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

Huhn, E A; Visca, E; Vogt, D R; von Felten, S; Tinner Oehler, Eva Maria Eugenia; Bührer, C; Surbek, Daniel; Zimmermann, R; Hoesli, I (2017). Decreased neonatal pain response after vaginal-operative delivery with Kiwi OmniCup versus metal ventouse. BMC pregnancy and childbirth, 17(1), p. 47. BioMed Central 10.1186/s12884-017-1231-x

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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.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Gynaecology

UniBE Contributor:

Tinner Oehler, Eva Maria Eugenia and Surbek, Daniel

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1471-2393

Publisher:

BioMed Central

Language:

English

Submitter:

Monika Zehr

Date Deposited:

31 Jan 2018 09:19

Last Modified:

25 Oct 2019 00:42

Publisher DOI:

10.1186/s12884-017-1231-x

PubMed ID:

28143599

Uncontrolled Keywords:

Bernese pain scale EDIN pain scale Kiwi OmniCup® Metal cup Vaginal operative delivery

BORIS DOI:

10.7892/boris.110485

URI:

https://boris.unibe.ch/id/eprint/110485

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