NCT06173622

Effects of Fetal Positioning During Venipuncture

Effects of Fetal Positioning on Pain and Physiological Parameters During Venipuncture in Preterm Neonates: A Randomized Controlled Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 60 (actual)
• Sponsor: Ankara Yildirim Beyazıt University · Academic / Other
• Sex: All
• Age: 6 Days – 28 Days
• Healthy volunteers: Not accepted

Summary

The study was aimed to examine the effects of fetal positioning during venipuncture on the neonates' pain score and physiological parameters (heart rate, blood-oxygen saturation, body temperature, crying duration) in neonatal intensive care unit (NICU). This randomized controlled clinical trial was conducted between 10.2021-07.2022 with 60 preterm neonates, aged 26-32 week of gestation. Neonates were divided into intervention group (n=30) and control group (n=30) according to the randomization method. The neonates in the intervention group were put into fetal positioning at least 10 minutes before the procedure, and then venipuncture was performed. The fetal positioning was maintained throughout the procedure and the patient was kept in the fetal position for at least five more minutes after the procedure. Changes in the neonates' pain score and crying duration as well as heart rate, blood temperature, blood-oxygen saturation at three time points: before the procedure, immediately after needle insertion, five minutes after needle removal. Data was collected using the sociodemographic form, neonatal observation form and Neonatal Pain, Agitation and Sedation Scale (N-PASS). The collected data were analyzed using the SPSS 15 software. The main questions it aims to answer: 1. Does fetal positioning have an effect on pain score of premature neonates? 2. Does fetal positioning have an effect on heart rate of preterm neonates? 3. Does fetal positioning have an effect on oxygen saturation of preterm neonates? 4. Does fetal positioning have an effect on body temperature of the preterm neonates? 5. Does fetal positioning have an effect on the crying duration of preterm neonates?

Detailed description

Neonates who were hypotonic, lethargic, in shock or had seizures, stage 3-4 intracranial hemorrhage and a history of surgery were not included in the study. Additionally, neonates was taken any analgesic and/or sedative in the last 24 hours were excluded from the study.

Conditions

• Preterm Neonates
• Venipuncture

Interventions

Type	Name	Description
BEHAVIORAL	Fetal Positioning	In the study, venipuncture was applied to the intervention and control groups. While the procedure was performed by an experienced neonatal nurse, the neonates' pain score, crying duration and physiological parameters were monitored by another researcher (observer).

Timeline

• Start date: 2021-09-01
• Primary completion: 2022-01-01
• Completion: 2022-07-01
• First posted: 2023-12-18
• Last updated: 2023-12-18

Locations

1 site across 1 country: Turkey (Türkiye)