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Pediatr Res. 2019 May 13. doi: 10.1038/s41390-019-0422-8. [Epub ahead of print]

Perceived maternal information on premature infant's pain during hospitalization: the French EPIPAGE-2 national cohort study.

Author information

1
Obstetrical, Perinatal, and Pediatric Epidemiology Team (EPoPé), Epidemiology and Biostatistics Sorbonne Paris Cité Research Center (U1153), INSERM, and Paris Descartes University, Paris, France. veronique.pierrat@inserm.fr.
2
CHU Lille, Department of Neonatal Medicine, Jeanne de Flandre Hospital, 59000, Lille, France. veronique.pierrat@inserm.fr.
3
Obstetrical, Perinatal, and Pediatric Epidemiology Team (EPoPé), Epidemiology and Biostatistics Sorbonne Paris Cité Research Center (U1153), INSERM, and Paris Descartes University, Paris, France.
4
Department of Neonatal Medicine, CHI de Créteil, Université Paris Est Créteil, Créteil, France.
5
Department of Neonatal Pediatrics, Dijon University Hospital, Dijon, France.
6
Department of Neonatal Medicine, Montpellier University Hospital, Montpellier, France.
7
Department of Neonatal Pediatrics and Intensive Care, Strasbourg University Hospital, Strasbourg, France.
8
Department of Neonatal Pediatrics and Intensive Care, University Hospital, Caen, France.
9
Emergency Department, Assistance Publique-Hôpitaux de Paris, Armand Trousseau Hospital, Paris, France.
10
Clinical Research Unit, Center for Clinical Investigation P1419, Cochin Broca Hôtel-Dieu Hospital, Paris, France.

Abstract

BACKGROUND:

Parents of preterm neonates wish greater involvement in pain management; little is known about factors associated with this involvement. We aim to describe perceived maternal information on infants' pain during hospitalization (PMIP), to study associations between PMIP and mothers' attitudes during painful procedures, and to identify individual and contextual factors associated with PMIP.

METHODS:

Analyses of questionnaires from the French national cohort study of preterm neonates, EPIPAGE-2. PMIP was derived from mothers' answers to questions about information perceived on both pain assessment and management.

RESULTS:

Among 3056 eligible neonates born before 32 weeks, 1974, with available maternal reports, were included in the study. PMIP was classified as "sufficient," "little, not sufficient," or "insufficient, or none" for 22.7, 45.9, and 31.3% of neonates, respectively. Mothers reporting PMIP as "sufficient" were more frequently present and more likely comforting their child during painful procedures. Factors independently associated with "sufficient" PMIP were high maternal education, gestational age <29 weeks, daily maternal visits, perception of high team support, and implementation of the neonatal and individualized developmental care and assessment program.

CONCLUSION:

Perceived maternal information on premature infants' pain reported as sufficient increased maternal involvement during painful procedures and was associated with some units' policies.

PMID:
31086294
DOI:
10.1038/s41390-019-0422-8

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