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Synchronous brain activity in newborn infants and their mothers during parent-led multimodal pain alleviation with skin-to-skin contact, breastfeeding and lullaby singing: Study protocol for a fNIRS hyperscanning study
Örebro University, School of Health Sciences. (PEARL - Pain in Early Life)ORCID iD: 0000-0002-5996-2584
Örebro University, School of Health Sciences. Mental Health Clinic for Children And Adolescence, Primary Health Care, Region Örebro County, Örebro, Sweden.ORCID iD: 0009-0003-0606-6764
Örebro University, School of Medical Sciences.ORCID iD: 0000-0002-4446-9148
Center for Clinical Research and Education, Region Värmland, Karlstad, Sweden.
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2026 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 21, no 7, article id e0353856Article in journal (Refereed) Published
Abstract [en]

Protecting infants’ vulnerable brain during repeated painful procedures like blood-sampling and immunizations in early life is a top priority in neonatal health care. Use of parent-delivered pain management may safeguard the infant brain but at the brain level, it is still unclear what drives the analgesic effect of parent-led interventions such as skin-to-skin contact, breastfeeding, and the parent’s live singing. The objective of this study is to advance our understanding of the neural mechanisms behind parent-led pain management in newborn pain care. Twenty mother-infant dyads will be studied during a planned blood sampling venepuncture, with skin-to-skin contact, breastfeeding, and the mother’s live singing. The potential interbrain synchronous cerebral activation in cortical regions of interest will be registered using functional Near-Infrared Spectroscopy (fNIRS) hyperscanning. Secondly, registration of skin conductance, heart rate variability, and the mother’s gaze will be registered. Social and musical interactions will be studied using microanalysis, as will pain using the Behavioral Indicators of Infant Pain (BIIP).

Place, publisher, year, edition, pages
Public Library of Science (PLoS), 2026. Vol. 21, no 7, article id e0353856
Keywords [en]
Newborn infant, pain, parent-led pain management, fNIRS, Hyperscanning
National Category
Nursing Pediatrics
Identifiers
URN: urn:nbn:se:oru:diva-130080DOI: 10.1371/journal.pone.0353856ISI: 001823735900011PubMedID: 42461818OAI: oai:DiVA.org:oru-130080DiVA, id: diva2:2086940
Available from: 2026-07-16 Created: 2026-07-16 Last updated: 2026-08-07Bibliographically approved

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Eriksson, MatsLund, MajjaMsghina, MussieUllsten, Alexandra

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