Effect of Kangaroo Care and Oral Sucrose on Pain in Premature Infants: A Randomized Controlled Trial

Şen, Elif; Manav, Gülay

doi:10.1016/j.pmn.2020.05.003

Cited by 29 publications

(25 citation statements)

References 35 publications

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“…Cong et al, 30 concluded KMC before and during heel stick procedures, stabilised the infant's heart rate, whilst longer skin-to-skin contact of 30 minutes significantly improved their autonomic pain responses compared to a shorter period of 15 minutes or being in an isolate. These findings were supported by further randomised controlled trials conducted by Chidambaram et al, 31 Mosayebi et al, 32 & Sen et al 33 In two studies by Nimbalkar et al, 34,35 skin-to-skin contact and oral sucrose were noted to have comparable clinical efficacy. Benefit was also noted even with short periods of KMC (15 minutes).…”

Section: Pain Reliefmentioning

confidence: 67%

“…Increased Parasympathetic Activity [16][17][18] Decreased Heart Rate Decreased Respiratory Rate Increased Oxygen Saturations 14 Increased Temperature 14 Increased Cerebral Blood Flow 18,19 Decreased Secondary Infections 20 Decreased Salivary Oxytocin Concentrations 22,23 Pain Relief for Painful Procedures [27][28][29][30][31][32][33][34][35][36][37] Improved Weight Gains 14,20,38,45 Greater Success in Establishing Early Breastfeeding [39][40][41][42][43][44][45] Improved Early Cognitive Performance 47 Improved Communication Performance 47 Improved Neurobehavioural Performance 14,48 Increased Alertness and Decreased Gaze Aversion 48 Increased Mother-Infant Interaction 48,49 Improved Maternal Affect 48 Improved Maternal Response to Infant Cues 48 It is estimated that there are over 15 million preterm births worldwide each year, with the great majority in developing countries. 10 Neonatal care of premature infants is complex.…”

Section: Physiological Benefits Psychological Benefitsmentioning

confidence: 99%

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Physiological and psychological outcomes of kangaroo mother care of preterm infants–an overview

2021

IPCB

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Background: Neonatal care especially for premature infants may require varying periods of intensive care which may limit parental involvement. Kangaroo mother care (KMC) allows for close contact between mother and infant, widely used by Indigenous populations but now introduced into neonatal nurseries. This paper reviews the growing literature highlighting the physiological and psychological impact of its introduction in the care of preterm infants. Methods: A brief introduction of current practices in the care of preterm infants is followed by discussing the rationale of KMC. The benefits or otherwise of such care is reviewed, drawing on the current literature. Future avenues of study are suggested. Results: KMC has been successfully undertaken of preterm infants. Such care improved the infant’s circulatory physiological parameters which included heart rate variability, oxygen saturations and temperature control. There also appeared to be a reduction in pain scores during uncomfortable neonatal procedures. An increase in successful breastfeeding, improved maternal-infant interaction and better neurodevelopmental progress has also been observed. Further study may utilise vital signs to affirm clinical outcomes. The administration of the relatively straight forward measure of the Alarm Distress Baby Scale may objectively assess infant well-being and their resultant social interactions. Conclusion: The current literature suggests multiple benefits for preterm infants exposed to KMC with improvement in physiological parameters and developmental outcomes. It also empowers mothers to be more intimately involved with their infants. These reported findings encourage the safe introduction of KMC into further nurseries

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Section: Pain Reliefmentioning

confidence: 67%

Section: Physiological Benefits Psychological Benefitsmentioning

confidence: 99%

Physiological and psychological outcomes of kangaroo mother care of preterm infants–an overview

2021

IPCB

View full text Add to dashboard Cite

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“…Chidambaram et al (24) using a crossover study on the effect of kangaroo care (skin-to-skin contact) in reducing heel lancing pain in preterm infants, found that kangaroo care was effective in reducing pain in preterm infants. Similarly, in the study of Sen and Manav, (25) it was reported that kangaroo care was more effective than oral sucrose in relieving procedural pain in premature babies. In the study of Karimi et al, (26) it was determined that massage and kangaroo care had a pain-reducing effect in premature infants.In the randomized controlled trial by McGinnis et al (17) it was found out that the neonates in the vibration group had significantly lower pain scores and more stable pulse rates during heel stick and 2 minutes following heel lancing compared to those in the non-vibration group.…”

Section: Discussionmentioning

confidence: 85%

Mother's hand tool as a skin-to-skin contact simulation instrument decreases pain levels in newborns

et al. 2021

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BACKGROUNDSensory stimulation activates the gate control mechanism, raises the level of beta endorphins, and the secretion of beta endorphins increases the pain threshold, reducing or eliminating the feeling of pain. It has been reported that skin-to-skin contact or sensual stimulation reduces stress, pain and crying time in newborns. The present study aimed to examine the effect of the mother’s hand tool (MHT) - developed by the researchers for three purposes: touch, positioning and vibration - on pain levels in newborns. METHODSA quasi-experimental study was conducted involving 52 newborns aged 0-15 days who were being treated in the neonatal intensive care unit. The MHT was applied to support the newborn and was applied 8 times in 24 hours for 3 minutes in total. Demographic data collection form (DDCF), neonatal evaluation form (NEF) to assess the respiratory rate, pulse rate, SPO2 and CO2 level, and neonatal infant pain scale (NIPS) were used to collect data. The Wilcoxon signed rank test was applied to analyse the data. A p value of <0.05 was considered to be statistically significant. RESULTSAfter the MHT application, it was revealed that there was a significant difference in pulse rate (p=0.000), SPO2 level (p=0.029), CO2 level (p=0.000) and NIPS pain scores (hour 6,9,12,15,18, and 24) and total NIPS (p=0.000) pain scores, before and after MHT practice. CONCLUSIONThis study demonstrated that MHT application to the newborns had a decreasing effect on pain level, heart rate, CO2 level, and an increasing effect on SPO2 level.

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“…To assess the analgesic effect of music on infants, it is recommended that music be played for a longer period of time. (Sen & Manav, 2020) Turki…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Oral Sucrose on Pain During Invasive Procedures in Premature Infants: Scoping Review

Nufus¹,

Salsabilah²,

Aeni³

et al. 2021

Jurnal Mitra Kesehatan

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Introduction: Nowadays premature births continue to be common, it caused the infant necessitating treatment. Invasive procedures, such as the placement of an peripheral intravenous catheters or the drawing of blood, should be carried out while the baby is being cared for. Some intervention needed, sucrose is one approach to make invasive procedure less painful. This study aims to determine the effectiveness of oral sucrose in reducing the pain of invasive procedures in premature infants. Method: This study is a scoping review, and 11 articles were selected from Proquest, ScienceDirect, Willy Online, PubMed, and EBSCO (CINAHL) databases. Results: In eight of the articles, giving oral sucrose two minutes before the invasive procedure was effective in reducing pain, while sucrose was not effective in reducing pain in infants in the other three of the articles, during or after procedures. Conclusion: According to these studies, giving oral sucrose to premature infant before invasive procedure is significant reducing the pain during invasive procedure.

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Effect of Kangaroo Care and Oral Sucrose on Pain in Premature Infants: A Randomized Controlled Trial

Cited by 29 publications

References 35 publications

Physiological and psychological outcomes of kangaroo mother care of preterm infants–an overview

Physiological and psychological outcomes of kangaroo mother care of preterm infants–an overview

Mother's hand tool as a skin-to-skin contact simulation instrument decreases pain levels in newborns

The Effectiveness of Oral Sucrose on Pain During Invasive Procedures in Premature Infants: Scoping Review

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