TITLE:
Kangaroo Care (Skin-to-Skin) for Clustered Pain Procedures: Case Study
AUTHORS:
Raouth R. Kostandy, Susan M. Ludington-Hoe
KEYWORDS:
Kangaroo Care, Pain, Clustered Procedures, Healthy Term Infant
JOURNAL NAME:
World Journal of Neuroscience,
Vol.6 No.1,
February
19,
2016
ABSTRACT: Background: Pain
management for term newborns undergoingclusteredpainful procedures has not been
tested. Kangaroo Care (chest-to-chest, skin-to-skin position of infant on
mother) effectively reduces pain of single procedures, but its effect on pain
from clustered procedures is not known. Aim: The aim was to test Kangaroo
Care’s effect on pain in one term infant who received clustered painful procedures
while determining feasibility of the Kangaroo Care intervention. Design,
Setting, and Participant: A case study design was used with one healthy term
newborn who received two heel sticks and one injection in one session in the
mother’s postpartum room. Method: Heart rate and oxygen saturation (recorded
from Massimo Pulse Oximeter every 30 seconds), crying time (total seconds of
crying on videotape) and behavioral state (using Anderson Behavioral State
Scoring system every 30 seconds) were measured before (5 minutes), during (10.5
minutes) and after (30 minutes) the three clustered painful procedures in a
newborn who was in Kangaroo Care during all observations. One staff nurse
administered the clustered procedures. Results: Heart rate increased sequentially
with each heelstick, oxygen saturation remained unchanged, sleep predominated,
and crying was minimal throughout the procedures. Conclusion: Kangaroo Care
appeared to reduce pain from clustered painful procedures and can be further
tested.