Effectiveness of breastfeeding for pain relief in infants during vaccination at Bharatpur

Authors

  • Anjana Gurung Department of Pediatric Nursing, Novel Academy, Pokhara, Kaski, Nepal
  • Subina Bajracharya Department of Pediatric Nursing, Chitwan Medical College, Bharatpur, Chitwan, Nepal

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20214981

Keywords:

Breastfeeding, Infants, Pain relief, Vaccination

Abstract

Background: Vaccination is an integral part of childhood development since it protects children from a variety of diseases. It is, however, the most common cause of pain in children. Breastfeeding is effective tool for reducing pain in infants during vaccinations. The objective of the study was to determine the effectiveness of breastfeeding for pain relief in infants during vaccination.

Methods: A true experimental pretest and posttest design was conducted at Maternal and Child Health Clinic at Bharatpur, Nepal among 140 infants receiving pentavalent vaccines (Diphtheria, Pertussis, Tetanus, Hepatitis B and Hemophilus influenzae B). A structured interview schedule was used to collect socio-demographic information of mothers and infants. Bio physiologic method was used to determine biological and physical status of the infants. Modified behavioral pain scale was used to measure the level of pain in infants in both the control and experimental groups.

Results: The study revealed that the total modified behavioral pain scale (mean ±SD after vaccination was 8.74±0.53 in control and 8.23±1.07 in experimental respectively. The study showed that breastfeeding had significantly lowered pain level (p<0.001) and lessened duration of cry (p=0.002) in infants in experimental group than in control group after vaccination. However, related to injectable vaccination, the study showed that breastfeeding did not significantly stabilized heart rate in infants in both the groups (p=0.122).

Conclusions: The study concluded that the infants who were breastfed experienced less pain than those who were not breastfed during vaccination.

References

Taddio A, Appleton M, Bortolussi R, Chambers C, Dubey V, Halperin S, et al. Reducing the pain of childhood vaccination: an evidence-based clinical practice guideline. Canadian Med Assoc J. 2010;182(18).

Harrison D, Bueno M, Reszel J. Prevention and management of pain and stress in neonate. Res Rep Neonatol. 2015;2015(5):9-16.

Kaur L, Kaur S, Kalia R, Bharti B. Analgesic effect of breast feeding in infants during immunization injections. Randomized control trial. Nurs Midwife Res J. 2009;5(4).

Singh RK, Simalti AK, Singh D. Breast Feeding as analgesis in neonates: a randomized control trial. J Nepal Paediatr Soc. 2016;36(3).

Tansky C, Lindberg CE. Breastfeeding as a pain intervention when immunizing infants. J Nurse Pract. 2010;6(4):287-95.

Shah PS, Herbozo C, Aliwalas LL, Shah VS. Breastfeeding or breast milk for procedural pain I neonates (Review). Cochrane Database Systemat Rev. 2012;12

Benoit B, Misener RM, Latimer M, Yeo MC. Breast-feeding analgesia in infants. J Perinat Neonat Nurse. 2017;31(2):145-59.

Modarres M, Jazayeri M, Rahnama P, Montazeri A. Breastfeeding and pain relief in full-term neonate during immunization injections: a clinical randomized trial. BMC Anesthesiol. 2013;13(1).

Razek AA, Dein NZ. Effect of breastfeeding on pain relief during infant immunization injection (2009) International Journal of Nursing 15: 99-104.

Erkul M, Efe E. Efficacy of breastfeeding on babies’ pain during vaccinations. Breastfeed Med. 2017;12(2).

National Immunization Schedule of Nepal (2019). Available from: https://epomedicine.com/medical-students/national-immunization-schedule-of-nepal-2019/. Assessed on 11 July 2019.

World Health Organization. Integrated Management of Pregnancy and Childbirth, Pregnancy and Childbirth, Postpartum and Newborn care: a guide for essential practice. 3rd edition. Geneva: World Health Organization; 2015.

Taddio A, O’Brien L, Ipp M, Stephens D, Goldbach M, Koren G. Reliability and validity of observer ratings of pain using the visual analog scale (VAS) in infants undergoing immunization injections. PAIN®. 2009;147(1-3):141-6.

Osinaike BB, Oyedeji AO, Adeoye OT, Dairo MD, Aderinto DA. Effect of breastfeeding during venepuncture in neonates. Ann Trop Paediatr. 2009;27(3).

Chaudhary R, Dhakal A, Karn BK, Yadav U. The calming effect of mother breast milk odor on neonates during BCG vaccination. J Community Public Health Nursing. 2018;4.

Carbajal R, Veerapen S, Couderc S, Jugie M, Ville Y. Analgesic effect of breast feeding in term neonates: randomised controlled trial. BMJ. 2003;326(7379):13.

Taavoni S, Shahali S, Haghani H, Neisoni SL. Effect of breastfeeding on infants behavioral pain scale during DPT vaccination. Cochrane Lib. 2012;10(27).

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Published

2021-12-27

How to Cite

Gurung, A., & Bajracharya, S. (2021). Effectiveness of breastfeeding for pain relief in infants during vaccination at Bharatpur. International Journal Of Community Medicine And Public Health, 9(1), 59–65. https://doi.org/10.18203/2394-6040.ijcmph20214981

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Section

Original Research Articles