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Co-bedding as a Comfort measure For Twins undergoing painful procedures (CComForT Trial) |
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| Authors: | Marsha L Campbell-Yeo C Celeste Johnston KS Joseph Nancy L Feeley Christine T Chambers Keith J Barrington |
| Affiliation: | 1. Women's and Newborn Health Program, IWK Health Centre, Halifax, Nova Scotia, Canada 2. McGill University, Montreal, Quebec, Canada 3. The Perinatal Epidemiology Research Unit, Departments of Obstetrics & Gynecology and Pediatrics, IWK Health Centre and Dalhousie University, Halifax, Nova Scotia, Canada 4. Centre for Nursing Research, Jewish General Hospital and The Quebec Interuniversity Nursing Intervention Research Group (GRIISIQ), Montreal, Quebec, Canada 5. Centre for Pediatric Pain Research and the Departments of Pediatrics and Psychology, IWK Health Centre and Dalhousie University, Halifax, Nova Scotia, Canada 6. Division of Neonatology Sainte-Justine University Hospital and Université du Montréal, Montréal, Quebec, Canada |
| Abstract: | BackgroundCo-bedding, a developmental care strategy, is the practice of caring for diaper clad twins in one incubator (versus separating and caring for each infant in separate incubators), thus creating the opportunity for skin-to-skin contact and touch between the twins. In studies of mothers and their infants, maternal skin-to-skin contact has been shown to decrease procedural pain response according to both behavioral and physiological indicators in very preterm neonates. It is uncertain if this comfort is derived solely from maternal presence or from stabilization of regulatory processes from direct skin contact. The intent of this study is to compare the comfort effect of co-bedding (between twin infants who are co-bedding and those who are not) on infant pain response and physiologic stability during a tissue breaking procedure (heelstick). |
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