Ergonomic Procedure for Heel Sticks and Shots in Kangaroo Care (Skin-to-Skin) Position

2013 ◽  
Vol 32 (5) ◽  
pp. 353-358 ◽  
Author(s):  
Xiaomei Cong ◽  
Susan Ludington-Hoe ◽  
Victoria Vazquez ◽  
Di Zhang ◽  
Sharon Zaffetti
Keyword(s):  
Clinical Practice ◽  
Additional Benefit ◽  
Procedural Pain ◽  
Kangaroo Care ◽  
Step Procedure ◽  
Blood Drawing ◽  
Infant Pain ◽  
Skin To Skin ◽  
Pain Responses

Kangaroo Care (KC) has been recommended as a pain-reducing strategy in neonates; however, KC has not been widely used to minimize procedural pain caused in part by nurses’/phlebotomists’ discomfort when positioning themselves and the infant for blood drawing and injections. Therefore, an ergonomically designed setup incorporating the use of KC was introduced into clinical practice to facilitate blood draws and injections. The step-by-step procedure used for heel sticks and injections is presented in this manuscript. After implementing the ergonomic step-by-step protocol, complaints of discomfort by nurses and phlebotomists ceased, and an additional benefit was that infant pain responses were significantly reduced.

Randomized Crossover Trial of Kangaroo Care to Reduce Biobehavioral Pain Responses in Preterm Infants: A Pilot Study

2010 ◽  
Vol 13 (2) ◽  
pp. 204-216 ◽  
Author(s):  
Xiaomei Cong ◽  
Susan M. Ludington-Hoe ◽  
Stephen Walsh
Keyword(s):  
Data Collection ◽  
Preterm Infants ◽  
Salivary Cortisol ◽  
Serum Cortisol ◽  
Kangaroo Care ◽  
Skin Contact ◽  
Infant Pain ◽  
Skin To Skin ◽  
Incubator Care ◽  
Pain Responses

Kangaroo care (KC), skin-to-skin contact between mother and infant, is a promising method for blunting pain responses. This crossover pilot tested KC effects on biobehavioral responses to heel stick in preterm infants (30—32 weeks’ gestational age, 2—9 days old) measured by Premature Infant Pain Profile (PIPP) and salivary and serum cortisol. Mother—infant dyads were randomly assigned to KC heel stick (KCH) first or incubator heel stick (IH) first. Study 1 (80-min study, N = 18) tested the effect of 80 min of KC before and throughout the heel stick procedure versus incubator care. Study 2 (30-min study, N = 10) tested 30 min of KC before and throughout the heel stick versus incubator care. KCH and IH began during a premeasurement phase and continued through four data collection phases: baseline, heel warming, heel stick, and recovery. PIPP responses were measured every 30 s during data collection; salivary cortisol was measured at the end of baseline and recovery; and serum cortisol was measured during heel stick. Study 1 showed no differences between KCH and IH. Study 2 showed lower PIPP scores at four time points during recovery (p < .05 to p < .001), lower salivary cortisol at the end of recovery (p < .05), and lower serum cortisol during heel stick for the KCH condition (p < .05) as well as clinically lower PIPP scores in the KCH condition during heel stick. Thirty minutes of KC before and throughout the heel stick reduced biobehavioral responses to pain in preterm infants.

Efficacy of Small Doses of Ketamine With Morphine to Decrease Procedural Pain Responses During Open Wound Care

2011 ◽  
Vol 27 (7) ◽  
pp. 561-566 ◽  
Author(s):  
Carmen Mabel Arroyo-Novoa ◽  
Milagros I. Figueroa-Ramos ◽  
Christine Miaskowski ◽  
Geraldine Padilla ◽  
Steven M. Paul ◽  
...  
Keyword(s):  
Wound Care ◽  
Procedural Pain ◽  
Open Wound ◽  
Small Doses ◽  
Pain Responses

When Parenthood Comes Early: Enhancing Parent-Child Bonding in the NICU

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Sarantaki A ◽  
Keyword(s):  
Premature Neonate ◽  
Parental Role ◽  
Kangaroo Care ◽  
Skin Contact ◽  
Early Experiences ◽  
Centered Care ◽  
Becoming A Mother ◽  
Skin To Skin ◽  
Family Centered ◽  
Parent Child

Background: Pregnancy is the period nature has provided future parents so they adapt and process the big event of becoming a mother and father. When a pregnancy ends sooner than expected, parents feel unsure and unprepared for their new role and responsibilities. Moreover, the complex feelings they experience when the premature neonate is admitted in the NICU, become enlarged by the disruption of bonding with their child. Aim: The aim of this paper is firstly to understand the importance of bonding for both the neonate and the parents and secondly to propose ways of enhancing parent-child bonding, when the latter is admitted in the NICU. Conclusion: Parent-child bonding is essential for the parental role, the parents’ mental health as well as the infant’s development. NICU environment is possible to become friendlier in a way that enables parents to participate in their child’s care and early experiences. Family-centered care enhances parentchild bonding, with the main contributor being skin-to-skin contact and Kangaroo care.

Neonatal and infant pain assessment

2021 ◽  
pp. 375-390
Author(s):  
Mariana Bueno ◽  
Mats Eriksson ◽  
Bonnie J. Stevens
Keyword(s):  
Clinical Practice ◽  
Knowledge Translation ◽  
Pain Assessment ◽  
Gold Standard ◽  
Comprehensive Evaluation ◽  
Policies And Procedures ◽  
Infant Pain ◽  
Assessment Measures ◽  
Neonates And Infants ◽  
No Gold Standard

Pain assessment is an essential foundation to mitigate pain and its consequences in the developing child. However, pain assessment in neonates and infants is challenging and, to date, there is no “gold standard” infant pain indicator, measure, or approach. This chapter encompasses (1) a comprehensive evaluation of the most current and well validated neonatal/infant pain assessment measures; (2) an overview on biomarkers and cortical indicators on neonatal/infant pain; (3) the integration of recommendations on pain-assessment measures and practices within clinical practice guidelines, policies, and procedures; and (4) challenges associated with neonatal and infant pain assessment in terms of research, clinical, and knowledge translation issues.

scholarly journals Effectiveness of Kangaroo Care for a Patient with Postpartum Depression and Comorbid Mother-Infant Bonding Disorder

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Youji Takubo ◽  
Takahiro Nemoto ◽  
Yohei Obata ◽  
Yoko Baba ◽  
Taiju Yamaguchi ◽  
...  
Keyword(s):  
Major Depression ◽  
Postpartum Depression ◽  
Standard Treatment ◽  
Kangaroo Care ◽  
Supportive Psychotherapy ◽  
Healthy Baby ◽  
Her Family ◽  
Skin Contact ◽  
Peripartum Depression ◽  
Skin To Skin

The presently reported patient was a 37-year-old married primipara with peripartum depression comorbid with bonding disorder. Care anxiety and a lack of affection towards her baby first appeared at around the time of delivery, and the patient developed major depression at one month after the birth of her healthy baby. At first, standard treatment for major depression including the use of antidepressants, electroconvulsive therapy, and supportive psychotherapy were provided. However, bonding problems appeared to impede and obstruct the amelioration of depression. Although treatment methods for bonding disorder have not yet been established, Kangaroo Care was introduced to facilitate skin-to-skin contact. We also educated her in better parenting behavior and provided repeated motivational interviews with her family because a lack of partner and social support and personal temperament (low self-directedness and cooperativeness) were thought to be related to her bonding disorder. This case suggests the effectiveness of Kangaroo Care, which promotes a humanizing maturation of both baby and parent alike, for mothers with postpartum depression and comorbid severe bonding disorder.

Kangaroo Care and Behavioral and Physiologic Pain Responses in Very-Low-Birth-Weight Twins: A Case Study

2012 ◽  
Vol 13 (3) ◽  
pp. 127-138 ◽  
Author(s):  
Xiaomei Cong ◽  
Regina M. Cusson ◽  
Naveed Hussain ◽  
Di Zhang ◽  
Sharon P. Kelly
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Very Low Birth Weight ◽  
Kangaroo Care ◽  
Pain Responses
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