Title: Effect of Kangaroo Mother Care on Procedural Pain in Preterm Neonates
Authors: Dr Arif S. Vohra, Dr Bela H. Shah, Dr Dhara K. Gosai, Dr K. M. Mehariya
DOI: https://dx.doi.org/10.18535/jmscr/v5i4.181
Abstract
Background: Pain in neonates can evoke negative behavioral, physiological or metabolic responses and associated with long term neuro-developmental outcome.
Objective: To study analgesic effect of Kangaroo Mother Care (KMC) on procedural pain in preterm neonates.
Materials & Methods: 100 preterm neonates (gestational age 34-36 week) were randomized into KMC group and Control group at NICU of Civil Hospital, Ahmedabad. Kangaroo Mother Care was given to neonates before 30 minutes of heel prick in KMC group and incubator care was given to control group. Neonates pain score were recorded with help of Premature Infant pain profile (PIPP) and duration of cry were recorded with help of stopwatch by blinded observer.
Outcome measure: To assess severity of pain after one hour of KMC
Duration of cry after KMC
Results: The mean PIPP score at 30 sec was 6.2 in KMC group and 7.4 in control group (p 0.02). Significant improvement of oxygen saturation was noted in KMC group as compared to control group (p 0.025). But no significant change observed in reduction of maximum heart rate in both the group (p 0.64).
Conclusion: As even 30 minutes of KMC practise has good analgesic property, many minor painful procedures like sugar estimation, Intramuscular injection, infant tube feeding insertion and blood sampling can be done immediately after the KMC practise.
Keywords: Neonatal Analgesia, Kangaroo Mother Care, Procedural pain
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