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Rocking and pacifiers: two comforting interventions for heelstick pain

¹Department of Family Health Care Nursing, School of Nursing, University of California, San Francisco 94143-0606.

Research in Nursing & Health

|October 1, 1994

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Pacifiers and rocking effectively reduce infant crying and pain during heelstick procedures. Pacifiers promote sleep, while rocking promotes alertness, with pacifiers showing greater heart rate reduction in newborns.

Area of Science:

Neonatal care
Pediatric pain management
Behavioral interventions

Background:

Limited documentation exists on behavioral interventions for infant pain.
Neonatal heelstick procedures are a common source of pain for newborns.
Effective pain management strategies are crucial for infant well-being.

Purpose of the Study:

To compare the effectiveness of pacifiers and rocking in reducing pain and stress in newborn infants.
To evaluate the impact of these interventions on physiological and behavioral responses.
To provide evidence-based recommendations for neonatal pain management.

Main Methods:

A randomized controlled trial involving 60 newborn infants.
Comparison of two comfort interventions (pacifiers, rocking) against routine care.

Related Experiment Videos

Continuous monitoring of heart rate, state of arousal, and crying.

Main Results:

Both pacifiers and rocking significantly reduced infant crying.
Pacifiers predominantly induced sleep states, while rocking induced alert states.
Pacifiers demonstrated a more significant reduction in heart rate compared to rocking.

Conclusions:

Newborn infants benefit significantly from both pacifier and rocking interventions for pain management.
These comforting methods offer distinct effects on infant state regulation.
Further research into the underlying mechanisms of these interventions is warranted.