EFFECT OF ORAL SUCROSE AND SWADDLING TECHNIQUE ON PAIN RESPONSE OF TERM MALE NEONATES DURING CIRCUMCISION
Bothayna N. Sadek and Zeinab F. El-Sayed
Pediatric Nursing Department Faculty of Nursing, Ain Shams University
This study was a quasi-experimental design aiming to study the efficiency of oral sucrose and swaddling technique on pain response of term male neonates during circumcision. The study was conducted at pediatric surgery department affiliated to Ain Shams Children's Hospital. Sixty full term male neonates were selected randomly to control and experimental group. Study tools involved (1) – the neonate's medical record sheet to obtain some information related to characteristics of the studied neonates. (2) – The Neonatal Infant Pain Score (NIPS) and (3) – the Crying Scale of Postoperative Neonatal Pain Assessment. The results of the study revealed marked reduction of pain scores according to NIPS and crying time during and after circumcision procedures with administration of oral sucrose and swaddling technique. In conclusion; oral sucrose and swaddling technique significantly decrease the physiologic and behavioral neonatal pain responses during and after circumcision procedures. This method is useful and inexpensive in pain management of neonatal circumcision. Based on the results of the study it was recommended that, using of various non-pharmacological pain interventions which reduce pain during neonatal circumcision such as maternal tucking, non-nutritive suckling, administration of oral sucrose, swaddling and tactile smoothing.
June 2012