group design with non-probability sampling technique. The sample were 40 respondents divided into control and intervention groups. The neonatus was taken intraveinous blood sampling for the first time. The intervention group was given breast feeding and massage. Breast milk was given 2 min before intravenous puncture and massage was carried out on the back to the lower extremities for 2 min. Measurement of pain scores using NIPS. Data analysis used independent t-test. ResultsThe mean of neonatus pain in the intervention group was 1.60 SD 1.562 and control group 5.20, SD 1.361. There was significant difference in mean neonatal pain when intravenous blood sampling procedures in the intervention and control groups with a difference of 3.60. The paired samples test was p = 0,000 (<α = 0.05). Breastfeeding and massage could affect the pain scale of the neonatus during intraveinous blood sampling procedures. ConclusionsAccording to the findings of this study, the lowest pain score was in intervention group. Breastfeeding and massage was reduce the scale of pain neonatus during intraveinous blood sampling procedures. Breast feeding and massage are recommended to reduce the pain in neonatus during painful procedures administrated.