Prevention of Pain Caused by the Oro-gastric Tube Laying in Neonatology

Prevention of Pain Caused by the Oro-gastric Tube Laying in Neonatology

Subject of research : Evaluation of a technique of care to reduce the pain caused by the laying of the gastric tube in the newborn

After inclusion, the nurse performs randomization by opening the envelope. The newborn then receives the care with the introduction of the gastric tube after randomization (experimental arm with holed baby bottle nipple and control arm: with pacifier). The treatment is filmed and recorded by a previously installed camera. The films are viewed by two independent experts from the pain of the study, to assess pain by scale score (DAN acute pain of the newborn

Inclusion Criteria:

• Newborn term, or premature (from 32 weeks) from 48 hours to 14 days of life.
• Presence of sucking reflex
• Patient whose authors of parental authority have given their written consent for their participation
• Patient affiliated to or benefiting from a social security scheme

Exclusion Criteria:

• Newborn intubated or NIV and / or sedated
• Newborn with malformation (especially cleft palate)
• Contra-indication to sugar administration
• Newborn previously included in the study
• Administration of analgesics in the previous 8 hours
• Atresia of the unoperated esophagus
• Non-operated oeso-tracheal fistula
• Major swallowing disorders
• Necrotizing ulcerative colitis