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Objective: To compare the mean procedural pain score with EBM versus 25% dextrose water (DW) in neonates. Study Design: Randomized Control Trial. Place and Duration of Study: Neonatal Unit, District Headquarter (DHQ) Hospital, Gujranwala. Duration of study was 6 months from 01.01.2020 to 30.06.2020 Material and Methods: After meeting the inclusion and exclusion criteria, 100 infants were enrolled. Informed consent was taken from parents. Demographic information was collected. Infants were randomly divided into 2 groups. Group A was given expressed breast milk (EBM) and group B was given 25% dextrose water (DW). One minute after giving solution, infants underwent procedure. After 5 minutes of solution administration, infants were assessed for procedural pain score (NIPS). All the collected data was entered and analyzed on SPSS. Results: Mean age of the infants was 16.21±7.99 days. Male to female ratio was 0.8:1. Arterial prick procedure was performed in 36 (36%) and NG tube was performed in 37 (37%) infants. Among expressed milk group, mean NIPS score at 5 minute was 3.56±1.59 whereas amongst 25% dextrose water group, mean NIPS score was 5.02 ± 1.46 (p-value=<0.001). Conclusion: EBM was more efficacious in terms of mean procedural pain score as compared to 25% DW in neonates.

AIMON TAHIR, AZHER ABBAS SHAH, SAIMA UMAR, Zulfiqar Ali, Afsheen Oneeb, Hafiz Muhammad Irfan, Umar Shahbaz, Ashfaq Ahmed, Rizwan Waseem. (2021) Efficacy of Expressed Breast Milk Versus 25% Dextrose Water in Reducing Procedural Pain in Neonates: Experience at a District Hospital, Pakistan Pediatric Journal, Volume 45, Issue 1.
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