Pain in full term newborns submitted to music and swaddling during venipunctures

Abstract

Objective: to compare pain scores in term newborns submitted to music and swaddling interventions during venipuncture. Methods: pilot study of a clinical trial, carried out with 11 newborns in rooming-in care who received venipunctures. The newborns were randomly allocated into two groups: Experimental (20 minutes of music + swaddling) and Control (swaddling). Newborns were filmed and pain was assessed by the Neonatal Facial Coding System at baseline, procedure, and initial recovery phases. Results: the Experimental Group at baseline, procedure (antisepsis, puncture, and milking), and recovery showed less pain reactions and lower heart rate mean and variation (p<0.05) than the Control Group. Conclusion: newborns who received the intervention of music combined with swaddling had less pain reactions and less variations in heart rate during venipuncture. Brazilian Clinical Trial Registry: RBR-8x8v2r.

Effect of music combined with swaddling on pain in full-term newborns: randomized clinical trial

“…In a pilot study involving neonates who listened to music combined with the swaddling technique had less pain actions during the venous puncture than those exposed only to swaddling. For the procedure (antisepsis and puncture), there was difference for all facial actions studied (p<0.05) and odds ratio for absence of pain reaction was 17.1 times higher, at the time of antisepsis for experimental group (both music and swaddling) (7) .…”

“…Based on these strategies, non-pharmacological measures are forms of care that should be performed in neonatal units (5) , such as comfort, touch, kangaroo care, tucking, nurturance, holding the baby (6) , swaddling (6)(7) , and music (7) .…”

“…A pilot study involving the use of music for 20 minutes combined to swaddling in health babies showed that full term newborns presented lower pain actions and lower variation in heart rate during venous puncture (p<0.05) (7) .…”

The effect of concurrent use of swaddle and sucrose on the intensity of pain during venous blood sampling in neonate: a clinical trial study

“…The study by Viana et al (2020) showed that newborns who received music and swaddle interventions simultaneously experienced less pain and lower heart rate changes during venipuncture at all stages of the intervention [ 29 ]. Another study by Yousef et al (2019) found that although oral sucrose or pacifier alone reduced the mean pain score in preterm neonates during painful procedures, combined use of a pacifier and oral sucrose showed improvement in reducing pain than using each of them alone [ 30 ].…”