Analgesia with breastfeeding in addition to skin-to-skin contact during heel prick

Analgesia with breastfeeding in addition to skin-to-skin contact during heel prick

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. Randomised controlled trial....

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Bibliographic Details
Published in:Archives of disease in childhood. Fetal and neonatal edition Vol. 98; no. 6; p. F499
Main Authors: 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
Format: Journal Article
Language:English
Published: England 01-11-2013
Subjects:
Adult
Analgesia - methods
Blood Specimen Collection - adverse effects
Blood Specimen Collection - methods
Breast Feeding
Female
Heel
Humans
Infant, Newborn
Male
Mother-Child Relations
Pain - diagnosis
Pain - prevention & control
Pain Measurement
Pregnancy
Skin Physiological Phenomena
Touch - physiology
Young Adult
Neonatology
Pain
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Summary: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. Randomised controlled trial. Tertiary level maternity ward. One hundred thirty-six healthy term newborns. healthy term neonates, wish to breastfeed and absence of feeding during the previous 60 min. 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. 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. 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. 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.
ISSN:1468-2052
DOI:10.1136/archdischild-2012-302921