Retinopathy of Prematurity
Conditions
Keywords
Infant, premature, Pain, Stress, physiological, Stress, psychological, skin-to-skin contact
Brief summary
Retinopathy of prematurity (ROP) is a feared complication of premature birth. If discovered in time, the disease can be treated, and impaired vision or blindness can be reduced. Premature infants are therefore examined regularly after birth. However, the examination is painful and stressful for the infant. Painful experiences might lead to a pathological stress response later in life and should therefore be prevented. In this study skin-to-skin contact with a parent is tested for relief of pain and stress in preterm infants being examined for retinopathy of prematurity.
Interventions
skin-to-skin contact with parent during eye examination.
staying in incubator during eye examination.
oral sucrose before eye examination
Sponsors
Study design
Eligibility
Inclusion criteria
* Infants \< 32 weeks of gestational age (\< 31+6 weeks)
Exclusion criteria
* Infants with ongoing analgesic treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| pain score | during eye examination | Premature Infant Pain Profile (PIPP): score range 0-21. Assessed during and immediately after completed examination). PIPP scoring via video recording by an external observer (blinded) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| cortisol in saliva | 60 minutes after eye examination | to measure stress response |
| General movements | in 5 minutes after eye examination | Prechtl method on the General Movements Assessment (GMA) and classified according to the general movements optimality list for preterm general movements and writing movements |
Countries
Norway