Management of Procedural Pain in Preterm Infants Through Olfactive Stimulation with Mothers’ Milk: A Pilot Study

Management of Procedural Pain in Preterm Infants Through Olfactive Stimulation with Mothers’ Milk: A Pilot Study

Management of Procedural Pain in Preterm Infants Through Olfactive Stimulation with Mothers’ Milk: A Pilot Study

Management of Procedural Pain in Preterm Infants Through Olfactive Stimulation with Mothers’ Milk: A Pilot Studys

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Référence bibliographique [22414]

De Clifford-Faugère, Gwenaëlle, Aita, Marylin, Héon, Marjolaine et Le May, Sylvie. 2019. «Management of Procedural Pain in Preterm Infants Through Olfactive Stimulation with Mothers’ Milk: A Pilot Study ». Science infirmière et pratiques en santé / Science of Nursing and Health Practices , vol. 2, no 1, p. 1-13.

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Fiche synthèse

1. Objectifs


Intentions :
The objective of this study was «[t]o assess the feasibility, acceptability, and
preliminary effects of an olfactive stimulation intervention using mothers’ milk to manage preterm infants’ pain during heel prick. The specific objectives were the following: […] assess the feasibility of the pilot study’s recruitment and data collection, […] assess the feasibility and the acceptability of the olfactive stimulation intervention by mothers, […] assess the feasibility and the acceptability of the olfactive stimulation intervention by nurses, […] observe the preliminary effects of the olfactive stimulation intervention on preterm infants’ pain during a heel prick procedure.» (p. 3)

2. Méthode


Échantillon/Matériau :
«This study was conducted in April 2017, in a level-III NICU [neonatal intensive care units] where approximately 130 preterm and full-term infants are hospitalized every year. […] A total of 12 mother-preterm infant dyads and 20 nurses caring for them were recruited to participate in the study […].» (p. 3)

Instruments :
Questionnaires

Type de traitement des données :
Analyse statistique

3. Résumé


The results of the study show that «[t]he intervention was evaluated as acceptable by mothers and 91% (n = 10) thought that the odor of their milk could help relieve their baby’s pain during painful procedures. All mothers found that the procedure of giving 20 ml of milk was easy. All mothers were able to arrive at the NICU the day before heel prick to express their milk. All mothers were invited to be present during heel prick. Six mothers (55%) responded that they wanted to be present during the painful procedures conducted on their infant. However, no parents attended the heel prick.» (p. 7) Overall, the authors «found that the olfactive stimulation intervention with mothers’ milk for pain management in preterm infants is feasible and acceptable for both mothers and nurses. In addition, the intervention seems to have an effect on preterm infants’ pain response and time taken for physiological parameters to return to baseline, following a heel prick, when the pad saturated with mothers’ milk is placed 1 mm from their nose.» (p. 9)