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No more tears? Maternal involvement during the newborn screening examination
Augustine Josie Ganda1, Laila Fara Ibrahim, Kannan Natchimutu
1Cork University Maternity Hospital, Cork, Ireland, University College Cork, Cork, Ireland.
Clinical Pediatrics
|May 5, 2011
Summary
Maternal participation and infant comfort techniques significantly reduced crying during neonatal screening examinations (NSE). This training improved infant comfort and maternal satisfaction with the procedure.
Area of Science:
- Neonatal care
- Pediatric medicine
- Infant behavior
Background:
- Infants frequently exhibit distress, indicated by crying, during the neonatal screening examination (NSE).
- Maternal involvement and comfort techniques may mitigate infant crying during NSE.
Purpose of the Study:
- To quantify infant crying during NSE.
- To evaluate the impact of training pediatric residents in maternal participation and infant comfort techniques on crying during NSE.
Main Methods:
- 20 neonatal screening examinations (NSEs) were video-recorded before resident training.
- Residents were trained in maternal participation and developmental care (MPDC) techniques.
- 14 NSEs were video-recorded post-training, with MPDC techniques implemented.
- Video recordings were analyzed for crying duration; mothers completed satisfaction questionnaires.
Main Results:
- Median crying duration was significantly reduced post-MPDC training (0 seconds) compared to pre-training (93.5 seconds).
- The incidence of infants crying during NSE decreased from 19/20 (pre-MPDC) to 6/14 (post-MPDC).
Conclusions:
- Implementing maternal participation and infant comfort techniques during NSE significantly reduces infant crying.
- Maternal satisfaction with the NSE procedure increases when these comfort techniques are utilized.
