No more tears? Maternal involvement during the newborn screening examination.

Hdl Handle:
http://hdl.handle.net/10147/206215
Title:
No more tears? Maternal involvement during the newborn screening examination.
Authors:
Ganda, Augustine Josie; Fara Ibrahim, Laila; Natchimutu, Kannan; Ryan, C Anthony
Affiliation:
Cork University Maternity Hospital, Cork, Ireland, University College Cork, Cork,, Ireland.
Citation:
Clin Pediatr (Phila). 2011 Aug;50(8):753-6. Epub 2011 May 3.
Journal:
Clinical pediatrics
Issue Date:
31-Jan-2012
URI:
http://hdl.handle.net/10147/206215
DOI:
10.1177/0009922811405516
PubMed ID:
21540279
Abstract:
BACKGROUND: Babies often show signs of discomfort and distress by crying during the neonatal screening examination (NSE). The authors hypothesized that supporting the baby with maternal participation may reduce infant crying during NSE. The objective of this study was to document incidental infant crying during NSE, before and after training residents, on maternal involvement and infant comfort techniques to help. METHODS: A total of 20 NSEs of normal newborn babies by pediatric residents were observed (video-recorded) following informed consent of the doctor and the baby's mother. The examining doctors were then taught how to use maternal participation and developmental care (MPDC) comfort techniques to support the baby during NSE. Mothers were shown how to focus on their baby's needs by supporting the baby's head (preventing atonic neck reflexes) and, if necessary, providing nonnutritive sucking to the baby and an encouraging, repetitive low-tone voices to sooth the baby. A further 14 NSEs on different babies were video-recorded using these techniques. The video recordings were analyzed by independent observers for total length of crying and duration of crying during specific components of the NSE. Mothers in both groups were given a questionnaire to assess their opinions of the NSE. RESULTS: The median length of crying was significantly longer in the pre-MPDC group (93.5 seconds; range 0-198 seconds) compared with the post-MPDC infants (0 seconds; range 0-123 seconds; P = .001). Only 1 of 20 infants in the pre-MPDC did not cry during NSE compared with 8 of 14 babies in the post-MPDC group. CONCLUSION: Newborn infants cry less and mothers were more satisfied with NSEs when shown simple support and comfort techniques for their babies.
Language:
eng
MeSH:
*Crying; Female; Humans; *Infant Behavior; Infant, Newborn; Male; Mothers; Neonatal Screening/*methods/standards; Patient Care/methods; Video Recording
ISSN:
1938-2707 (Electronic); 0009-9228 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorGanda, Augustine Josieen_GB
dc.contributor.authorFara Ibrahim, Lailaen_GB
dc.contributor.authorNatchimutu, Kannanen_GB
dc.contributor.authorRyan, C Anthonyen_GB
dc.date.accessioned2012-01-31T16:42:43Z-
dc.date.available2012-01-31T16:42:43Z-
dc.date.issued2012-01-31T16:42:43Z-
dc.identifier.citationClin Pediatr (Phila). 2011 Aug;50(8):753-6. Epub 2011 May 3.en_GB
dc.identifier.issn1938-2707 (Electronic)en_GB
dc.identifier.issn0009-9228 (Linking)en_GB
dc.identifier.pmid21540279en_GB
dc.identifier.doi10.1177/0009922811405516en_GB
dc.identifier.urihttp://hdl.handle.net/10147/206215-
dc.description.abstractBACKGROUND: Babies often show signs of discomfort and distress by crying during the neonatal screening examination (NSE). The authors hypothesized that supporting the baby with maternal participation may reduce infant crying during NSE. The objective of this study was to document incidental infant crying during NSE, before and after training residents, on maternal involvement and infant comfort techniques to help. METHODS: A total of 20 NSEs of normal newborn babies by pediatric residents were observed (video-recorded) following informed consent of the doctor and the baby's mother. The examining doctors were then taught how to use maternal participation and developmental care (MPDC) comfort techniques to support the baby during NSE. Mothers were shown how to focus on their baby's needs by supporting the baby's head (preventing atonic neck reflexes) and, if necessary, providing nonnutritive sucking to the baby and an encouraging, repetitive low-tone voices to sooth the baby. A further 14 NSEs on different babies were video-recorded using these techniques. The video recordings were analyzed by independent observers for total length of crying and duration of crying during specific components of the NSE. Mothers in both groups were given a questionnaire to assess their opinions of the NSE. RESULTS: The median length of crying was significantly longer in the pre-MPDC group (93.5 seconds; range 0-198 seconds) compared with the post-MPDC infants (0 seconds; range 0-123 seconds; P = .001). Only 1 of 20 infants in the pre-MPDC did not cry during NSE compared with 8 of 14 babies in the post-MPDC group. CONCLUSION: Newborn infants cry less and mothers were more satisfied with NSEs when shown simple support and comfort techniques for their babies.en_GB
dc.language.isoengen_GB
dc.subject.mesh*Cryingen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.mesh*Infant Behavioren_GB
dc.subject.meshInfant, Newbornen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMothersen_GB
dc.subject.meshNeonatal Screening/*methods/standardsen_GB
dc.subject.meshPatient Care/methodsen_GB
dc.subject.meshVideo Recordingen_GB
dc.titleNo more tears? Maternal involvement during the newborn screening examination.en_GB
dc.contributor.departmentCork University Maternity Hospital, Cork, Ireland, University College Cork, Cork,, Ireland.en_GB
dc.identifier.journalClinical pediatricsen_GB
dc.description.provinceMunster-

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