Breastfeeding and skin-to-skin contact for pain relief of newborns during hepatitis B vaccination

Authors

  • Adriana Moraes Leite Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto
  • Ariadna de Cássia Tardim Oliveira da Silva Hospital Estadual de Ribeirão Preto
  • Thaíla Correa Castral Universidade Federal de Goiás, Faculdade de Enfermagem
  • Lucila Castanheira Nascimento Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto
  • Mirna Isicawa de Sousa Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Hospital das Clínicas
  • Carmen Gracinda Silvan Scochi Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto

DOI:

https://doi.org/10.5216/ree.v17i3.31932

Keywords:

Infant, Newborn, Acute Pain, Breast Feeding, Vaccines, Neonatal Nursing

Abstract

The objective was to compare the combination of skin-to-skin contact with breastfeeding, to skin-to-skin contact during hepatitis B vaccination in newborns. Randomized clinical trial with a sample of 55 full-term newborns divided between two groups, namely; skin-to-skin contact (GP, n = 38), and breastfeeding combined with skin-to-skin contact (GPA, n = 27). The pain of newborns was assessed by facial movements. The heart rate (HR) of all newborns was measured, as well as the suckling frequency of newborns in the GPA. There was a statistically significant difference in the periods of compression and recovery between the groups for the NFCS scores. The average values of HR were significantly higher in the GP during antisepsis/injection. The suckling in the GPA ranged between 10-28 suckles per minute. The breastfeeding combined with maternal skin-to-skin contact can enhance the analgesic effect of maternal skin-to-skin contact, contributing to a better recovery of newborns after the procedure.

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Author Biographies

Adriana Moraes Leite, Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto

Nurse, PhD in Public Health Nursing. Professor, Escola de Enfermagem de Ribeirão Preto (EERP), Universidade de São Paulo (USP). Ribeirão Preto, SP, Brazil. E-mail: drileite@eerp.usp.br.

Ariadna de Cássia Tardim Oliveira da Silva, Hospital Estadual de Ribeirão Preto

Nurse, Master in Public Health Nursing. Nurse at the Hospital Estadual de Ribeirão Preto. Ribeirão Preto, SP, Brazil. E-mail: silva.ariadna@yahoo.com.br

Thaíla Correa Castral, Universidade Federal de Goiás, Faculdade de Enfermagem

Nurse, PhD in Public Health Nursing. Adjunct Professor, Faculdade de Enfermagem da Universidade Federal de Goiás. Goiânia, GO, Brazil. E-mail: thaccastral@gmail.com.

Lucila Castanheira Nascimento, Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto

Nurse, PhD in Public Health Nursing. Associate Professor, EERP, USP. Ribeirão Preto, SP, Brazil. E-mail: lucila@eerp.usp.br.

Mirna Isicawa de Sousa, Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Hospital das Clínicas

Nurse. Student of the Postgraduate Program in Nursing, PhD level, EERP, USP. Nurse at the Hospital das Clínicas of the Faculdade de Medicina de Ribeirão Preto, USP. Ribeirão Preto, SP, Brazil. E-mail: miisicawa@gmail.com.

Carmen Gracinda Silvan Scochi, Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto

Nurse, PhD in Nursing. Professor, Escola de EERP, USP. Ribeirão Preto, SP, Brazil. E-mail: cscochi@eerp.usp.br.

Published

2015-09-30

Issue

Section

Original Article