• Miguel Ángel Marín Gabriel, Beatriz del Rey Hurtado de Mendoza, Lourdes Jiménez Figueroa, Virginia Medina, Beatriz Iglesias Fernández, María Vázquez Rodríguez, Virginia Escudero Huedo, and Lorena Medina Malagón.
• Deparment of Pediatrics, Hospital Puerta de Hierro-Majadahonda, , Madrid, Spain.
• Arch. Dis. Child. Fetal Neonatal Ed. 2013 Nov 1;98(6):F499-503.

ObjectiveTo 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.DesignRandomised controlled trial.SettingTertiary level maternity ward.PatientsOne hundred thirty-six healthy term newborns.Inclusion Criteriahealthy term neonates, wish to breastfeed and absence of feeding during the previous 60 min.InterventionNeonates 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 MeasuresThree 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.ResultsBF+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.ConclusionsThis 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.

25 keywords...

hide…