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NCT06200662: PREMAMANDOL

Pain Relief in Premature Newborns Through Maternal Intervention During Venipuncture

Status unknown NA Last updated 9 July 2024
What this trial tests

NA trial testing Analgesic strategies during the S visit: in Premature Newborns in 48 participants. Status unknown.

Timeline
22 February 2024
Primary endpoint
7 January 2026
7 February 2026

Quick facts

Lead sponsorUniversity Hospital, Strasbourg, France
PhaseNA
StatusStatus unknown
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingnone
Primary purposeother
Enrollment48
Start date22 February 2024
Primary completion7 January 2026
Estimated completion7 February 2026
Sites1 location across France

Drugs / interventions tested

Conditions studied

Sponsor

University Hospital, Strasbourg, France

Who can join

Adults 32 Weeks to 34 Weeks, any sex, with Premature Newborns. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Extremely premature newborn infants (ELNs) admitted to hospital are exposed to stressful and painful stimuli, and often to maternal separation, which can affect their long-term neurological development. Child- and family-centred developmental care (CFDC) in neonatology aims to adapt the hospital environment to the needs of the child, support the continued presence of the family and help to improve their future. Specific assessment and appropriate analgesic treatment are therefore priorities for preserving the well-being and cerebral development of this population, which is particularly vulnerable to pain. Pain relief for certain procedures necessary for the care of newborn babies, such as venipuncture (PV), remains inadequate. Venipuncture is a common procedure in the first few weeks of life for very premature newborns. Its analgesic treatment is based on non-medicinal strategies largely carried out in the nurse's own role: non-nutritive suctioning combined with the administration of a sugar solution and wrapping. In line with the SDCEF philosophy, and reinforced by the "zero separation" concept, parental involvement in the treatment of their newborn's pain becomes natural and fundamental. A number of studies have shown the benefits of parents' presence and participation through specific isolated analgesic actions. Skin- to-skin contact (PAP) is one of these and has multiple benefits for the newborn. However, in practice, when a PV is necessary for a very premature baby, its use as a pain-relieving strategy is hampered by a number of obstacles. As NN are naturally oriented towards the maternal voice, using it is a new approach to analgesia. In an innovative study carried out in a single centre, direct maternal voice contact, in addition to the usual non- pharmacological analgesic strategies, reduced the NN's pain, without completely eliminating it during heel sampling (a skin incision known to be more painful than a PV). This analgesic strategy should therefore be combined with other non-pharmacological strategies, taking advantage of all maternal skills.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other recruiting trials for Premature Newborns

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Data sources for this page

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