Effect of kangaroo mother care on pain during orogastric tube insertion in low‐birthweight newborns: An open label, randomised trial

Aim Non‐pharmacological methods are commonly used to reduce the procedural pain in newborns. In this open label, randomised control trial, we studied the pain‐reducing effect of kangaroo mother care (KMC) during orogastric tube insertion. Methods Newborns, with birthweight 1500–2499 g and admitted t...

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Bibliographic Details
Published in:Journal of paediatrics and child health 2022-12, Vol.58 (12), p.2248-2253
Main Authors: Srivastava, Geetika, Garg, Anantika, Chhavi, Nanda, Faridi, MMA
Format: Article
Language:English
Subjects:
Birth Weight
Child
feeding tube
Humans
Infant, Low Birth Weight
Infant, Newborn
Infant, Very Low Birth Weight
Intubation
kangaroo mother care
Kangaroo-Mother Care Method - methods
neonatal pain
Newborn babies
orogastric tube
Pain
Pain - prevention & control
Pain management
Pain, Procedural
Pediatrics
Premature babies
Touch
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Summary:Aim Non‐pharmacological methods are commonly used to reduce the procedural pain in newborns. In this open label, randomised control trial, we studied the pain‐reducing effect of kangaroo mother care (KMC) during orogastric tube insertion. Methods Newborns, with birthweight 1500–2499 g and admitted to nursery, were randomised into control (no‐KMC) or intervention (KMC) arms. In intervention arm, KMC was given for 60 min before and after the procedure. Premature Infant Pain Profile‐Revised (PIPP‐R) score was used to assess the pain response and the pain severity was graded as minimal or no pain (≤6), mild‐to‐moderate (7–12) and severe (>12). The PIPP‐R scoring was done before, during and at 3‐ and 15‐min after procedure. Change in PIPP‐R scores from baseline was calculated. Results Newborns included in no‐KMC (n = 40) or KMC (n = 40) arms were comparable for major confounders (P > 0.05). Pre‐procedural pain scores were comparable (P = 0.72). Pain scores measured during and after procedure were significantly higher in no‐KMC group than KMC arm. The KMC reduced the pain score by 39%, 32% and 30% during and at 3‐ and 15‐min after procedure respectively as compared to control (P 
ISSN:1034-4810
1440-1754
DOI:10.1111/jpc.16212