Comparison of different methods for reducing pain during a heel lance in newborns: a randomized trial.

IF 3.2 3区医学 Q1 PEDIATRICS

Italian Journal of Pediatrics Pub Date : 2025-03-12 DOI:10.1186/s13052-025-01916-w

Tuğba Karga Yilmaz, Betul Yavuz

{"title":"Comparison of different methods for reducing pain during a heel lance in newborns: a randomized trial.","authors":"Tuğba Karga Yilmaz, Betul Yavuz","doi":"10.1186/s13052-025-01916-w","DOIUrl":null,"url":null,"abstract":"Background: This study aimed to compare three different methods [breastfeeding, skin-to-skin contact (SSC), swaddling + holding] to reduce the pain felt by term newborns during a heel lance (HL).Methods: This was a randomized three-group experimental study. The study sample included 90 newborns, 30 in each group. The data were collected using a pulse oximeter, a voice recorder, an Information Form, the Neonatal Infant Pain Scale (NIPS). The newborns' pain level, heart rate, and oxygen saturation were measured at three different times.Results: No difference was found between the groups' mean NIPS scores before the HL procedure (p > 0.05). The mean NIPS scores 10 s after the procedure started and after the HL procedure were the lowest in the breastfeeding group, followed by the SSC and swaddling + holding groups (p < 0.05). There was no difference between the groups' mean heart rates before the procedure; however, there was a significant difference 10 s after the procedure started and after the procedure (p < 0.05).Conclusion: Breastfeeding is the most effective method to reduce pain during and after HL procedures in term newborns, followed by SSC and swaddling + holding.Trial registration: This study was retrospectively registered at ClinicalTrials.gov with the registration number NCT05797532 (date: 04.04.2023).","PeriodicalId":14511,"journal":{"name":"Italian Journal of Pediatrics","volume":"51 1","pages":"73"},"PeriodicalIF":3.2000,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11905561/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Italian Journal of Pediatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s13052-025-01916-w","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}

引用次数: 0

Abstract

Background: This study aimed to compare three different methods [breastfeeding, skin-to-skin contact (SSC), swaddling + holding] to reduce the pain felt by term newborns during a heel lance (HL).

Methods: This was a randomized three-group experimental study. The study sample included 90 newborns, 30 in each group. The data were collected using a pulse oximeter, a voice recorder, an Information Form, the Neonatal Infant Pain Scale (NIPS). The newborns' pain level, heart rate, and oxygen saturation were measured at three different times.

Results: No difference was found between the groups' mean NIPS scores before the HL procedure (p > 0.05). The mean NIPS scores 10 s after the procedure started and after the HL procedure were the lowest in the breastfeeding group, followed by the SSC and swaddling + holding groups (p < 0.05). There was no difference between the groups' mean heart rates before the procedure; however, there was a significant difference 10 s after the procedure started and after the procedure (p < 0.05).

Conclusion: Breastfeeding is the most effective method to reduce pain during and after HL procedures in term newborns, followed by SSC and swaddling + holding.

Trial registration: This study was retrospectively registered at ClinicalTrials.gov with the registration number NCT05797532 (date: 04.04.2023).

查看原文本刊更多论文

求助全文

约1分钟内获得全文求助全文

来源期刊

Italian Journal of Pediatrics PEDIATRICS-

CiteScore

6.10

自引率

13.90%

发文量

192

审稿时长

6-12 weeks

期刊介绍： Italian Journal of Pediatrics is an open access peer-reviewed journal that includes all aspects of pediatric medicine. The journal also covers health service and public health research that addresses primary care issues. The journal provides a high-quality forum for pediatricians and other healthcare professionals to report and discuss up-to-the-minute research and expert reviews in the field of pediatric medicine. The journal will continue to develop the range of articles published to enable this invaluable resource to stay at the forefront of the field. Italian Journal of Pediatrics, which commenced in 1975 as Rivista Italiana di Pediatria, provides a high-quality forum for pediatricians and other healthcare professionals to report and discuss up-to-the-minute research and expert reviews in the field of pediatric medicine. The journal will continue to develop the range of articles published to enable this invaluable resource to stay at the forefront of the field.