Pain relief effect of breastfeeding and music therapy during heel lance for healthy-term neonates in China: a randomized controlled trial

Zhu, Jiemin, Hong-Gu, He, Zhou, Xiuzhu, Wei, Haixia, Gao, Yaru, Ye, Benian, Liu, Zuguo and Chan, Sally Wai-Chi (2015) Pain relief effect of breastfeeding and music therapy during heel lance for healthy-term neonates in China: a randomized controlled trial. Midwifery, 31 3: 365-372. doi:10.1016/j.midw.2014.11.001

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Author Zhu, Jiemin
Hong-Gu, He
Zhou, Xiuzhu
Wei, Haixia
Gao, Yaru
Ye, Benian
Liu, Zuguo
Chan, Sally Wai-Chi
Title Pain relief effect of breastfeeding and music therapy during heel lance for healthy-term neonates in China: a randomized controlled trial
Journal name Midwifery   Check publisher's open access policy
ISSN 0266-6138
1532-3099
Publication date 2015-03
Year available 2014
Sub-type Article (original research)
DOI 10.1016/j.midw.2014.11.001
Open Access Status
Volume 31
Issue 3
Start page 365
End page 372
Total pages 8
Place of publication London, United Kingdom
Publisher Churchill Livingstone
Collection year 2015
Language eng
Formatted abstract
Objectives: to test the effectiveness of breast feeding (BF), music therapy (MT), and combined breast feeding and music therapy (BF+MT) on pain relief in healthy-term neonates during heel lance.
Design: randomised controlled trial.
Setting:in the postpartum unit of one university-affiliated hospital in China from August 2013 to February 2014.
Participants: among 288 healthy-term neonates recruited, 250 completed the trial. All neonates were undergoing heel lancing for metabolic screening, were breast fed, and had not been fed for the previous 30 minutes.
Interventions: all participants were randomly assigned into four groups – BF, MT, BF+MT, and no intervention – with 72 neonates in each group. Neonates in the control group received routine care. Neonates in the other three intervention groups received corresponding interventions five minutes before the heel lancing and throughout the whole procedure.
Measurements: Neonatal Infant Pain Scale (NIPS), latency to first cry, and duration of first crying.
Findings: mean changes in NIPS scores from baseline over time was dependent on the interventions given. Neonates in the BF and combined BF+MT groups had significantly longer latency to first cry, shorter duration of first crying, and lower pain mean score during and one minute after heel lance, compared to the other two groups. No significant difference in pain response was found between BF groups with or without music therapy. The MT group did not achieve a significantly reduced pain response in all outcome measures.
Conclusions: BF could significantly reduce pain response in healthy-term neonates during heel lance. MT did not enhance the effect of pain relief of BF.
Implications for practice: healthy-term neonates should be breast fed to alleviate pain during heel lance. There is no need for the additional input of classical music on breast feeding in clinic to relieve procedural pain. Nurses should encourage breast feeding to relieve pain during heel lance.
Keyword Breast feeding
Heel lance
Music therapy
Pain relief
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online 11 November 2014

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Nursing, Midwifery and Social Work Publications
 
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Created: Mon, 17 Nov 2014, 22:58:18 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work