Neonatal pain response to heel stick vs venepuncture for routine blood sampling
Neonatal Intensive Care Unit, Southmead
Hospital, Bristol
Correspondence to: Dr Vibhuti S Shah, Shared Program in Neonatology, University of Toronto, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, M5G 1X8, Canada.
Accepted 1 May 1997
Neonatal pain response and adverse effects and maternal anxiety
were assessed in 27 infants who were randomly allocated to venepuncture
or heel stick. Pain was assessed by nurses using the Neonatal Infant
Pain Scale (NIPS) and a three point scale for the mothers. NIPS scores
were higher in the heel stick group compared with the venepuncture
group. Maternal anxiety was higher before the procedure while
perception of an infant's pain was lower in the venepuncture group
compared with the heel stick group. Venepuncture is less painful than
heel stick in newborn infants undergoing routine blood sampling.
© 1997 by Archives of Disease in Childhood
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