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Study protocol: parents as pain management in Swedish neonatal care - SWEpap, a multi-center randomized controlled trial
Örebro Univ, Sch Hlth Sci, Fac Med & Hlth, S-70182 Örebro, Sweden.;Örebro Univ, Fac Med & Hlth, Dept Pediat, Örebro, Sweden..
Örebro Univ, Sch Hlth Sci, Fac Med & Hlth, S-70182 Örebro, Sweden.;Örebro Univ, Fac Med & Hlth, Dept Pediat, Örebro, Sweden..
Telemark Hosp Trust, Dept Res, Skien, Norway.;Univ Oslo, Inst Hlth & Soc, Res Ctr Habilitat & Rehabil Serv & Models CHARM, Oslo, Norway..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Center for Clinical Research Dalarna. Dalarna Univ, Sch Educ Hlth & Social Studies, Falun, Sweden.;Falun Cent Hosp, Dept Pediat, Falun, Sweden..ORCID iD: 0000-0002-3460-7500
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2020 (English)In: BMC Pediatrics, ISSN 1471-2431, E-ISSN 1471-2431, Vol. 20, no 1, article id 474Article in journal (Refereed) Published
Abstract [en]

Background: During the first period of life, critically ill as well as healthy newborn infants experience recurrent painful procedures. Parents are a valuable but often overlooked resource in procedural pain management in newborns. Interventions to improve parents’ knowledge and involvement in infants’ pain management are essential to implement in the care of the newborn infant. Neonatal pain research has studied a range of non-pharmacological pain alleviating strategies during painful procedures, yet, regarding combined multisensorial parent-driven non-pharmacological pain management, research is still lacking.

Methods/design: A multi-center randomized controlled trial (RCT) with three parallel groups with the allocation ratio 1:1:1 is planned. The RCT “Parents as pain management in Swedish neonatal care – SWEpap”, will investigate the efficacy of combined pain management with skin-to-skin contact, breastfeeding and live parental lullaby singing compared with standard pain care initiated by health care professionals, during routine metabolic screening of newborn infants (PKU-test).

Discussion: Parental involvement in neonatal pain management enables a range of comforting parental interventions such as skin-to-skin contact, breastfeeding, rocking and soothing vocalizations. To date, few studies have been published examining the efficacy of combined multisensorial parent-driven interventions. So far, research shows that the use of combined parent-driven pain management such as skin-to-skin contact and breastfeeding, is more effective in reducing behavioral responses to pain in infants, than using the pain-relieving interventions alone. Combined parental soothing behaviors that provide rhythmic (holding/rocking/vocalizing) or orogustatory/orotactile (feeding/pacifying) stimulation that keep the parent close to the infant, are more effective in a painful context. In the SWEpap study we also include parental live lullaby singing, which is an unexplored but promising biopsychosocial, multimodal and multisensory pain alleviating adjuvant, especially in combination with skin-to-skin contact and breastfeeding.

Trial registration: ClinicalTrials.gov (NCT04341194) 10 April 2020.

Place, publisher, year, edition, pages
Springer Nature , 2020. Vol. 20, no 1, article id 474
Keywords [en]
Infants, Parents, Pain management, Skin-to-skin contact, Breastfeeding, Lullaby singing, Newborn metabolic screening, Randomized controlled trial
National Category
Pediatrics
Identifiers
URN: urn:nbn:se:uu:diva-425439DOI: 10.1186/s12887-020-02356-7ISI: 000581479700001PubMedID: 33046026OAI: oai:DiVA.org:uu-425439DiVA, id: diva2:1501342
Available from: 2020-11-16 Created: 2020-11-16 Last updated: 2020-11-16Bibliographically approved

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Ericson, JennyThernström Blomqvist, Ylva

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