Authors

Mª Luisa Villar Luján1, Gemma Mellides González1

Position

1Enfermera especialista en pediatría. Hospital Universitario Infanta Cristina. Parla (Madrid)

Contact address

Mª Luisa Villar Luján. Unidad de Neonatología. Hospital Universitario Infanta Cristina. Avda. 9 de Junio, 2. 28981 Parla (Madrid).

Contact email: mluisa.villar@salud.madrid.org

Abstract

Objective: to determine if hearing screening conducted in newborns skin-on-skin with their mothers is better tolerated (waking up or nor during the test, presence or lack of crying during the test) than when conducted in cradle, and to identify those interventions necessary to calm down the newborn (NB) who starts to cry.
Method: a quasi-experimental study with NB with a gestational age of 32-to-41 weeks, conducted at the Neonatology Unit of the Hospital Universitario Infanta Cristina (Parla), Madrid. Intervention arm: skin-on-skin; Control arm: in cradle. Variables: Tolerability to the test through crying and waking up; type of consolation required to calm them down if crying (containment hold, suction, saccharose dilution plus suction, and various simultaneously). Bivariate analysis was conducted, through Student’s t test, Mann-Whitney U Test, and Pearson Correlation Coefficient.
Results: the study included 79 hearing screenings: 39 in the Control arm and 40 in the Intervention arm. It was observed that patients in cradle woke up more frequently (p=0.063) and cried more (p= 0.050). The consolation required by 80% of the NB in the Intervention arm was containment hold; in the Control arm, various interventions were required.
Conclusion: newborns show better tolerability to the test, waking up and crying with lower frequency and requiring fewer interventions to calm down. It is recommended to conduct hearing screening during skin-on-skin contact with their mother.

Keywords:

Skin on skin; development-and-family-centered care; NIDCAP (The Newborn Individualized Developmental Care and Assessment Program); hearing screening; pain and stress in newborns; quasi-experimental study

Versión en Español

Título:

Cribado auditivo neonatal en piel con piel versus en la cuna