Pain response to vaccination in newborn infants of diabetic mothers

Mehler, Katrin; Giebisch, Christina; Abele, Julia; Roth, Bernhard; Huenseler, Christoph

doi:10.1016/j.earlhumdev.2020.105139

Cited by 3 publications

(6 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Previous experience of pain may modify pain responses, with a cumulative effect of previous procedures in exacerbating the neonatal expression of pain. 1 , 31 In the present study, infants had received a median of five painful procedures prior to the experiment, ranging from one to 13, and some variation in the expression of pain may be associated with this variability.…”

Section: Discussionmentioning

confidence: 99%

Pediatricians’ focus of sight at pain assessment during a neonatal heel puncture

Silva,

Barros,

Borten

et al. 2024

Rev. paul. pediatr.

View full text Add to dashboard Cite

Objective: To evaluate the focus of pediatricians’ gaze during the heel prick of neonates. Methods: Prospective study in which pediatricians wearing eye tracker glasses evaluated neonatal pain before/after a heel prtick. Pediatricians scored the pain they perceived in the neonate in a verbal analogue numerical scale (0=no pain; 10=maximum pain). The outcomes measured were number and time of visual fixations in upper face, lower face, and hands, in two 10-second periods, before (pre) and after the puncture (post). These outcomes were compared between the periods, and according to pediatricians’ pain perception: absent/mild (score: 0–5) and moderate/intense (score: 6–10). Results: 24 pediatricians (31 years old, 92% female) evaluated 24 neonates. The median score attributed to neonatal pain during the heel prick was 7.0 (Interquartile range: 5–8). Compared to pre-, in the post-periods, more pediatricians fixed their gaze on the lower face (63 vs. 92%; p=0.036) and the number of visual fixations was greater on the lower face (2.0 vs. 5.0; p=0.018). There was no difference in the number and time of visual fixations according to the intensity of pain. Conclusions: At bedside, pediatricians change their focus of attention on the neonatal face after a painful procedure, focusing mainly on the lower part of the face.

show abstract

Section: Discussionmentioning

confidence: 99%

Pediatricians’ focus of sight at pain assessment during a neonatal heel puncture

Silva,

Barros,

Borten

et al. 2024

Rev. paul. pediatr.

View full text Add to dashboard Cite

show abstract

“…25 Previous experience with painful phenomena can exacerbate the pain expression of the infant, interfering in pain assessment. 26 27 The newborns in our study had several devices attached for monitoring and treatment and had undergone painful procedures prior to the research. Another factor to be considered is the state of sleep in which the newborn was at the time of the assessment.…”

Section: Discussionmentioning

confidence: 99%

“…Adults' depression was assessed by the Beck Depression Inventory (BDI) 9 , a questionnaire that verifies depressive symptoms in the previous 7 days, with a score ranging from 0 to 63. Depression was classified as absent (score <10 ), mild (10)(11)(12)(13)(14)(15)(16)(17)(18), moderate (19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29) or severe .…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…In relation to the newborn, the presence of the tracheal tube or the nasal prongs, as well as vascular accesses, gastric tube and monitors may indicate clinical severity, which may interfere in the assessment of pain 25 . Previous experience with painful phenomena can exacerbate the pain expression of the infant, interfering in pain assessment 26,27 . The newborns in our study had several devices attached for monitoring and treatment and had undergone painful procedures prior to the research.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

See 1 more Smart Citation

Looking through Providers' Eyes: Pain in the Neonatal Intensive Care Unit

Borten,

Barros,

Silva

et al. 2023

Am J Perinatol

View full text Add to dashboard Cite

Objective: Evaluate the pain of critically ill newborns is a challenge because of the devices for cardiorespiratory support. This study aim to verify the adults' gaze when assessing the critically ill neonates's pain at bedside. Study design: Cross-sectional study in which pediatricians, nursing technicians and parents evaluated critically ill neonates's pain at bedside, for 20 seconds with eye-tracking glasses. At the end, they answered whether the neonate was in pain or not. Visual tracking outcomes: number and time of visual fixations in four areas of interest (AOI) [face, trunk and upper (UL) and lower (LL) limbs] were compared between groups, and according to pain perception (present/absent). Results: 62 adults (21 pediatricians, 23 nursing technicians, 18 parents) evaluated 27 neonates (gestational age: 31.8±4.4w; birth weight: 1645±1234g). More adults fixed their gaze on the face (96.8%) and trunk (96.8%), followed by upper (74.2%) and lower (66.1%) limbs. Parents performed a greater number of fixations on the trunk than nursing technicians (11.0 vs. 5.5 vs. 6.0;p=0.023). Controlled for visual tracking variables, each second of eye fixation in AOI (1.21; 95%CI: 1.03-1.42; p=0.018) and UL (1.07; 95%CI: 1.03-1.10; p<0.001) increased the chance of perceiving the presence of pain. Conclusion: Adults, when assessing at bedside critically ill newborns's pain, fixed their eyes mainly on the face and trunk. The time spent looking at the upper limbs was associated with the perception of pain presence.

show abstract

“…1 A baby's painful experiences can have long-term psychological effects. 2 We have effective methods to relieve pain.…”

Section: The Moral Risk Of Methodological Puritymentioning

confidence: 99%