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

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. The study was a secondary observational analysis of data from a form...

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Bibliographic Details
Published in:BMC pregnancy and childbirth 2017-01, Vol.17 (1), p.47-47, Article 47
Main Authors: Huhn, E A, Visca, E, Vogt, D R, von Felten, S, Tinner Oehler, E M, Bührer, C, Surbek, D, Zimmermann, R, Hoesli, I
Format: Article
Language:English
Subjects:
Adult
Analgesics
Birth Weight
Childbirth & labor
Female
Gestational Age
Head injuries
Heel
Hormones
Humans
Hydrocortisone - analysis
Infant, Newborn
Male
Metabolism
Metals
Newborn babies
Nurses
Obstetrics
Pain
Pain - diagnosis
Pain - etiology
Pain - physiopathology
Pain Measurement - methods
Physical Stimulation - methods
Pregnancy
Prospective Studies
Saliva - chemistry
Stress, Physiological - physiology
Switzerland
Vacuum Extraction, Obstetrical - adverse effects
Vacuum Extraction, Obstetrical - instrumentation
Vacuum Extraction, Obstetrical - methods
Vagina - surgery
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Summary: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. 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. Infants born by vaginal operative delivery displayed a lower pain response after plastic cup than metal cup ventouse delivery (p 
ISSN:1471-2393
1471-2393
DOI:10.1186/s12884-017-1231-x