PT - JOURNAL ARTICLE AU - Miguel Ángel Marín Gabriel AU - Beatriz del Rey Hurtado de Mendoza AU - Lourdes Jiménez Figueroa AU - Virginia Medina AU - Beatriz Iglesias Fernández AU - María Vázquez Rodríguez AU - Virginia Escudero Huedo AU - Lorena Medina Malagón TI - Analgesia with breastfeeding in addition to skin-to-skin contact during heel prick AID - 10.1136/archdischild-2012-302921 DP - 2013 Nov 01 TA - Archives of Disease in Childhood - Fetal and Neonatal Edition PG - F499--F503 VI - 98 IP - 6 4099 - http://fn.bmj.com/content/98/6/F499.short 4100 - http://fn.bmj.com/content/98/6/F499.full SO - Arch Dis Child Fetal Neonatal Ed2013 Nov 01; 98 AB - Objective To investigate the analgesic effect (measured with Neonatal Infant Pain Scale (NIPS)) of breastfeeding (BF) in addition to skin-to-skin contact (SSC) versus other methods of non-pharmacological analgesia during blood sampling through heel lance in healthy term neonates. Design Randomised controlled trial. Setting Tertiary level maternity ward. Patients One hundred thirty-six healthy term newborns. Inclusion criteria: healthy term neonates, wish to breastfeed and absence of feeding during the previous 60 min. Intervention Neonates were randomly assigned to four groups: Group breastfed with SSC (BF+SSC Group) (n=35); Group sucrose with SSC (Sucrose+SSC Group) (n=35); SSC Group (n=33); or Sucrose Group (n=33). Babies were recorded with a video camera. Outcome measures Three observers watched the videos and measured NIPS score at three time points (t0: 2 min before heel prick; t1: During heel prick; and t2: 2 min after the heel prick). The influences of non-pharmacological methods on crying time, percentage of crying while sampling, heart rate, number of attempts and duration of sampling were also studied. Results BF+SSC Group achieved a significant lower median NIPS score (value=1) compared with other groups (value=2, 4 and 4, respectively). The percentage of neonates with moderate-to-severe pain was also lower in the BF+SSC Group. Both groups BF+SSC and Sucrose+SSC achieved a significant lower percentage of crying compared with SSC Group. Conclusions This study suggests that BF in addition to SSC provides superior analgesia to other kinds of non-pharmacological analgesia in healthy term neonates during heel prick. Trial registration number (ClinicalTrials.gov): NCT01576432