Benefit of Singing in the Care of Premature Children Undergoing Screening for Retinopathy of Prematurity in the Neonatology and Neonatal Resuscitation Unit of the Dijon University Hospital (Voix Chantée)

University Hospital Center (CHU) Dijon Bourgogne

Status

Completed

Conditions

Prematurity

Eye Fundus

Treatments

Other: Positive stimulation (singing)

Study type

Interventional

Funder types

Other

Identifiers

NCT03830580

CHARY-TARDY 2018

Details and patient eligibility

About

As part of the regular procedure for premature births, premature infants undergo several screening examinations, including an examination of the fundus. This examination seeks to establish whether the infant has retinopathy of prematurity. This disease affects the vessels of the retina of the eye, especially in prematurely born children, and can lead to serious complications such as blindness if it is not treated in time.

The purpose of this study is to assess the discomfort caused by the screening in order to improve practices. To do this, the investigators would like to evaluate whether soft auditory stimulation, more precisely a person singing, would improve the children's level of comfort during the examination.

To do this, the participating children will be divided into 2 groups:

The "Singing" group will receive the usual comfort treatments (placed in a 'nest', pacifier and sugar water) and a trained professional will sing a lullaby or nursery rhyme at the same time
control group will receive the usual comfort care (placed in a 'nest', pacifier and sugar water) The child's head and entire body will be filmed, which will allow an evaluator to assess the child's comfort.

Enrollment

40 patients

Sex

All

Ages

1 to 4 months old

Volunteers

No Healthy Volunteers

Inclusion criteria

Infant born prematurely before the end of 31 weeks of amenorrhoea and/or with a birth weight of less than 1250g
Infant in whom a first screening examination (fundus) for retinopathy of prematurity (i.e. around 32 WA) must be carried out according to term by hospital protocol
Infant hospitalized in the neonatal paediatrics and intensive care unit of the Dijon University Hospital
Infant affiliated to the national medical insurance system
Oral agreement of one of the two parents

Exclusion criteria

Infants with contraindications to the use of Algopedol® 24% sugar solution, NEOSYNEPHRINE 2.5% mydriatic eye drops for pupillary dilatation, MYDRIATICUM 0.5% mydriatic eye drops for pupillary dilatation and OXYBUPROCAINE analgesic eye drops
Infant with known deafness and no hearing aid
Premature infant in critical condition
Infant with hemodynamic and clinical instability making it impossible to perform the fundus examination because of the risk of decompensation
Parent refuses the videotaping