To compare the pain scores between the two groups, breast milk (BM) and 24% sucrose, in preterm neonates undergoing automated heel lance for the blood draw.
The study is designed as a randomized, single-blinded, non-inferiority trial. Infants born between 30 1/7weeks and 36 6/7 weeks of gestation were randomly assigned to receive either 24% sucrose or expressed BM. The Premature Infant Pain Profile—Revised (PIPP-R) was utilized to provide pain scores.
No differences were noted in the baseline characteristics between the two groups. The quantile regression estimates for PIPP-R scores during the procedure were statistically non-significant at all percentile levels of distribution (50%ile coefficient 0, 95% CI −0.49 to 0.49).
We conclude that BM is not inferior to 24% sucrose in providing analgesia during heel lance in moderate and late preterm infants.
This trial was registered at www.clinicaltrials.gov (identifier NCT04898881)
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This work was supported by an institutional grant from Sarnaik Endowment Grant, Detroit Medical Center.
The authors declare no competing interests.
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Velumula, P.K., Elbakoush, F., Tabb, C. et al. Breast milk vs 24% sucrose for procedural pain relief in preterm neonates: a non-inferiority randomized controlled trial. J Perinatol 42, 914–919 (2022). https://doi.org/10.1038/s41372-022-01352-2