Cobedding and Recovery Time After Heel Lance in Preterm Twins: Results of a Randomized Trial

Abstract

Cobedding enhanced the physiologic recovery of preterm twins undergoing heel lance, but did not lead to lower pain scores.

Effect of Cobedding Twins on Coregulation, Infant State, and Twin Safety

“…Although not statistically significant, Stainton, Jozza, and Fethney () reported a trend toward lowered stress levels and higher self regulatory behavior in cobedding twins and a larger effect with increasing duration of cobedding. Similarly, two recent reports examining the pain reactivity, infant regulation, and stress response of preterm twins who were cobedding compared to noncobedding twins, while undergoing a heel lance in the NICU demonstrated that cobedding twins exhibited a faster physiological recovery (time it took for heart rate and oxygen saturation levels to return to baseline) (Campbell‐Yeo et al., ) and a more tightly regulated salivary cortisol response when compared to a standard noncobedding condition (Campbell‐Yeo et al., 2014). In keeping with others examining the effect of close maternal contact provided through skin‐to‐skin contact with mothers, it may be possible that the close presence of the other twin enhances maturation of self regulatory behavior and modulates stress response (Feldman, Rosenthal, & Edelman, ).…”

“…Additional studies are needed to confirm our findings and explore the effects of cobedding on maturation of self‐ regulation, sleep patterns, and safety over sustained periods in hospital and home settings. The National Association of Neonatal Nurses () and others alert health care providers to the paucity of evidence supporting the safety and benefits of cobedding in the home environment (Campbell‐Yeo et al., , , 2013; Touch et al., ). As parents often mimic hospital sleep practices it is important that future research address the potential risks of cobedding in the home environment (Campbell‐Yeo et al., , , 2013; Touch et al., ).…”

“…The National Association of Neonatal Nurses () and others alert health care providers to the paucity of evidence supporting the safety and benefits of cobedding in the home environment (Campbell‐Yeo et al., , , 2013; Touch et al., ). As parents often mimic hospital sleep practices it is important that future research address the potential risks of cobedding in the home environment (Campbell‐Yeo et al., , , 2013; Touch et al., ). Both quantitative and qualitative studies are needed to explore parents’ decisions regarding choice of sleep environment and how this choice affects the family.…”

Validation of the Persian Version of Premature Infant Pain Profile-Revised in Hospitalized Infants at the Neonatal Intensive Care Units

“…Inter-rater reliability in the two studies that examined the psychometric properties of the tool was more than 0.90, that is, no significant difference was observed between the scores calculated by the raters at the basic, painful and non-painful phases (19,29). In a study by Campbell-Yeo et al in 2012 to determine the effect of cobedding of twin premature infants in response to the pain of heel prick, the interrater reliability determined was 0.85 through the process of observing 6 videos by two professionals, independently and simultaneously (39).…”

Randomised controlled trial shows that co‐bedding twins may reduce birthweight recovery delay, parenteral nutrition weaning time and hospitalisation

“…Lai et al's database analysis in 2012 pinpointed discrepancies in the data produced by co‐bedding studies, as well as the absence of data and safety and long‐term outcomes . Heterogeneous practices, clinical judgement criteria and, most importantly, the delayed co‐bedding of stable newborn twins several weeks after birth, may have contributed to this lack of clarity .…”