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- Title
Effect of kangaroo mother care <i>Vs</i> expressed breast milk administration on pain associated with removal of adhesive tape in very low birth weight neonates: <i>A randomized controlled trial</i>.
- Authors
Nanavati, Ruchi N.; Balan, Rajiv; Kabra, Nandkishor S.
- Abstract
Objective: To compare the pain relief effect of Kangaroo Mother Care (KMC) and Expressed Breast Milk (EBM) on the pain associated with adhesive tape removal in very low birth weight (VLBW) neonates. Design: Randomized Controlled Trial. Setting: Neonatal intensive care unit of a tertiary care teaching hospital. Participants: 15 VLBW neonates who needed adhesive tape removal for the first part and 50 VLBW neonates needing adhesive tape removal for the second part. Methods: In first stage of the study, we studied whether adhesive tape removal in VLBW neonates was painful. In the second stage, eligible VLBW neonates were randomised to compare the efficacy of KMC and EBM in reducing the pain during the procedure of adhesive tape removal. Outcome Variables: Premature Infant Pain Profile (PIPP) Score, heart rate, oxygen saturation. Results: There was significant increase in pain associated with the removal of adhesive tape (Mean pre-procedure PIPP score 3.47 ± 0.74; post-procedure mean PIPP score 12.13 ± 2.59; P<0.0001). The post intervention mean PIPP pain score was not significantly different between the KMC and EBM groups ( P= 0.62). Conclusions: Removal of adhesive tape is a painful procedure for VLBW neonates. There was no difference between KMC and EBM in relieving pain associated with adhesive tape removal.
- Subjects
HOSPITAL care of newborn infants; LOW birth weight; PREMATURE infants; INFANT health services; PAIN management; ADHESIVES in surgery
- Publication
Indian Pediatrics, 2013, Vol 50, Issue 11, p1011
- ISSN
0019-6061
- Publication type
Article
- DOI
10.1007/s13312-013-0280-0