Effectiveness of Kangaroo Mother Care in Reducing Pain during Minor Procedures in Preterm Neonates
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 6, Issue 1
Abstract
ABSTRACT Introduction: Premature babies admitted in Neonatal Intensive Care Unit (NICU) are subjected to many painful invasive procedures. The exposure to pain leads to immediate and long term changes in the structure and function of preterm newborn’s brain and therefore pain must be avoided in neonates to prevent the adverse effects. Kangaroo Mother Care (KMC) is one of the effective non pharmacological methods of reducing neonatal pain for minor procedures. Aim: Evaluate the effectiveness of KMC versus conventional care in reducing pain in premature neonates during minor procedures. Materials and Methods: Prospective study done in a Tertiary Care Hospital over eighteen months. Eighty premature neonates with gestational age between 28 to 37 weeks and birth weight <2000 grams, requiring venepuncture for blood collection were included and alternately allocated into study and control group. Preterm neonates in KMC (study) group were given kangaroo care for 30 minutes uninterrupted prior to and throughout the venepuncture procedure and this was followed by at least 10 minutes KMC after the procedure. Neonates in control group receiving conventional care were placed in a cradle 30 minutes before, during and after venepuncture procedure. In all these neonates, pain assessment was done, using the Premature Infant Pain Profile (PIPP) score which was estimated at one minute prior and 1, 3, 5 minutes after the venepuncture procedure. Results: Mean PIPP scores in study (KMC) group at 1, 3 and 5 minutes after procedure were less than mean scores in control group and this difference between the scores was statistically significant (p<0.001). Conclusion: Our study revealed that KMC is an effective non pharmacological and safe modality in reducing pain in premature neonates during minor painful procedure like venepuncture as compared to conventional care.
Authors and Affiliations
Heena Bhandekar
Keywords
Related Articles
- EP ID EP521096
- DOI 10.7860/IJNMR/2018/32783.2226
- Views 44
- Downloads 0
Receiver Operator Characteristic Analysis of Biomarkers Evaluation in Diagnostic Research
ABSTRACT Receiver Operator Characteristic (ROC) analysis is the choice of method in evaluation of biomarkers in bioinformatics research. However, there is no single method and also no single accuracy index in evaluating...
Journey from Fighters to Survivors: Quality of Life and Mental Status in Cancer Patients in a Rural Tertiary Care Hospital
ABSTRACT Introduction: Cancer is a major public health burden in India. Though modern medicine has made tremendous advancements in the treatment of cancers, still morbidity and mortality remain high. It affects different...
Role of Her-2/neu in Premalignant and Malignant Lesions of Uterine Cervix
Introduction: In light of literature and controversy that exists in various cervical lesions, this prospective study was designed to explore the expression of Human Epidermal Growth Factor Receptor-2 (HER-2/neu) in the c...
Is Serum Lactic Acid a Reliable Indicator for Diagnosing Fat Embolism Syndrome?
ABSTRACT Introduction: The incidence of Fat Embolism Syndrome (FES) has been reported to occur in 0.5 to 3% of patients with isolated long bone fracture. FES is most commonly associated with long bone fractures, if asso...
Methylenedioxymethamphetamine Induced Neuro-Psychiatric Disorders: A Case Report from Southern India
The recreational drug MDMA (3,4-methylenedioxymethamphetamine), which is a stimulant and hallucinogen, has become increasingly popular among the young population of both developed and developing world. We describe a case...