The Comparison of Oral Sucrose, Breastfeeding and Combination Method on Decreasing the First Infant Immunization Local Pain in Tabriz Health Centers, 2009.

Abstract

Abstract: Background: Pain is a pandemic health problem that exists from the birth to the death. Nowadays it is proven that infants recognize painful stimulus. Infant routinely experience pain in hospitals and also during procedures such as vaccination. So it is essential to find a non –pharmacologic method to relief pain. The aim of this study was to compare the effect of oral sucrose, breastfeeding and combination of them in the vaccination pain of less than 3 months infants. Methods and Materials: In this quasi –experimental study, 120 under 3 month's infants referred to Tabriz Health centers Participated. Infant randomly allocated between four groups, oral sucrose 25%, breastfeeding, combined method and control. In case group, 2 minutes after the intervention, vaccination was done. We used NIPS scale to determine pain score before and 0, 5, 10 minutes after vaccination. Moreover crying time and pulse rate was measured. Findings: This study showed that the mean pain scale immediately after vaccination in breastfeeding group was the lowest. But this difference was significant just between breastfeeding and control group (PV=0.007). The minimum of crying time was 66.6±32.62 seconds in breastfeeding group and the maximum was 126.26±46.15 in control group. Analyzing data with ANOVA showed that all interventions caused significant differences in crying time compared with control group. Using ANOVA did not show any significant differences in preventing of tachycardia between interventions. Conclusion: By looking at the findings, pain score and crying time was the lowest in breastfed group. Considering that breastfeeding is a natural, useful and cheap intervention that doesn't need any special equipment, using this method in pain relieving during painful procedures is proposed.