Effectiveness of Kangaroo Mother Care in Reducing Pain during Minor Procedures in Preterm Neonates
Journal Title: Indian Journal of Neonatal Medicine and 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, Sushma Malik
Keywords
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- DOI 10.7860/IJNMR/2018/32783.2226
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