Institutional members access full text with Ovid®

Share this article on:

Procedural Pain Management for Neonates Using Nonpharmacological Strategies: Part 2 Mother-Driven Interventions

Campbell-Yeo, Marsha MN, RN, NNP-BC; Fernandes, Ananda PhD, RN, MSN; Johnston, Celeste DEd, RN

Section Editor(s): Ikuta, Linda

doi: 10.1097/ANC.0b013e318229aa76
Foundations in Newborn Care

This is the second of a 2-part series to provide an overview of our current level of knowledge related to nonpharmacological strategies to diminish the pain associated with commonly performed procedures in the NICU. In our first article we discussed the prevalence of repeated pain exposure in the NICU and the importance of nonpharmacological strategies specifically containment or facilitated tucking, swaddling, positioning, nonnutritive sucking, and sweet solutions. These strategies are generally nurse-driven and we believe their importance has been underutilized. In this article we will emphasize the importance of maternal presence as a mediator for pain relief. The efficacy of breastfeeding, maternal skin-to-skin care (often referred to as kangaroo care), and multisensorial stimulation such as auditory and olfactory recognition will be the primary focus of our discussion. In addition, although primarily mother-driven, these strategies are ultimately nurse-enabled, thus the importance of this connection cannot be under appreciated with respect to successful implementation in the NICU.

IWK Health Centre, Halifax, Nova Scotia and McGill University, Montréal, Quebec, Canada (Ms Campbell-Yeo); Coimbra College of Nursing, Coimbra, Portugal (Dr Fernandes); and McGill University, Montreal, Quebec, Canada (Ms Johnston).

Correspondence: Marsha Campbell-Yeo, MN, RN, NNP-BC, IWK Health Centre, 5850/5980 University Ave, PO Box 9700, Halifax, Nova Scotia, B3K 6R8 (

None of the authors have any conflict of interest or disclaimers to declare.

© 2011 National Association of Neonatal Nurses