BACKGROUND AND OBJECTIVES: Despite the solid results on pain management strategies in neonatology, it is necessary to identify and explore the barriers that may hamper the attention to pain and the implementation of the scientific evidence widely disseminated in the literature in the care practice. The objective of this study was to describe the barriers encountered by the healthcare professionals of a neonatal intensive care unit regarding the management, evaluation, and treatment of newborn pain. METHODS: Descriptive, exploratory, quantitative study carried out in a maternity hospital in the city of Rio de Janeiro. Forty-two nursing technicians, 22 nurses, 20 physicians, and 2 physiotherapists participated in the study. The data was collected in an interview using a form and the data was analyzed by descriptive statistics. RESULTS: Among the barriers found it stands out the lack of training on neonatal pain, no use of scales, the absence of routine and protocols for the treatment of pain, and the need for greater safety for the evaluation and treatment of pain. It was also observed that there is a gap between knowledge and care practice in the unit. CONCLUSION: The identification of these barriers is essential to establish strategies based on knowledge-transfer to overcome the obstacles and improve the care given to newborns in the neonatal intensive care unit.

Objetivo: Analisar a produção científica acerca do uso da glicose oral a 25% como medida de alívio da dor do recém-nascido. Métodos: Revisão integrativa realizada em janeiro de 2021 com busca e seleção nas bases de dados Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde, Culmulative Index to Nursing and Allied Health Literature, National Center for Biotechnology Information e EMBASE. Análise descritiva realizada em duas categorias analíticas. Resultados: As publicações envolveram aspectos relacionados ao uso da glicose oral a 25% e comparação com outros métodos de alívio da dor. Conclusão: A glicose oral a 25% é efetiva no alívio da dor do recém-nascido durante procedimentos, evidenciada pelos instrumentos de avaliação utilizados, contudo alguns aspectos necessitam ser considerados para sua implementação na prática.

BACKGROUND AND OBJECTIVES: Pain and stress are the main factors stimulating behavioral, physiological, and hormonal changes in preterm newborns (PTNB) admitted to a Neonatal Intensive Care Unit (NICU); therefore, the systematic multidimensional assessment of pain at the bedside becomes an essential tool for reducing the impact of brain stimulation, as it guides the appropriate treatment. The objectives of this study were to assess the pain at the bedside of PTNB submitted to peripheral venipuncture or diaper change and to describe the measures for pain relief. METHODS: Longitudinal study, with a prospective cohort of 25 PTNB, carried out in an NICU in the city of Rio de Janeiro. Pain assessment at the bedside was performed at three different times, using the Neonatal Infant Pain Scale (NIPS) and Premature Infant Pain Profile (PIPP), when subjected to peripheral venipuncture for infusion therapy and diaper changes. The scores of the scales were analyzed using the Chi-square test. RESULTS: In the puncture group, there was pain and increased intensity. In the diaper group, three PTNB showed pain at the third assessment. During peripheral venipuncture, the non--pharmacological measures were used: oral 25% glucose, non--nutritive suction and a combination of the two. CONCLUSION: Assessing pain at the bedside using scales helps nursing professionals in pain prevention and treatment, avoiding altered responses of newborns in the face of procedures. Pain assessment of preterm newborns in peripheral venipuncture and diaper changesAvaliação da dor do recém-nascido pré-termo submetido a punção venosa periférica e a troca de fraldas

Objetivo: discutir a ocorrência de contato pele a pele ao nascer e a amamentação na primeira hora de vida, bem como sua associação com a prevalência de aleitamento exclusivo na alta hospitalar. Método: estudo transversal, realizado com 157 puérperas e 160 recém-nascidos de uma maternidade pública do Rio de Janeiro. Os dados foram coletados de julho de 2020 a janeiro de 2021, por meio de questionário estruturado, com dados analisados pela estatística descritiva e regressão de Poisson com variância robusta. Resultados: dos recém-nascidos, 93,13% realizaram contato pele a pele e, destes, 74,67% permaneceram nesse contato por, no máximo, 10 minutos; 69,38% foram amamentados na primeira hora de vida, sendo esta prática significativamente associada (p=0,17) ao aleitamento exclusivo na alta hospitalar. Conclusão: os resultados encontrados reforçam a efetividade das recomendações das diretrizes nacionais e evidenciam a necessidade da manutenção das boas práticas de cuidado, importante compromisso com a qualidade assistencial materna e neonatal.ABSTRACTObjective: to discuss the occurrence of skin-to-skin contact at birth and breastfeeding in the first hour of life, as well as their association with the prevalence of exclusive breastfeeding at hospital discharge. Method: this cross-sectional study was conducted with 157 postpartum women and 160 newborns from a public maternity hospital in Rio de Janeiro. Data were collected from July 2020 to January 2021, through a structured questionnaire, and analyzed by descriptive statistics and Poisson regression with robust variance. Results: 93.13% of the newborns enjoyed skin-to-skin contact, which lasted a maximum of 10 minutes in 74.67% of cases; 69.38% were breastfed in the first hour of life, and this was significantly associated (p = 0.17) with exclusive breastfeeding at hospital discharge, which was 83.75% prevalent. Conclusion: the findings underline the effectiveness of the recommendations of Brazil’s national guidelines and evidence the need to maintain good care practices, in an important commitment to quality maternal and neonatal care.RESUMENObjetivo: discutir la ocurrencia del contacto piel a piel al nacer y la lactancia materna en la primera hora de vida, así como su asociación con la prevalencia de lactancia materna exclusiva al alta hospitalaria. Método: Estudio transversal realizado junto a 157 puérperas y 160 recién nacidos de una maternidad pública de Río de Janeiro. Los datos fueron recolectados de julio de 2020 a enero de 2021, a través de un cuestionario estructurado, y analizados por estadística descriptiva y regresión de Poisson con varianza robusta. Resultados: el 93,13% de los recién nacidos tuvo contacto piel a piel y, entre estos, el 74,67% permaneció en ese contacto durante, como máximo, 10 minutos; el 69,38% fue amamantado en la primera hora de vida, y esta práctica se asoció significativamente (p=0,17) con la lactancia materna exclusiva en el alta hospitalaria. Conclusión: Los resultados encontrados refuerzan la efectividad de las recomendaciones de las guías nacionales y ponen en evidencia la necesidad de mantener buenas prácticas asistenciales, compromiso importante con la calidad de la atención materna y neonatal.

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BACKGROUND AND OBJECTIVES:Painful repeated experiences in the neonatal period can have deleterious effects in short and long term, as well as trigger abnormal patterns of behavior and sensory processing. In health care, the use of educational technologies can facilitate access to information and assist pain management in newborns. The objective of this study was to build and validate a folded brochure educational technology to guide mothers of newborns hospitalized in rooming-in accommodation on neonatal pain relief. METHODS: Methodological study developed in five stages: situational diagnosis, literature review, construction of the folder, selection of judges and technology validation, from September 2019 to December 2020. RESULTS: Educational technology developed was a folder entitled "non-pharmacological methods to relieve baby pain". Validation revealed a minimum agreement level of 0.78 and a maximum of 1. General Content Validity Index of the folder was 0.86, thus considering the folder as validated. Experts considered the educational material enriching and enlightening and its use may strengthen the practice of health education. CONCLUSION: Educational technology proved to be valid in terms of appearance and content to guide and stimulate maternal participation in the management of pain in the newborn submitted to painful procedures in the rooming-in accommodation.

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