Effect of Immediate Kangaroo Mother Care on Pain in Sick Low Birth Weight Neonates During Heel Prick in Mother–Newborn Intensive Care Unit

Q4 Medicine Journal of Neonatology Pub Date : 2024-04-10 DOI:10.1177/09732179241237864
Ivanshi Baijnathan, Sugandha Arya
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Abstract

Introduction: In the Mother-Newborn Intensive Care Unit(M–NICU), sick, low birth weight(LBW) neonates are cared for along with their mothers with facilities of level-II newborn care and postnatal care for mothers. Babies weighing 1–1.8 kg are admitted and Kangaroo Mother Care (KMC) is started after birth without waiting for stabilization. This is immediate Kangaroo Mother Care (iKMC). There are studies on analgesic effect of KMC, but no studies on analgesic effect of iKMC in sick neonates; therefore, the present study was planned. Aims and objectives: To compare pain score and recovery time from pain following heel prick in sick LBW neonates weighing 1–1.8 kg in iKMC and under radiant warmer. Materials and methods: In the M-NICU, neonates are in iKMC for 12–18 hours. If iKMC is not possible, the baby is placed under radiant-warmer. LBW neonates are screened for hypoglycemia at 2, 6, 12, 24, 48-hour intervals by heel prick. Pain scoring was done by the Premature Infant Pain Profile (PIPP) score and the recovery time (time for heart rate to return to baseline) noted following heel prick in iKMC and under radiant warmer. Results: 75 babies enrolled, 150 episodes of glucose estimation in iKMC and 150 in radiant warmer included. Mean(SD) baby weight(Kg) was 1512.93(171.10). Mean(SD) gestational age(Weeks) was 33.77(2.54). In the iKMC group, mean pain score(SD) was 7.59(2.27) and median(IQR) was 8.00(2.75). In the radiant warmer group, mean pain score(SD) was 14.41(2.04) and median(IQR) was 15.00(3.00). Mean recovery time(seconds)(SD) was 33.3(20.22) in the iKMC group and 92.43(49.68) in the radiant warmer group. The difference was statistically significant( P = <0.001). Conclusion: In sick LBW neonates, painful procedures must be done in KMC, whenever possible.
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即时袋鼠妈妈护理对母婴重症监护室低出生体重新生儿足跟刺痛的影响
导言:在母亲-新生儿重症监护室(M-NICU),生病的低出生体重新生儿和他们的母亲一起接受护理,并为母亲提供二级新生儿护理和产后护理设施。体重为 1-1.8 公斤的婴儿入院后,无需等待病情稳定即可开始袋鼠妈妈护理(Kangaroo Mother Care,KMC)。这就是即时袋鼠妈妈护理(iKMC)。目前已有关于袋鼠妈妈护理镇痛效果的研究,但还没有关于 iKMC 对患病新生儿镇痛效果的研究;因此,计划开展本研究。目的和目标比较 iKMC 和辐射加温器对体重为 1-1.8 千克的患病低体重新生儿足跟刺伤后的疼痛评分和疼痛恢复时间。材料和方法:在 M-NICU 中,新生儿在 iKMC 中的时间为 12-18 小时。如果无法进行 iKMC,则将婴儿置于辐射保暖箱中。每隔 2、6、12、24 和 48 小时,对低体重新生儿进行足跟刺穿法低血糖筛查。通过早产儿疼痛档案(PIPP)评分进行疼痛评分,并记录在 iKMC 和辐射保暖箱中进行足跟刺伤后的恢复时间(心率恢复到基线的时间)。结果共有 75 名婴儿参加,在 iKMC 和辐射加温器中分别进行了 150 次葡萄糖估测。婴儿体重(千克)的平均值(标清)为 1512.93(171.10)。平均(标清)胎龄(周)为 33.77(2.54)。iKMC 组的平均疼痛评分(标清)为 7.59(2.27),中位数(IQR)为 8.00(2.75)。辐射加热器组的平均疼痛评分(标清)为 14.41(2.04),中位数(IQR)为 15.00(3.00)。iKMC 组的平均恢复时间(秒)(标清)为 33.3(20.22),辐射加热器组为 92.43(49.68)。差异具有统计学意义(P = <0.001)。结论对于患病的低体重新生儿,疼痛手术必须尽可能在 KMC 中进行。
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来源期刊
Journal of Neonatology
Journal of Neonatology Medicine-Pediatrics, Perinatology and Child Health
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55
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