NCT03939169

The Efficiency of Using Supportive Postures and Holding Techniques to Minimize Premature Infant Pain (PAP)

The Efficiency of Using Supportive Postures and Holding Techniques in Order to Minimize Premature Infant Pain During Naso-gastric Tube Insertion, in the Presence or Absence of the Mother.

• Status: Terminated
• Phase: N/A
• Study type: Interventional
• Enrollment: 4 (actual)
• Sponsor: Centre Hospitalier Régional Metz-Thionville · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Not accepted

Summary

Out of the most commonly performed procedures in neonates, naso-gastric tube insertion is rated as the fifth most painful. The pain is often under estimated due to the frequency with which the procedure is carried out. It has been shown that the environment in which the procedure is performed (e.g with skin to skin contact and specific positioning), reduces the discomfort felt by the newborn. However, this has not yet been proven with regards to naso-gastric tube insertion.

Detailed description

Our clinical study (carried out in the Neonatology Unit of Mercy Regional Hospital) has shown that when positioning and other non drug related analgesic techniques are used, newborns undergoing naso-gastric tube insertion feel less pain. Several different techniques were used, such as skin-to-skin contact with the mother and/or positioning the infant using appropriate equipment, or the "four hands" technique carried out by two health care professionals. Neonatal unit staff were able to choose the method used depending on whether the mother was present at the time of the procedure. In cases where the mother was absent, the "four hands technique" was favored, but in the presence of the mother skin-to-skin contact was preferable.

Conditions

• Premature Infant

Interventions

Type	Name	Description
OTHER	Installation of a naso-gastric feeding tube	Insertion of the feeding tube with skin-to-skin contact or whilst being held in the mother's arms, or by using the four hands technique or by performing positional support with appropriate equipment

Timeline

• Start date: 2019-11-15
• Primary completion: 2020-11-13
• Completion: 2020-11-13
• First posted: 2019-05-06
• Last updated: 2026-01-23

Locations

1 site across 1 country: France