Cobedding of Twin Premature Infants: Calming Effects on Pain Responses

The purpose of this trial was to determine whether cobedding of preterm twins has analgesic effects during heel lancing or not. Methods: One hundred premature twins (50 sets) born between 26 weeks' and 34 weeks' gestation undergoing heel blood sampling were randomly assigned into two group...

Full description

Saved in:
Bibliographic Details
Main Authors: Zohreh Badiee, Zohreh Nassiri, Amirmohammad Armanian
Format: Article
Language:English
Published: Elsevier 2014-08-01
Series:Pediatrics and Neonatology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1875957214000308
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849728019893059584
author Zohreh Badiee
Zohreh Nassiri
Amirmohammad Armanian
author_facet Zohreh Badiee
Zohreh Nassiri
Amirmohammad Armanian
author_sort Zohreh Badiee
collection DOAJ
description The purpose of this trial was to determine whether cobedding of preterm twins has analgesic effects during heel lancing or not. Methods: One hundred premature twins (50 sets) born between 26 weeks' and 34 weeks' gestation undergoing heel blood sampling were randomly assigned into two groups: the cobedding group (receiving care in the same incubator) and the standard care group (receiving care in separate incubators). Pain was assessed using the premature infant pain profile score. Duration of crying was measured after heel blood sampling, and salivary cortisol was measured prior to and after heel blood sampling. Results: Infants in the standard care group cried for a longer time during heel lancing than those in the cobedding group (42.6 ± 19.8 seconds vs. 36.4 ± 21.7 seconds, p = 0.03). The mean premature infant pain profile score after heel lancing was significantly higher in the standard care group (9.8 ± 2.6 vs. 8.06 ± 2.8, p = 0.002). The mean salivary cortisol after heel lancing was also significantly higher in the standard care group (24.3 ± 7.4 nmol/L vs. 20.8 ± 7.4 nmol/L, p = 0.02). No significant adverse effects were seen with cobedding. Conclusion: Cobedding is a comforting measure for twin premature infants during heel lancing, which can be performed without any significant adverse effects.
format Article
id doaj-art-f919e106d4274e60b8b9541f8c988b06
institution DOAJ
issn 1875-9572
language English
publishDate 2014-08-01
publisher Elsevier
record_format Article
series Pediatrics and Neonatology
spelling doaj-art-f919e106d4274e60b8b9541f8c988b062025-08-20T03:09:41ZengElsevierPediatrics and Neonatology1875-95722014-08-0155426226810.1016/j.pedneo.2013.11.008Cobedding of Twin Premature Infants: Calming Effects on Pain ResponsesZohreh BadieeZohreh NassiriAmirmohammad ArmanianThe purpose of this trial was to determine whether cobedding of preterm twins has analgesic effects during heel lancing or not. Methods: One hundred premature twins (50 sets) born between 26 weeks' and 34 weeks' gestation undergoing heel blood sampling were randomly assigned into two groups: the cobedding group (receiving care in the same incubator) and the standard care group (receiving care in separate incubators). Pain was assessed using the premature infant pain profile score. Duration of crying was measured after heel blood sampling, and salivary cortisol was measured prior to and after heel blood sampling. Results: Infants in the standard care group cried for a longer time during heel lancing than those in the cobedding group (42.6 ± 19.8 seconds vs. 36.4 ± 21.7 seconds, p = 0.03). The mean premature infant pain profile score after heel lancing was significantly higher in the standard care group (9.8 ± 2.6 vs. 8.06 ± 2.8, p = 0.002). The mean salivary cortisol after heel lancing was also significantly higher in the standard care group (24.3 ± 7.4 nmol/L vs. 20.8 ± 7.4 nmol/L, p = 0.02). No significant adverse effects were seen with cobedding. Conclusion: Cobedding is a comforting measure for twin premature infants during heel lancing, which can be performed without any significant adverse effects.http://www.sciencedirect.com/science/article/pii/S1875957214000308heel lancepainpreterm infant
spellingShingle Zohreh Badiee
Zohreh Nassiri
Amirmohammad Armanian
Cobedding of Twin Premature Infants: Calming Effects on Pain Responses
Pediatrics and Neonatology
heel lance
pain
preterm infant
title Cobedding of Twin Premature Infants: Calming Effects on Pain Responses
title_full Cobedding of Twin Premature Infants: Calming Effects on Pain Responses
title_fullStr Cobedding of Twin Premature Infants: Calming Effects on Pain Responses
title_full_unstemmed Cobedding of Twin Premature Infants: Calming Effects on Pain Responses
title_short Cobedding of Twin Premature Infants: Calming Effects on Pain Responses
title_sort cobedding of twin premature infants calming effects on pain responses
topic heel lance
pain
preterm infant
url http://www.sciencedirect.com/science/article/pii/S1875957214000308
work_keys_str_mv AT zohrehbadiee cobeddingoftwinprematureinfantscalmingeffectsonpainresponses
AT zohrehnassiri cobeddingoftwinprematureinfantscalmingeffectsonpainresponses
AT amirmohammadarmanian cobeddingoftwinprematureinfantscalmingeffectsonpainresponses