Behavioral response to pain in drowsy and sleeping neonates: a randomized control study.

Abstract:

:In a randomized controlled design, 100 healthy, term neonates in the first week of life, undergoing heel prick for routine screening were randomized to receive a heel prick in either the drowsy/sleeping state or the awake (but not fussy or crying) state. 48 babies in sleeping or drowsy states and 47 in the awake states were analyzed. Infants in the drowsy/sleeping states scored significantly lower on the Neonatal Infant Pain Score (NIPS) (median score 5) at 30 seconds post stimulus compared with infants in higher states of alertness (median score 6). They also had a shorter total duration of cry (29.17 sec ± 8.95 vs 32.67 sec ± 9.82). However, there was no difference in the NIPS score between the two groups at 45 seconds post stimulus. We concluded that babies in the drowsy/sleeping states of alertness at the time of a painful stimulus appear to show a less intense behavioral response to pain as compared to those in the awake state.

journal_name

Indian Pediatr

journal_title

Indian pediatrics

authors

Mathai SS,Naresh A,Sahu S

doi

10.1007/s13312-011-0082-1

subject

Has Abstract

pub_date

2011-05-01 00:00:00

pages

390-2

issue

5

eissn

0019-6061

issn

0974-7559

pii

S097475591000430-2

journal_volume

48

pub_type

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