Effectiveness of Non-Pharmacological Methods, Such as Breastfeeding, to Mitigate Pain in NICU Infants

Koukou, Zoi; Theodoridou, Anatoli; Taousani, Eleftheria; Antonakou, Angeliki; Panteris, Eleftherios; Papadopoulou, Styliani-Stella; Skordou, Anna; Sifakis, Stavros

doi:10.3390/children9101568

Cited by 12 publications

(10 citation statements)

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“…Parents' experiences with IPC in the context of neonatal pain management has not previously been studied, so our results cannot be directly compared to prior evidence. However, and strengthening the role of parents (Axelin et al, 2015;Ferreira et al, 2021;Marfurt-Russenberger et al, 2016;McNair et al, 2020) support our findings regarding professionals' abilities and willing- pain relief method as non-nutritive sucking coupled with glucose (Koukou et al, 2022;Ullsten et al, 2021) is also known, and parents described professionals using it. In the future, it would be important for health professionals to recognise these situations, where parents can be involved in both the assessment of pain and its treatment with non-pharmacological methods.…”

Section: Discussionsupporting

confidence: 80%

“…Most wards have agreed to use certain pain assessment measures. The most common evidence‐based non‐pharmacological pain relief method as non‐nutritive sucking coupled with glucose (Koukou et al, 2022; Ullsten et al, 2021) is also known, and parents described professionals using it. In the future, it would be important for health professionals to recognise these situations, where parents can be involved in both the assessment of pain and its treatment with non‐pharmacological methods.…”

Section: Discussionmentioning

confidence: 99%

“…Not all procedures that are classified as painful require medical pain relief. Some of these procedures can be performed using nonpharmacological pain relief methods which have been found to be effective, such as breastfeeding or non-nutritive sucking coupled with glucose (Koukou et al, 2022;Ullsten et al, 2021) or skin-to skin contact (Zengin et al, 2023). Non-pharmacological methods of pain relief allow parents to actively participate in neonatal pain management.…”

Section: Introductionmentioning

confidence: 99%

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Parents' experiences with interprofessional collaboration in neonatal pain management: A descriptive qualitative study

Mäki‐Asiala,

Axelin,

Pölkki

2023

Journal of Clinical Nursing

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AimTo describe parents' experiences with interprofessional collaboration (IPC) in neonatal pain management.BackgroundNeonatal care should be based on IPC, and non‐pharmacological pain‐relieving methods are recommended to be used primarily that enables parental participation. However, there is a lack of knowledge about pain management on IPC from the parent's viewpoint.DesignA descriptive qualitative study.MethodThe research involved a purposive sample of parents (n = 16) whose infant had been treated at a neonatal intensive care unit in Finland. Interviews were conducted with participants from all over Finland who were recruited through the national association for premature infants. Parents discussed their experiences during semi‐structured interviews which were guided by the subareas of IPC, partnership, cooperation and coordination. The data were analysed using deductive‐inductive content analysis. The reporting of results followed COREQ guidelines.ResultsBased on the parent's experiences the partnership involved themes of understanding the neonatal pain management context, being able to influence the pain management, and feeling valued. Cooperation included themes of identifying different roles and equality. Coordination was described through the sharing of knowledge, skills and expertise, as well as feeling supported by professionals.ConclusionParental involvement on IPC should be developed through interventions that involve training around pain assessment and non‐pharmacological pain‐relief methods.Relevance for clinical practiceProfessionals involved in neonatal care should act in a goal‐oriented and unified manner to promote a culture of care that allows for active parental participation.No patient or public contributionThe research has been carried out in accordance with good scientific practice. Only the research team has been involved in the design, conduct, analysis and drafting of the manuscript.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Parents' experiences with interprofessional collaboration in neonatal pain management: A descriptive qualitative study

Mäki‐Asiala,

Axelin,

Pölkki

2023

Journal of Clinical Nursing

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“…Its advantages are that it avoids mechanical ventilation, potentially neurotoxic drugs and prolonged postinterventional monitoring. In principle, procedural stress and minor pain in neonate and preterm infants can be effectively reduced by nonpharmacological measures such as breastfeeding, nonnutritive sucking or facilitated tucking [56,57 ▪▪ ]. In older children, cognitive methods and hypnosis can be used instead of or in addition to procedural sedation.…”

Section: Adjuncts To Pharmacological Sedationmentioning

confidence: 99%

Safety and quality in paediatric procedural sedation: what really matters?

Röher

Becke‐Jakob

Eich

2023

Current Opinion in Anaesthesiology

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Purpose of reviewThis review gives an overview of the safety aspects for paediatric procedural sedation and a discussion of possibilities for optimizing structure, processes and outcomes.Recent findingsProcedural sedation in paediatric patients is performed by providers of different specialties and compliance with safety standards is a basic requirement regardless of provider specialty. This includes preprocedural evaluation, monitoring, equipment and profound expertise of sedation teams. The choice of sedative medications and the possibility of incorporating nonpharmacological methods play an important role for optimal outcome. In addition, an ideal outcome from the patient's perspective includes optimized processes and clear and empathetic communication.SummaryInstitutions providing paediatric procedural sedation must ensure the comprehensive training of sedations teams. Furthermore, institutional standards for equipment, processes and optimal choice of medication depending on performed procedure and comorbidities of the patient must be established. At the same time, organizational and communication aspects should be considered.

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“…Pain is a common yet serious adverse stimulus faced by neonates in the neonatal intensive care unit (NICU). [ 1 ] A previous study [ 2 ] has shown that NICU neonates have experienced an average of 7.5 to 17.3 times of operational pain every day in the first 2 weeks after hospitalization. A Chinese survey [ 3 ] has shown that the median number of pain causing operations received by children every day was 20.…”

Section: Introductionmentioning

confidence: 99%

Maternal voice reduces procedural pain in neonates: A meta-analysis of randomized controlled trials

Jin

Zhang²,

Yang³

et al. 2023

Medicine

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Background: Procedural pain management is a very important part in the clinical care of neonates. We aimed to conduct a meta-analysis to evaluate the effects of maternal voice on neonatal procedural pain, to provide insights to the clinical pain care of neonates. Methods: Two researchers independently searched PubMed, EMBASE, The Cochrane Library, CINAHL, Web of Science, China Biomedical Literature Database, China National Knowledge Infrastructure, Wanfang and Weipu Database for randomized controlled trials (RCTs) involving the effects of maternal voice on the procedural pain of neonates up to October 25, 2022. Two investigators screened the literature based on the inclusion and exclusion criteria and evaluated the methodological quality of the inclusion study. RevMan 5.3 software was used for the meta-analysis. Results: A total of 8 RCTs with a total of 584 neonates were included. Our meta-analysis indicated that maternal voice reduces the pain score (SMD = −0.60, 95% CI: −0.81 to −0.39) and heart rate (SMD = −0.81, 95% CI: −1.44 to −0.18) and increases the comfort level (SMD = −0.47, 95% CI: −0.83 to −0.11) and blood oxygen saturation (SMD = 0.70, 95% CI: 0.03–1.38) during procedure (all P < .05). Moreover, maternal voice reduces the pain score (SMD = −0.58, 95% CI: −0.88 to −0.28) and heart rate (SMD = −0.44, 95% CI: −0.75 to −0.12) and increases the blood oxygen saturation (SMD = 0.41, 95% CI: 0.00 to −0.82) after procedure (all P < .05). No publication biases were detected by the funnel plots and Egger tests (all P > .05). Conclusion: Maternal voice is beneficial to reduce procedural pain and improve the physiological indicators in neonates. It is still necessary to conduct high-quality, large sample studies in the future to further elucidate the effect of maternal voice on neonatal pain care.

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Effectiveness of Non-Pharmacological Methods, Such as Breastfeeding, to Mitigate Pain in NICU Infants

Cited by 12 publications

References 120 publications

Parents' experiences with interprofessional collaboration in neonatal pain management: A descriptive qualitative study

Parents' experiences with interprofessional collaboration in neonatal pain management: A descriptive qualitative study

Safety and quality in paediatric procedural sedation: what really matters?

Maternal voice reduces procedural pain in neonates: A meta-analysis of randomized controlled trials

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