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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Marín Gabriel, Miguel Ángel Del Rey Hurtado De Mendoza, Beatriz Jiménez Figueroa, Lourdes Medina, Virginia Iglesias Fernández, Beatriz Vázquez Rodríguez, María Escudero Huedo, Virginia Medina Malagón, Lorena |
| Description | Country affiliation: Spain Author Affiliation: Marín Gabriel MÁ ( Deparment of Pediatrics, Hospital Puerta de Hierro-Majadahonda, , Madrid, Spain.) |
| Abstract | OBJECTIVE: To investigate the analgesic effect (measured with Neonatal Infant Pain Scale (NIPS)) of breastfeeding (BF) in addition to skin-to-skin contact (SSC) versus other methods of non-pharmacological analgesia during blood sampling through heel lance in healthy term neonates. DESIGN: Randomised controlled trial. SETTING: Tertiary level maternity ward. PATIENTS: One hundred thirty-six healthy term newborns. INCLUSION CRITERIA: healthy term neonates, wish to breastfeed and absence of feeding during the previous 60 min. INTERVENTION: Neonates were randomly assigned to four groups: Group breastfed with SSC (BF+SSC Group) (n=35); Group sucrose with SSC (Sucrose+SSC Group) (n=35); SSC Group (n=33); or Sucrose Group (n=33). Babies were recorded with a video camera. OUTCOME MEASURES: Three observers watched the videos and measured NIPS score at three time points (t0: 2 min before heel prick; t1: During heel prick; and t2: 2 min after the heel prick). The influences of non-pharmacological methods on crying time, percentage of crying while sampling, heart rate, number of attempts and duration of sampling were also studied. RESULTS: BF+SSC Group achieved a significant lower median NIPS score (value=1) compared with other groups (value=2, 4 and 4, respectively). The percentage of neonates with moderate-to-severe pain was also lower in the BF+SSC Group. Both groups BF+SSC and Sucrose+SSC achieved a significant lower percentage of crying compared with SSC Group. CONCLUSIONS: This study suggests that BF in addition to SSC provides superior analgesia to other kinds of non-pharmacological analgesia in healthy term neonates during heel prick. |
| File Format | HTM / HTML |
| ISSN | 13592998 |
| Issue Number | 6 |
| Volume Number | 98 |
| e-ISSN | 14682052 |
| Journal | Archives of Disease in Childhood - Fetal and Neonatal Edition |
| Language | English |
| Publisher | BMJ Publishing Group |
| Publisher Date | 2013-11-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Pediatrics Discipline Perinatology Analgesia Methods Blood Specimen Collection Adverse Effects Breast Feeding Pain Prevention & Control Skin Physiological Phenomena Touch Physiology Adult Female Heel Humans Infant, Newborn Male Mother-child Relations Diagnosis Pain Measurement Pregnancy Video Recording Young Adult Journal Article Randomized Controlled Trial |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pediatrics, Perinatology and Child Health Obstetrics and Gynecology |
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