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  3. Decreased neonatal pain response after vaginal-operative delivery with Kiwi OmniCup versus metal ventouse.
 

Decreased neonatal pain response after vaginal-operative delivery with Kiwi OmniCup versus metal ventouse.

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BORIS DOI
10.7892/boris.110485
Date of Publication
January 31, 2017
Publication Type
Article
Division/Institute

Universitätsklinik fü...

Universitätsklinik fü...

Author
Huhn, E A
Visca, E
Vogt, D R
von Felten, S
Tinner Oehler, Eva Maria Eugenia
Universitätsklinik für Kinderheilkunde
Bührer, C
Surbek, Daniel
Universitätsklinik für Frauenheilkunde
Zimmermann, R
Hoesli, I
Subject(s)

600 - Technology::610...

Series
BMC pregnancy and childbirth
ISSN or ISBN (if monograph)
1471-2393
Publisher
BioMed Central
Language
English
Publisher DOI
10.1186/s12884-017-1231-x
PubMed ID
28143599
Uncontrolled Keywords

Bernese pain scale ED...

Description
BACKGROUND

Vaginal delivery, especially operative assisted vaginal delivery, seems to be a major stressor for the neonate. The objective of this study was to evaluate the stress response after metal cup versus Kiwi Omnicup® ventouse delivery.

METHODS

The study was a secondary observational analysis of data from a former prospective randomised placebo controlled multicentre study on the analgesic effect of acetaminophen in neonates after operative vaginal delivery and took place at three Swiss tertiary hospitals. Healthy pregnant women ≥35 weeks of gestation with an estimated fetal birth weight above 2000 g were recruited after admission to the labour ward. Pain reaction was analysed by pain expression score EDIN scale (Échelle Douleur Inconfort Nouveau-Né, neonatal pain and discomfort scale) directly after delivery. For measurement of the biochemical stress response, salivary cortisol as well as the Bernese Pain Scale of Newborns (BPSN) were evaluated before and after an acute pain stimulus (the standard heel prick for metabolic testing (Guthrie test)) at 48-72 h.

RESULTS

Infants born by vaginal operative delivery displayed a lower pain response after plastic cup than metal cup ventouse delivery (p < 0.001), but the pain response was generally lower than expected and they recovered fully within 72 h.

CONCLUSIONS

Neonatal pain response is slightly reduced after use of Kiwi OmniCup® versus metal cup ventouse.

TRIAL REGISTRATION

Trial was registered under under NCT00488540 on 19th June 2007.
Handle
https://boris-portal.unibe.ch/handle/20.500.12422/157826
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