Comparing Kangaroo Mother Care and Sucrose in Reducing Pain in Preterm Neonates on Heel Prick.

Not yet recruiting

Conditions: Patients receiving Heel prick procedures in NICU

Registration Number: CTRI/2018/05/014006

Lead Sponsor: Charutar Arogya Mandal

Brief Summary: .International Association for the Study of Pain defines pain as an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage. Sucrose has been shown to be effective. Breast feeding is effective, but has only been reported to be used for pain control in full-term neonates. Premature infants are not being breast fed during the days when most invasive procedures are carried out as they may not have the developmental maturity. It is proposed that it may be the contact of breast feeding, and not the breast milk per se, which is efficacious in decreasing pain . Thus for the preterm group, KMC would be a cost effective analgesic and provide mothers a greater sense of responsibility for their sick babies. Studies have compared the effect of KMC and oral sucrose on pain response in neonates and show that KMC acts synergistically with other nonpharmacological modalities in reducing pain . Multiple studies have shown the benefits of Kangaroo mother care and oral Sucroseon neonatal pain reduction.

Neonates born prematurely who spend the initial weeks of their lives in NICUs, undergo many invasive procedures (an average of 2â€“3/d, up to 8â€“10 /d) without benefit of analgesia of which heel pricking is one of the most common procedure.pain associated with routine procedures in preterm neonates is associated with abnormal neurodevelopment,the effects of which may be persistent so it is of extreme importance to treat and reduce pain, especially premature neonates during their stay within the NICU.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 100

Inclusion Criteria

28-36 weeks gestation neonates.

Exclusion Criteria

1.Neonates on ventilator 2.
Clinically evident abnormal neurological signs 3.
Have received analgesics/sedatives within last 24 h.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Premature infant pain profile(pipp)score at end of procedure.	Measured at various intervals during painful procedure. \| 0,30,60 at 30 second intervals till completion of procedure.

Secondary Outcome Measures

Name	Time	Method

Trial Locations

Locations (1): Pramukhswami Medical College
🇮🇳
Anand, GUJARAT, India
Pramukhswami Medical College
🇮🇳Anand, GUJARAT, India
Dr Somashekhar Nimbalkar
Principal investigator
9825087842
somu_somu@yahoo.com