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(Reference retrieved automatically from SciELO through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Newborn self-regulation and mother comfort in kangaroo position versus sucrose during repeated heel punctures: randomized clinical trial

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Author(s):
Liciane Langona Montanholi [1] ; Mariana Firmino Daré [2] ; Thaíla Corrêa Castral [3] ; Carmen Gracinda Silvan Scochi [4]
Total Authors: 4
Affiliation:
[1] University of São Paulo. Nursing School - Brasil
[2] University of São Paulo. Nursing School - Brasil
[3] Federal University of Goiás. Nursing School - Brasil
[4] University of São Paulo. Nursing School - Brasil
Total Affiliations: 4
Document type: Journal article
Source: BrJP; v. 5, n. 4, p. 311-319, 2023-02-17.
Abstract

ABSTRACT BACKGROUND AND OBJECTIVES: Self-regulation is the ability to control mental functions, satisfying physical, social and emotional needs. The objective of this study was to compare self-regulatory actions in newborns submitted to kangaroo position or 25% sucrose for analgesia during two heel punctures in the first hours of life, and to describe the comfort actions offered by mothers to their infants in kangaroo position. METHODS: Randomized equivalence clinical trial with newborns submitted to two heel punctures and their mothers. The kangaroo position group remained in contact with the mother for three minutes before, during and three minutes after the punctures. The sucrose group received 25% sucrose orally two minutes before the punctures and remained in a common crib, without manipulation. The self-regulation actions and maternal comfort were microanalytically analyzed in the two punctures (18 data collection phases). The percentages of self-regulation/comfort actions duration were compared between intragroup and between groups. RESULTS: The sample consisted of 80 newborns (40 per group) and 40 mothers (kangaroo position group). Sucking fingers/fist/tongue was the only self-regulation action that statistically differed in the two punctures (p<0.001), being higher in the sucrose group. In the kangaroo position group, mothers offered comfort actions to the child at all stages of collection, especially rocking and caressing. CONCLUSION: Self-regulation actions of the newborns were observed in all phases of collection in both groups, such as sucking and taking hand to mouth. In the kangaroo position group, there were maternal comfort actions, especially hugging and caressing. (AU)

FAPESP's process: 12/01938-0 - Analgesic and neonatal comfort effects of skin-to-skin versus sucrose during two repeated and successive heel punctures in neonates: a randomized clinical trial
Grantee:Liciane Langona Montanholi
Support Opportunities: Scholarships in Brazil - Doctorate