Enhanced kangaroo mother care for heel lance in preterm neonates: a crossover trial

Abstract

Objective: To test if enhancing maternal skin-to-skin contact, or kangaroo mother care (KMC) by adding rocking, singing and sucking is more efficacious than simple KMC for procedural pain in preterm neonates.Study Design: Preterm neonates (n ¼ 90) between 32 0/7 and 36 0/7 weeks' gestational age participated in a single-blind randomized crossover design. The infant was held in KMC with the addition of rocking, singing and sucking or the infant was held in KMC without additional stimulation. The Premature Infant Pain Profile was the primary outcome with time to recover as the secondary outcome. A repeated-measures analysis of covariance was employed for analyses.Result: There were no significant differences in any of the 30 s time periods over the 2 min of blood sampling nor in time to return to baseline. Compared to historical controls of the same age in incubator, the pain scores were lower and comparable to other studies of KMC. There were site differences related to lower scores with the use of sucrose in one site and higher scores in younger, sicker infants in another site. Conclusion:The sensorial stimulations from skin-to-skin contact that include tactile, olfactory sensations from the mother are sufficient to decrease pain response in premature neonates. Other studies showing that rocking, sucking and music were efficacious were independent of skin-to-skin contact, which, when used alone has been shown to be effective as reported across studies.

Impact of Skin to Skin Care, Prone and Supine Positioning on Cardiorespiratory Parameters and Thermoregulation in Premature Infants

“…This position in practical use intensifies parent-child relationship [8] , has influence on breast-feeding behavior [9] , and neurological development [10] , is no barrier for phototherapy [11] , may decrease pain reception [12][13][14][15][16][17] , and in one study was shown to reduce blood transfusions [18] . Therefore, 90% of neonatal intensive care units in Germany apply SSC [19] .…”

Individualized Developmental Care in Neonatal Intensive Care Unit: Current Approaches: Review

“…71 Bunun yanında, morbiditeyi ve mortaliteyi azaltması erken dönemde aileyi bebeklerinin bakımına katarak, aileyi ve özellikle anneyi ve anne-bebek ilişkisini güçlendirebildiği, emzirmeyi olumlu etkilediği için düşük doğum ağırlıklı bebeklerde konvansiyonel yenidoğan bakımına alternatif olarak önerilmektedir. 72,73 Term ve preterm bebekler ve ebeveynlerinin de ilk değerlendirmeleri yapıldıktan sonra kanguru bakımına 24 saat içerisinde başlanabilir. 74 Kanguru bakımı için ebeveynin giysilerinin bebeği sıcak tutacak özellikte yeterli genişlikte olması yeterlidir.…”

Dor, autorregulação e temperamento em recém-nascidos pré-termo de alto risco

“…Entre as intervenções não farmacológicas, incluem-se o uso de substâncias adocicadas por via oral, do tipo sacarose Stevens et al, 2005), glicose (Chermont, 2008;Gradin & Schollin, 2005) e frutose (Akçam, 2004), a sucção não nutritiva (Stevens, Yamada, & Ohlsson, 2001), o contato pele-apele (Castral, Warnock, Leite, Haas, & Scochi, 2008;Chermont, 2008) e o Método Canguru (Johnston et al, 2009). As intervenções não-farmacológicas para o alívio de dor podem trazer grande benefício ao bebê hospitalizado e têm a sua eficácia comprovada, não apresentando riscos e tendo baixo custo operacional.…”