Skin-to-Skin Contact and/or Oral 25% Dextrose for Procedural Pain Relief for Term Newborn Infants

Skin-to-Skin Contact and/or Oral 25% Dextrose for Procedural Pain Relief for Term Newborn Infants

Author Chermont, Aurimery Gomes Autor UNIFESP Google Scholar
Magno Falcao, Luis Fabio Google Scholar
Laurindo de Souza Silva, Eduardo Henrique Google Scholar
Xavier Balda, Rita de Cassia Autor UNIFESP Google Scholar
Guinsburg, Ruth Autor UNIFESP Google Scholar
Institution Fed Univ Para
Para Hosp
Universidade Federal de São Paulo (UNIFESP)
Abstract OBJECTIVE: the goal was to compare the efficacy of oral 25% dextrose treatment and/or skin-to-skin contact for analgesia in term newborns during intramuscular injection of a hepatitis B vaccine.METHODS: A prospective, randomized, partially blinded, clinical trial was performed with 640 healthy term newborns. Infants at 12 to 72 hours of life were assigned randomly to receive an intramuscular injection of hepatitis B vaccine in the right thigh according to 4 analgesia groups, that is, no analgesia (routine); oral 25% dextrose treatment, given 2 minutes before the injection; skin-to-skin contact, initiated 2 minutes before the injection and persisting throughout the procedure; and a combination of the oral dextrose treatment and skin-to-skin contact strategies. for all groups, Neonatal Facial Coding System and Neonatal Infant Pain Scale scores were evaluated before the procedure, during thigh cleansing, during the injection, and 2 minutes after the injection. Premature Infant Pain Pro. le scores also were assessed for all infants. Pain scores were compared among the 4 groups.RESULTS: the use of oral 25% dextrose treatment reduced the duration of procedural pain in the studied population. Skin-to-skin contact decreased injection pain and duration. the combination of the 2 analgesic measures was more effective than either measure separately for term newborns.CONCLUSIONS: Nonpharmacologic analgesic measures were effective for the treatment of procedural pain in term infants. the combination of oral 25% dextrose treatment and skin-to-skin contact acted synergistically to decrease acute pain in healthy neonates. Pediatrics 2009; 124: e1101-e1107
Keywords infant
newborn
analgesia
pain measurement
Language English
Date 2009-12-01
Published in Pediatrics. Elk Grove Village: Amer Acad Pediatrics, v. 124, n. 6, p. E1101-E1107, 2009.
ISSN 0031-4005 (Sherpa/Romeo, impact factor)
Publisher Amer Acad Pediatrics
Extent E1101-E1107
Origin http://dx.doi.org/10.1542/peds.2009-0993
Access rights Closed access
Type Article
Web of Science ID WOS:000272162400036
URI http://repositorio.unifesp.br/handle/11600/32012

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