A Mobile App to Promote Breastfeeding Self-Efficacy in Preterm Infants' Mothers: Development and Validation.

Improving breastfeeding rates is a global goal. To achieve it, actions targeting modifiable factors that influence the breastfeeding experience, such as maternal self-efficacy, could be a promising path, especially with preterm infants' mothers. Considering the current ubiquitous technology, we developed a mobile application for mothers of preterm infants to constitute a breastfeeding information and support platform.

Severe acute postoperative pain self-reported by children after ambulatory surgeries: a cohort study.

Objectives: to estimate the incidence and the risk factors for severe acute postoperative pain self-reported on the first day after hospital discharge.

Methods: cohort study with 279 children from both sexes (5-12 years old), indicated for ambulatory surgery in two Brazilian hospitals. Children were assessed at the pre-surgery, immediate postoperative and first postoperative day.

Expert assessment of the "Neonatal Pain Assessment Program" online course.

Objectives: to assess layout quality, visual identity and content of the "Neonatal Pain Assessment Program" (Programa de Avaliação da Dor Neonatal) online course.

Methods: a descriptive exploratory study. The course was assessed by 24 experts in pain, neonatology and education.

Hammock and nesting in preterm infants: randomized controlled trial.

Objective: To compare the physiological variables and the sleep-wake pattern presented by preterm in nesting and hammock positions after diaper change.

Method: This is a crossover randomized controlled trial. It was conducted with 20 preterm infants who, after diaper change, were placed in nests or hammocks.

Exclusive breastfeeding of premature infants and reasons for discontinuation in the first month after hospital discharge.

Objective: To estimate the prevalence of exclusive breastfeeding premature infants at hospital discharge, and after 15 and 30 days, and to identify the mothers' claims for discontinuation.

Methods: Cross-sectional study with 108 premature infants born in two Baby-Friendly Hospitals between April and July 2014. A survey was conducted on medical records and through telephone interviews.

Parents' Participation in Managing Their Children's Postoperative Pain at Home: An Integrative Literature Review.

Objectives: This integrative review aimed to synthesize and critically evaluate the methodological quality of the evidence on parent's participation in managing their children's postoperative pain at home.

Design: Integrative review.

Data Sources: To locate relevant articles, two reviewers independently searched four electronic databases systematically using predefined inclusion and exclusion criteria.

Predictive factors of the interruption of exclusive breastfeeding in premature infants: a prospective cohort.

Objective: to evaluate the incidence of exclusive breastfeeding and the risk factors associated to its interruption in premature infants after hospital discharge.

Method: this is a prospective cohort with 113 premature infants in a neonatal unit, whom were followed-up from 7 to 15 days after hospital discharge. The outcome was the interruption of exclusive breastfeeding.

Association between the macroscopic characteristics of the umbilical cord, high-risk pregnancy and neonatal repercussions.

Objective: To verify the association between the macroscopic characteristics of the umbilical cord, high-risk pregnancy and neonatal repercussions.

Method: A cross-sectional study carried out from January 2012 to January 2015 in a public maternity hospital in Goiânia/GO. The study population consisted of 126 recent puerperal women with diagnosis of high-risk pregnancy, and 139 clinically normal women (control group).

Effects of Anhydrous Lanolin versus Breast Milk Combined with a Breast Shell for the Treatment of Nipple Trauma and Pain During Breastfeeding: A Randomized Clinical Trial.

Introduction: The purpose of this study was to compare the effect of anhydrous lanolin with the effect of breast milk combined with a breast shell for treatment of nipple trauma and pain during breastfeeding.

Methods: A randomized clinical trial was conducted in a maternity ward in a hospital accredited as a Baby-Friendly Hospital located in the middle-western region of Brazil. Breastfeeding women with obvious nipple trauma were randomized into 2 groups.

Using the knowledge translation framework to change practical care of central catheters in a Brazilian neonatal unit.

Introduction: The use of central catheters in intensive care is essential, but exposes the patient to the risk of a bloodstream infection. Although there is evidence to improve the care for these patients, there is a gap between knowledge and healthcare practices. This study was designed to describe the bundle implementation for central catheters in light of the knowledge translation (KT) conceptual framework in a neonatal unit and assess its impact on care practices with catheters.

Foot length measurements of newborns of high and low risk pregnancies.

Objective: Comparing foot length measurements of newborns in high and low risk pregnancies at a public hospital in Goiânia, GO, Brazil.

Method: A cross-sectional study carried out between April, 2013 and May, 2015, with a sample consisting of 180 newborns; 106 infants of women from high-risk pregnancies and 74 of women from low-risk pregnancies. Data were descriptively analyzed.

Knowledge of healthcare professionals on the evaluation and treatment of neonatal pain.

Objective: to identify knowledge of healthcare professionals on the management, evaluation and treatment of pain in a neonatal unit in a municipality of Rio de Janeiro.

Method: descriptive, exploratory study with quantitative analysis. Data were analyzed using the software R.

[Handling of preterm infants in a neonatal intensive care unit].

While hospitalized in neonatal units, preterm infants undergo various manipulations and procedures that have negative health consequences. The aim of this study was to describe the manipulations that preterm infants are subjected to over a 24-hour period in a neonatal intensive care unit (NICU). An observational, descriptive, exploratory study was conducted with 20 preterm infants who were filmed continuously in a NICU over a 24-hour period from September 2008 to March 2009.

[Human milk for neonatal pain relief during ophthalmoscopy].

Ophthalmoscopy performed for the early diagnosis of retinopathy of prematurity (ROP) is painful for preterm infants, thus necessitating interventions for minimizing pain. The present study aimed to establish the effectiveness of human milk, compared with sucrose, for pain relief in premature infants subjected to ophthalmoscopy for the early diagnosis of ROP. This investigation was a pilot, quasi-experimental study conducted with 14 premature infants admitted to the neonatal intensive care unit (NICU) of a university hospital.

Clinical validation of the Preterm Oral Feeding Readiness Assessment Scale.

Introduction: Health professionals have great difficulties to establish the adequate and safe time to start breast feeding in preterm infants. There is a need to develop a standardized tool to help health professionals to comprehensively evaluate preterm infant readiness to transition preterm infants' feeding from gastric to oral, and encourage breast feeding practice in neonatal units.

Aims: To clinical validate the accuracy of a Preterm Oral Feeding Readiness Assessment Scale with 60 clinically stable preterm infants.

Maternal factors regulating preterm infants' responses to pain and stress while in maternal kangaroo care.

The relationship between maternal factors and the response of preterm infants to pain and stress experienced during heel puncture while in maternal kangaroo care was investigated. This descriptive study included 42 mothers and their preterm infants cared for in a neonatal unit. Data were collected in the baseline, procedure, and recovery phases.

Effects of breastfeeding on pain relief in full-term newborns.

Unlabelled: Breastfeeding may be useful for relieving procedural pain experienced by neonates. Researchers have compared breastfeeding against other pain relieving approaches in several studies, presenting marked methodologic heterogeneity.

Objective: To investigate the effectiveness of breastfeeding in reducing pain in newborns undergoing blood collection for newborn screening.

[Can breastfeeding promote acute pain relief in newborns?].

This review study aimed to identify the efficacy of breastfeeding and its component aspects (contact, sucking, odor and milk) as nonpharmacological measures for pain relief in newborns. 14 articles from Medline/PubMed were analyzed. We observed methodological differences related to sampling, painful procedures, periods, treatment administration and variables measured.

[Noise generated during incubator manipulation: implications for nursing care].

Unlabelled: Uncontrolled experimental study.

Aim: Quantify the impact noise of the 23 incubators functioning in the intensive and intermediate care units of a public university hospital in Ribeirão Preto-SP.

Methodology: Measuring occurred during incubator manipulation in a careful and in a rough way, considering the impact noise generated by the various situations in which the incubator was manipulated.