Pain
Conditions
Interventions
Intervention group: 09 newborns were placed in skin-to-skin contact with their mother for 15 minutes before the heel lance, during the heel lance and 5 minutes after the heel lance.
Control group: 09
D060127
D001942
Sponsors
Escola de Enfermagem Anna Nery
Maternidade Escola da Universidade Federal do Rio de Janeiro
Eligibility
Age
37 Weeks to 42 Weeks
Inclusion criteria
Inclusion criteria: Full-term newborns admitted to the rooming-care, with a medical prescription for regular control of capillary blood glucose through heel puncture; showing signs that breastfeeding is being effective according to the breastfeeding observation form; suitable for gestational age (AGA), small for gestational age (SGA), large for gestational age (GIG) and underweight; without previous breastfeeding in the last 30 min; postnatal age =06 hours; APGAR =7 in the 5th min of life; clinical stability keeping the physiological parameters in the normal range, that is, heart rate between 120 and 140 bpm and SaO2 = 89%. Mothers who wish and do not have a contraindication to breastfeed.
Exclusion criteria
Exclusion criteria: Newborns with dysfunction of the stomatognathic system that would interfere with the suction mechanics; using painkillers or other drugs that would interfere with responses to nociception or whose mother was receiving these drugs; in contact precaution, due to the amount of equipment available for collection; needed resuscitation maneuvers in the delivery room; admitted to the neonatal ICU shortly after birth, before being admitted in the rooming-care. Mothers who do not have clinical conditions to participate in the study (diagnosed with postpartum depression; those with immediate postpartum complications and birth trauma).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| It is expected to find a reduction in pain responses obtained through the time (in seconds) of facial mimicry according to the parameters of the brow bulge, eye squeeze and deepening of nasolabial furrow, observed through face filming, for a total time of 5 minutes after or painful stimulus. | — |
Secondary
| Measure | Time frame |
|---|---|
| It is expected to find a reduction in heart rate and an increase in oxygen saturation observed through the filming of the monitor, for a total time of 5 minutes after the painful stimulus, called the post-puncture period, compared with the values presented in the baseline period. | — |
Countries
Brazil
Contacts
Public ContactBRUNA MAGESTI
Outcome results
None listed