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ObjectiveTo analyse the social beliefs, representations and experiences of fathers of preterm newborns (NBs) regarding breastfeeding.DesignA qualitative interview study with analysis of transcripts using the Alceste software.SettingA tertiary university hospital neonatal intensive care unit (NICU) in France.Participants20 fathers of preterm NBs hospitalised in an NICU.ResultsThe software classified 72% of the corpus into six lexical classes. Two main networks of classes emerged from the analysis: one for lactation, consisted of ‘breastfeeding’ and ‘expression of milk’ classes, and one for ‘care’. The analysis demonstrated that fathers were sensitive to arguments related to the health benefits of human milk. Fathers mentioned that breastfeeding preterm NBs was constraining and tiring for their partners (multiple daily sessions of milk expression with breast pumps, time constraints and need for supplements to tube-feeding…). They also mentioned how they could genuinely help their partners during breastfeeding.ConclusionsThe results of this qualitative study provide insight into how fathers can be supportive of breastfeeding when experiencing a preterm birth. Targeted information and practical advice provided by caregivers on the first days of life can help fathers to get involved in the breastfeeding process.

Sample:We included 492 women with a singleton pregnancy and a diagnosis of preterm premature rupture of membranes at 24-31 weeks. Exclusion criteria were contraindication to expectant management or indication for antibiotic therapy other than preterm premature rupture of membranes. Antibiotic prophylaxis was categorised as amoxicillin (n = 345), macrolide (n = 30), third-generation cephalosporin (n = 45) or any combinations covering Streptococcus agalactiae and >90% of Escherichia coli (n = 72), initiated within 24 hours after preterm premature rupture of membranes.Methods: Population-averaged robust Poisson models.

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for ROP screening on the basis of birth weight and/ or gestational age. Only the first screening examination for each baby was considered. Premature babies, were randomised to one of three interventions before their screening examination: group 1 (n = 27) received 24% sucrose oral, group 2 (n = 27) received 24% sucrose with pacifier, group 3 (n = 27) received sterile water with pacifier. Pain responses were scored by using the PIPP. Results A total of 81 infants (42 males and 39 females) were enrolled in the study. The mean birth weight was 1280 ± 316 g, gestational age was 28.7 ± 2.1 weeks and corrected gestational age at examination was 34.2 ± 2.9 weeks. The mean PIPP scores in group 1, 2, and 3 were 16.7, 11.4 and 15.1, respectively. Sucrose with pacifier (group 2) had a significantly lower mean PIPP score than group 1 and 3 (p 0.014; 0.021, respectively). Conclusions Sucrose combined with NNS and NNS itself reduce pain scores during screening examinations for ROP. Background and aims Sucrose and breast milk during painful procedures are reported to decrease pain behavioural expression in neonates. Recent data showed a persistent cortical pain response while using the sucrose during a painful procedure. PS-195To compare the efficacy of sucrose versus breast milk for specific-pain brain activity relief during a painful procedure in neonates. Methods Randomised, prospective, controlled study. Each term newborn was randomly assigned to sucrose or breastfeeding group at day 3 during a systematic venipuncture. Change in the total haemoglobin concentration in the controlateral somatosensory cortex (Near Infra-red Spectroscoy, NIRS) was assessed 10 seconds before and after the venipuncture. Neonatal Facial Coding System (NFCS) was assessed 2 min before and at the time of the venipuncture. Groups were compared using Wilcoxon test for the variations in NIRS and Chi-square test for the NFCS scores. Results 113 newborns were included (sucrose: 56, breastfeeding: 57) with a mean (sd) of 39.3 weeks (0.9) for gestational age and 3370 g (478) for birth weight. 103 were analysed for the NIRS (sucrose: 55, breastfeeding: 48). Median (quartiles) of total haemoglobin concentration change was -8.5 mmol/L (-34.5; 12.5) for sucrose group and 12.3 mmol/L (-23.4; 39.3) for breastfeeding group with no statistical difference (p = 0.06). NFCS scores were significantly different with 46.8% with a painful score in the breastfeeding versus 26.8% in the sucrose (p = 0.03).Conclusions No difference were found between sucrose and breastfeeding on specific-pain brain activity during a venipuncture in term newborns. A discordance was revealed between NFCS scores and NIRS analysis. PS-196 WITHDRAWN PS-197 A RANDOMISED TRIAL OF ESTIMATING UMBILICAL CATHETER INSERTION DEPTH IN NEWBORNS USING BIRTH WEIGHT OR SURFACE MEASUREMENTS (ISRCTN17864069)E Kieran, E Laffan, C O'Donnell. Neonatology, The National Maternity Hospital, Dublin, Ireland 10.1136/archdischild-2014 Background Incorrect umbilical venous and arterial catheter (UAC and UVCs) tip pos...