Details

Autor(en) / Beteiligte

• Tavlar, Merve
• Karakoc, Ayse

Titel

The effect of breastfeeding, breast milk odour and mother's heartbeat sound on pain level in newborns: A randomized trial

Ist Teil von

• International journal of nursing practice, 2022-12, Vol.28 (6), p.e13067-n/a

Ort / Verlag

Australia: Wiley Subscription Services, Inc

Erscheinungsjahr

2022

Quelle

Wiley-Blackwell Journals

Beschreibungen/Notizen

• Aim This study aimed to compare the effects of breastfeeding, breast milk odour and mother's heartbeat sounds on perceived pain during heel lance procedures in term newborns. Design This was a randomized three‐group experimental study. Methods The sample of the study consisted of 90 newborns. The data were collected using pulse oximeter, fetal hand doppler, voice recorder, loudspeaker, a data collection form and the ALPS‐Neo Pain and Stress Assessment Scale for Newborn Infants. Results During the procedure, newborns in the breast milk odour group had high levels of pain and stress, those in the mother's heartbeat sounds group had mild pain and stress, and those in the breastfeeding group had no pain and stress. Additionally, a statistically significant difference was found between their crying times. This difference was the highest for newborns in the breast milk odour group, followed by the mother's heartbeat sounds and breastfeeding groups, respectively. Conclusion Breastfeeding and mother's heartbeat sounds, which are non‐pharmacological pain relief methods, are effective in neonatal pain management. However, breast milk odour is not effective for pain control in newborns. Further studies should examine the efficacy combinations of these methods. Summary statement What is already known about this topic? The presence of pain is a major stress factor for newborns. The American Academy of Pediatrics (AAP) recommends the use of non‐pharmacological pain control methods to relieve the pain caused by routine medical procedures in newborns. What this paper adds? This randomized controlled experimental study showed breastfeeding is a very effective method for pain control in newborns during heel lance procedures. The sound of the mother's heartbeat was found to be moderately effective. Breast milk odour was not effective for pain control in newborns. The implications of this paper: The use of non‐pharmacological pain management methods such as maternal heart sounds in combination with methods with high evidence level (breast milk, breastfeeding, etc.) may increase the effectiveness of pain management in newborns. In order to determine the effect of sense of smell on pain management in newborns, new studies should be planned comparing newborns of different postnatal ages.