64851
document
Cobedding of twin premature infants : calming effects on pain responses . BACKGROUND The purpose of this trial was to determine whether cobedding of preterm twins has analgesic effects during heel lancing or not . METHODS One hundred premature twins ( 50 sets ) born between 26 weeks ' and 34 weeks ' gestation undergoing heel blood sampling were randomly assigned into two groups : the cobedding group ( receiving care in the same incubator ) and the standard care group ( receiving care in separate incubators ) . Pain was assessed using the premature infant pain profile score . Duration of crying was measured after heel blood sampling , and salivary cortisol was measured prior to and after heel blood sampling . RESULTS Infants in the standard care group cried for a longer time during heel lancing than those in the cobedding group ( 42.6 ± 19.8 seconds vs. 36.4 ± 21.7 seconds , p = 0.03 ) . The mean premature infant pain profile score after heel lancing was significantly higher in the standard care group ( 9.8 ± 2.6 vs. 8.06 ± 2.8 , p = 0.002 ) . The mean salivary cortisol after heel lancing was also significantly higher in the standard care group ( 24.3 ± 7.4 nmol/L vs. 20.8 ± 7.4 nmol/L , p = 0.02 ) . No significant adverse effects were seen with cobedding . CONCLUSION Cobedding is a comforting measure for twin premature infants during heel lancing , which can be performed without any significant adverse effects .
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Intervention_Educational
Cobedding of twin premature infants :
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Intervention_Educational
cobedding of preterm twins
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Intervention_Educational
cobedding group ( receiving care in the same incubator )
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Intervention_Psychological
standard care group ( receiving care in separate incubators ) .
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Intervention_Psychological
standard care
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Intervention_Educational
cobedding
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Outcome_Other
effects
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Outcome_Pain
pain responses .
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Outcome_Physical
analgesic effects
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Outcome_Pain
Pain was assessed
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Outcome_Physical
the premature infant pain profile score
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Outcome_Mental
Duration of crying
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Outcome_Physical
salivary cortisol
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Outcome_Mental
cried for a longer time
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Outcome_Pain
The mean premature infant pain profile score
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Outcome_Other
was significantly higher
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Outcome_Physical
The mean salivary cortisol
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Outcome_Other
significantly higher
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Outcome_Other
0.02
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Outcome_Adverse-effects
No significant adverse effects
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Outcome_Adverse-effects
significant adverse effects
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Participant_Condition
twin
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Participant_Age
premature infants
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Participant_Sample-size
One hundred premature twins
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Participant_Sample-size
50
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Participant_Condition
twin
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Participant_Age
premature infants