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To study the effect of Kangaroo Mother Care on pain response in preterm neonates and to determine the behavioral and physiological responses to painful stimuli in preterm neonates: a study from western Rajasthan
Authors:Mukesh Choudhary  Hemaram Dogiyal  Deepak Sharma  Brahma Datt Gupta  Irappa Madabhavi  Jagveer Singh Choudhary
Affiliation:1. Department of Medical and Paediatric Oncology, GCRI, Ahmedabad, Gujarat, India, dr.deepak.rohtak@gmail.com;3. CHC Samdari, Barmer, Rajasthan, India,;4. Department of Neonatology, Fernandez Hospital, Hyderabad, Andhra Pradesh, India,;5. Department of Pediatrics, Umaid Hospital, S.N. Medical College, Jodhpur, Rajasthan, India,;6. Department of Medical and Paediatric Oncology, GCRI, Ahmedabad, Gujarat, India,;7. Bhagvan Mahaveer Hospital, Pitampura, New Delhi, India, and
Abstract:Aims: To study the effect of Kangaroo Mother Care (KMC) on pain response in preterm neonates and to determine the behavioral and physiological responses to painful stimuli in preterm neonates.

Materials and methods: This was a single-blind cross over study in which total 140 neonates were enrolled. Pain stimulus was given in the form of heel-lance before and after giving KMC and data were recorded.

Results: The effect of KMC on heart rate variability was statistically significant in preterm (30–34 wks) and very low birth weight (1.0–1.5?kg) neonates. The mean fall in SpO2 from base line was less in KMC group as compared to without KMC group at 60?s (1.63% versus 2.22%) and 120?s (0.45% versus 2.22%). The mean duration of cry was less in the KMC group (15.05?s) as compared to without KMC group (24.82?s) and the difference was statistically significant (p?p?Conclusion: KMC is a most physiological, non-pharmacological and easy intervention that involves parents: to manage procedural pain that can be implemented for physiological or behavioral stability in their premature infants.
Keywords:Heart rate  Kangaroo Mother Care  pain  premature infants  premature infant’s pain profile
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