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Analgesic Effect of Maternal Human Milk Odor on Premature Neonates: A Randomized Controlled Trial / Audrey Baudesson de Chanville in Journal of Human Lactation, Vol. 33, n°2 (Mai 2017)
Titre : Analgesic Effect of Maternal Human Milk Odor on Premature Neonates: A Randomized Controlled Trial Type de document : texte imprimé Auteurs : Audrey Baudesson de Chanville, Auteur ; Véronique Brevaut-Malaty, Auteur ; Aurélie Garbi, Auteur Année de publication : 2017 Article en page(s) : pp. 300-308 Langues : Anglais (eng) Catégories : Douleur
Essai contrôlé randomisé Etude
Prématuré (avant 37 semaines)
Prise en charge de la douleur
Résumé : "Background:
Two studies have demonstrated an analgesic effect of maternal milk odor in preterm neonates, without specifying the method of olfactory stimulation.
This study aimed to assess the analgesic effect of maternal milk odor in preterm neonates by using a standardized method of olfactory stimulation.
This trial was prospective, randomized, controlled, double blinded, and centrally administered. The inclusion criteria for breastfed infants included being born between 30 and 36 weeks + 6 days gestational age and being less than 10 days postnatal age. There were two groups: (a) A maternal milk odor group underwent a venipuncture with a diffuser emitting their own mother’s milk odor and (2) a control group underwent a venipuncture with an odorless diffuser. The primary outcome was the Premature Infant Pain Profile (PIPP) score, with secondary outcomes being the French scale of neonatal pain—Douleur Aiguë du Nouveau-né (DAN) scale—and crying duration. All neonates were given a dummy.
Our study included 16 neonates in the maternal milk odor group and 17 in the control group. Neonates exposed to their own mother’s milk odor had a significantly lower median PIPP score during venipuncture compared with the control group (6.3 [interquartile range (IQR) = 5-10] versus 12.0 [IQR = 7-13], p = .03). There was no significant difference between the DAN scores in the two groups (p = .06). Maternal milk odor significantly reduced crying duration after venipuncture (0 [IQR = 0-0] versus 0 [IQR = 0-18], p = .04).
Maternal milk odor has an analgesic effect on preterm neonates." [Résumé de l'auteur]
in Journal of Human Lactation > Vol. 33, n°2 (Mai 2017) . - pp. 300-308[article]Comparative Effect of the Smells of Amniotic Fluid, Breast Milk, and Lavender on Newborns’ Pain During Heel Lance / Esma Akcan in Breastfeeding Medicine, Vol. 11, n°6 (Juillet - Août 2016)
Titre : Comparative Effect of the Smells of Amniotic Fluid, Breast Milk, and Lavender on Newborns’ Pain During Heel Lance Type de document : texte imprimé Auteurs : Esma Akcan, Auteur ; Polat Sevinç, Auteur Année de publication : 2016 Article en page(s) : pp. 309-314 Langues : Anglais (eng) Catégories : Antalgique
Liquide et sécrétion biologique
Thérapeutique non médicamenteuse
Mots-clés : Lavande douleur Résumé : "
Introduction: The aim of this randomized controlled experimental study was to evaluate the effect of the smells of amniotic fluid, breast milk, and lavender on the pain of newborns during heel lance.
Methods: The sample of the study consisted of 102 newborn infants who complied with the sampling criteria between August and November, 2011. The newborns smelled the samples (lavender, breast milk, amniotic fluid, and distilled water) for 5 minutes before the heel lance until 5 minutes afterward. The Neonatal Infant Pain Scale (NIPS), heart rate, and oxygen saturation were evaluated 1 minute before, during, and 1 minute after the heel lance. Data were evaluated by descriptive statistics, chi-square, intraclass correlation analysis, Spearman's rho correlation, Bonferroni's advanced analysis, Shapiro–Wilk, Kruskal–Wallis, Mann–Whitney U, Friedman, and Dunnett's tests.
Results: The newborns in the control group had severe pain and the newborns in the breast milk, amniotic fluid, and lavender groups had moderate pain during the heel lance (p < 0.05). While the NIPS score of the newborns in the lavender group was lower than the breast milk and amniotic fluid groups during the heel lance, it was lower in the breast milk and amniotic fluid groups than the lavender group afterward. The lowest falls in oxygen saturation and increased in heart rate were in the breast milk and lavender groups during heel the lance.
Conclusion: The smells of lavender and breast milk prevent the increased heart rates, NIPS, falling oxygen saturation, and reduced pain during the invasive procedures in newborns more than amniotic fluid or control group." [Résumé de l'auteur]
in Breastfeeding Medicine > Vol. 11, n°6 (Juillet - Août 2016) . - pp. 309-314[article]Effects of Having Preterm Infants Smell Amniotic Fluid, Mother's Milk, and Mother's Odor During Heel Stick Procedure on Pain, Physiological Parameters, and Crying Duration / Alemdar Dilek Küçük in Breastfeeding Medicine, Vol. 12, n°5 (Juin 2017)
Titre : Effects of Having Preterm Infants Smell Amniotic Fluid, Mother's Milk, and Mother's Odor During Heel Stick Procedure on Pain, Physiological Parameters, and Crying Duration Type de document : texte imprimé Auteurs : Alemdar Dilek Küçük, Auteur ; Özdemir Funda Kardas, Auteur Année de publication : 2017 Article en page(s) : pp. 297-304 Langues : Anglais (eng) Catégories : Lait maternel
Prématuré (avant 37 semaines)
Résumé : "Objective: The study aims to assess effects of having preterm infants smell amniotic fluid, mother's milk, and mother's odor during heel stick procedure on pain, physiological parameters, and crying duration.
Materials and Methods: The study was a randomized controlled experimental research. The population of the study was made up of preterm infants receiving treatment and care at a neonatal intensive care unit, where the study was conducted between January 2015 and March 2016. The study was performed with 85 preterm infants who met the selection criteria. Infants were randomized into four groups: amniotic fluid, mother's milk, mother's odor, and control group. Data obtained were analyzed by percentage distributions, means, standard deviation, chi-square test, Kruskal–Wallis, and Dunnett's test.
Results: While no significant difference was found between the groups in terms of total preterm infant pain profile score before, during, and after the heel stick procedure (p > 0.05), a significant difference was found in terms of SO2 values (p < 0.05) and the difference was caused by the amniotic fluid group. Although no significant difference was found between the groups in terms of crying duration (p > 0.05), the amniotic fluid group had the lowest score, followed by the mother's milk group, the mother's odor group, and the control group.
Conclusions: Amniotic fluid, mother's milk, and mother's odor were not effective in preterm infants during painful procedures." [Résumé de l'auteur]
in Breastfeeding Medicine > Vol. 12, n°5 (Juin 2017) . - pp. 297-304[article]Optimal Timing to Utilize Olfactory Stimulation with Maternal Breast Milk to Improve Oral Feeding Skills in the Premature Newborn in Breastfeeding Medicine, Vol. 14, n°4 (Mai 2019)
Titre : Optimal Timing to Utilize Olfactory Stimulation with Maternal Breast Milk to Improve Oral Feeding Skills in the Premature Newborn Type de document : texte imprimé Année de publication : 2019 Langues : Anglais (eng) Catégories : Grand prématuré (avant 34 semaines)
Prématuré (avant 37 semaines)
Prise du sein
Stimulation de la tétée
Résumé : Background: Olfactory maturation is essential for successful oral feeding. Previous studies have suggested that olfactory stimulation with maternal breast milk may expedite oral feeding skills in the premature infant; however, the optimal developmental window to utilize this intervention and sex-specific responses to stimuli are largely unknown.
Objectives: To determine individual responses to olfactory stimulation with mother's own milk (MOM) on feeding outcomes in premature newborns.
Materials and Methods: Infants born between 28 0/7 and 33 6/7 weeks' gestation (n = 36) were randomized to receive either MOM or water (sham) stimulus during the learning process of oral feeding. Clinical and feeding outcomes were recorded. Statistical analyses examined the effect of stimulation with MOM on feeding outcomes stratified for age and sex.
Results: Overall, there was no significant difference between sham infants compared with MOM infants in mean postmenstrual age of full oral feeds (sham: 35 5/7 versus MOM 36 0/7; p = 0.37). However, when stratified by gestational age (GA), infants born <31 weeks' gestation who received MOM stimulation learned to feed sooner than controls (p = 0.06), whereas infants born ≥31 weeks' gestation learned to feed later than controls (p = 0.20) with a significant interaction (p = 0.02) between the stimulus (MOM versus sham) and dichotomized GA (<31 versus ≥31 weeks). There were no sex differences in response to olfactory stimulus.
Conclusions: Infants born <31 weeks' GA who received MOM stimulation learned to feed sooner than control infants and the impact of MOM is significantly different between infants born before or after 31 weeks GA. These data suggest there may be an optimal time in development to utilize maternal breast milk to expedite oral feeding maturation in the premature newborn.
[Résumé de l'auteur]
Note de contenu : Une étude a montré qu’il était possible d’améliorer les habiletés d’alimentation orale chez le nouveau-né prématuré en utilisant la stimulation olfactive avec le lait maternel.
Les auteurs ont également constaté qu’il existait une période optimale pour utiliser cette méthode (moins de 31 semaines). [Traduction IPA]
En ligne : https://info-allaitement.org/ressources-en-ligne/stimulation-olfactive-premature [...] Permalink :
in Breastfeeding Medicine > Vol. 14, n°4 (Mai 2019)[article]The Analgesic Effects of Maternal Milk Odor on Newborns: A Meta-Analysis / Shiyi Zhang in Breastfeeding Medicine, Vol. 13, n°5 (Juin 2018)
Titre : The Analgesic Effects of Maternal Milk Odor on Newborns: A Meta-Analysis Type de document : texte imprimé Auteurs : Shiyi Zhang, Auteur ; Fang Su, Auteur ; Jing Li, Auteur Année de publication : 2018 Article en page(s) : pp.327-334 Langues : Anglais (eng) Catégories : Antalgique
Résumé : Objective: The objective of this study was to evaluate the analgesic effects of maternal milk odor on newborns.
Materials and Methods: We searched the literature in PubMed, MEDLINE, CINAHL, EMBASE, Web of Science, and the Cochrane Central Register of Controlled Trials (CENTRAL) and collected all the randomized controlled trials (RCTs) investigating the effects of maternal milk odor versus scentless or other odors on procedural pain in newborns. The quality of included studies was assessed by the Cochrane Collaboration Risk of Bias tool. A meta-analysis was undertaken with the Review Manager 5.3 software and Stata version 11.0. Subgroup comparisons were prespecified according to the types of control groups.
Results: Eight RCTs included a total of 453 participants. The results of meta-analysis showed that compared with the scentless group, the maternal milk odor group had lower pain scores during blood sampling (standardized mean difference, −0.81; 95% confidence interval [95% CI], −1.18 to −0.44; p < 0.001) and shorter crying time afterward (mean difference, −8.10; 95% CI, −15.46 to 0.73; p = 0.03). The maternal milk odor group had lower heart rate variability and oxygen saturation variability during and after a procedure, compared with both the scentless group and the vanilla group. However, no significant difference was identified in the mean heart rate and mean oxygen saturation in terms of the maternal milk odor group compared with amniotic fluid odor or mother's scent. The maternal milk odor group versus the formula milk odor group had shorter crying duration and lower levels of salivary cortisol after sampling.
Conclusions: Maternal milk odor appears to play an analgesic role in newborns. However, more high-quality studies are needed to confirm and quantitate the effect.
in Breastfeeding Medicine > Vol. 13, n°5 (Juin 2018) . - pp.327-334[article]Vol. 13 n°3 - Avril 2018 (Bulletin de Breastfeeding Medicine)
PermalinkVol. 13, n°5 - Juin 2018 (Bulletin de Breastfeeding Medicine)