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Study aim
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Determining the effect of maternal holding and massage on heel blood sampling, physiological responses, and pain in neonates
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Design
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The study included three groups that had two intervention groups and one control group. An intervention group is the mother's embrace which the baby is considered to be in the mother's arms. A massage group that deals with the massage of the baby's leg. And the control group that receives the usual interventions of the health center. The study included a sample of 135 infants aged 38 to 42 weeks. Sampling and interventions are carried out at Bandar Abbas Health Center. The samples were allocated to intervention and control groups according to the day of referral to the health center and there was no randomization in the selection of samples.
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Settings and conduct
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Sampling and interventions are carried out at Bandar Abbas Health Center. The samples were allocated to intervention and control groups according to the day of referral to the health center and there was no randomization in the selection of samples.
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Participants/Inclusion and exclusion criteria
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Healthy full-term infants (38 to 42 weeks)
Birth weight 2500-4000 grams
Apgar more than 7 at birth.
Stability in terms of clinical condition
Stable in terms of clinical condition
infants at 4th to 6th birthday who to screen for hypothyroidism.
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Intervention groups
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Intervention group: In the mother's embrace group, the infants are placed in their mother's arms two minutes before, during and at least 15 seconds after blood sampling, with the difference that they are not breastfed. All infants will be awake when applying this procedure. Their mothers sit on the comfort seat and will be allowed to cuddle their babies when they cry during blood sampling.
In the massage group before blood sampling, the researcher gently massages the baby's foot from the fingertips to the middle of the thigh, massage with the effleurage technique will be done with the thumb of one hand for 2 minutes, and the place of massages will be covered for one minute with a warm towel. Massage is used to move the contents of the superficial lymph vessels and blood vessels to facilitate blood circulation as well as to manipulate tissue fluids. The effleurage is done through the flow direction of venous to the heart. Massage is soft, smooth, uniform and constant, and always from the point of return of the vessels (distal) to the primary areas (proximal).
In the control group, the routine procedure of the health center (sleeping on the bed during blood sampling) is performed. It should be noted that all blood sampling is carried out under the same conditions with the same facilities and by one of the health center personnel.
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Main outcome variables
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Pain, crying time, physiological indices (heart rate, respiration, oxygen saturation)