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Skin‐to‐skin contact during eye examination did not reduce pain compared to standard care with parental support in preterm infants
Author(s) -
Kristoffersen Laila,
Støen Ragnhild,
Bergseng Håkon,
Follestad Turid,
Theodorsson Elvar,
Vederhus Bente,
Adde Lars,
Austeng Dordi
Publication year - 2019
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.14699
Subject(s) - medicine , gestational age , skin to skin , incubator , retinopathy of prematurity , pediatrics , pain assessment , physical therapy , pregnancy , breastfeeding , pain management , genetics , microbiology and biotechnology , biology
Abstract Aim We compared the pain relieving effect of skin‐to‐skin contact versus standard care in the incubator during screening for retinopathy of prematurity. Methods This randomised crossover study included 35 preterm infants of less than 32 weeks of gestational age admitted to St Olavs University Hospital, Trondheim, Norway, between January 2014 and June 2016. Randomisation was for skin‐to‐skin with one of the parents or standard care with supportive positioning by parents for the first of two consecutive eye examinations. The pain score was measured twice using the Premature Infant Pain Profile ( PIPP ) during and after the eye examination. The infants’ movement activity was video recorded after the examination. Results There was no difference in mean pain scores with skin‐to‐skin contact versus standard care during (10.2 vs. 10.3, p = 0.91) or after (7.0 vs. 6.8, p = 0.76) the procedure. Independent of the randomisation group, PIPP scores were lower than previous comparable studies have found. Bouts of movement activity were also the same whether the examination was conducted in skin‐to‐skin position or in the incubator (p = 0.91). Conclusion Skin‐to‐skin contact during the eye examination did not provide additional pain relief compared to standard care where the parents were already a part of the multidimensional approach.