Effect of music combined with swaddling on pain in full-term newborns: randomized clinical trial


Revista Brasileira De Enfermagem




OBJECTIVES: to evaluate the effect of music applied within ten and 15 minutes, combined with swaddling, on behavioral (facial action) and physiological (heart rate) responses to pain in full-term newborns, before and during venipuncture for blood sampling. METHODS: a randomized, triple-blind, clinical trial with 52 rooming in infants randomly assigned to four groups of 13: Experimental 1 (music [ten minutes] plus swaddling), Experimental 2 (music [15 minutes] plus swaddling), Control 1 (no music [ten minutes] plus swaddling), and Control 2 (no music [15 minutes] plus swaddling). Pain was measured using the Neonatal Facial Coding System in the basal and procedural moments. RESULTS: experimental 2 group showed high pain absence (p < 0.05); low heart rate mean (p < 0.0001) in the basal and procedural (antisepsis, puncture, blood squeezing/aspiration, compression) moments. CONCLUSIONS: neonates who listened to 15 minutes of music plus swaddling showed a greater absence of facial pain actions.

Music and Health Institute Terms

Pain; Procedural Pain; Pain Management and Control; Neonatal Procedures; Invasive Medical Procedures; Behavioral State; Vital Signs; Heart Rate; Pain Score or Rating; Infants; Newborn Infants; Music Medicine; Music Listening; Recorded Music Listening

Indexed Terms

Pain; Pain Management; Pain Measurement; Infants; Newborn Infants; Blood Specimen Collection

Study Type

Randomized Controlled Trial; Quantitative Methods

PubMed ID

PMID: 34706047

Document Type