{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,17]],"date-time":"2025-11-17T16:59:56Z","timestamp":1763398796860},"reference-count":22,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,9,21]],"date-time":"2022-09-21T00:00:00Z","timestamp":1663718400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Non\u2010pharmacological methods are commonly used to reduce the procedural pain in newborns. In this open label, randomised control trial, we studied the pain\u2010reducing effect of kangaroo mother care (KMC) during orogastric tube insertion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Newborns, with birthweight 1500\u20132499\u2009g and admitted to nursery, were randomised into control (no\u2010KMC) or intervention (KMC) arms. In intervention arm, KMC was given for 60\u2009min before and after the procedure. Premature Infant Pain Profile\u2010Revised (PIPP\u2010R) score was used to assess the pain response and the pain severity was graded as minimal or no pain (\u22646), mild\u2010to\u2010moderate (7\u201312) and severe (&gt;12). The PIPP\u2010R scoring was done before, during and at 3\u2010 and 15\u2010min after procedure. Change in PIPP\u2010R scores from baseline was calculated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Newborns included in no\u2010KMC (<jats:italic>n<\/jats:italic>\u00a0=\u00a040) or KMC (<jats:italic>n<\/jats:italic>\u00a0=\u00a040) arms were comparable for major confounders (<jats:italic>P<\/jats:italic>\u2009&gt;\u20090.05). Pre\u2010procedural pain scores were comparable (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.72). Pain scores measured during and after procedure were significantly higher in no\u2010KMC group than KMC arm. The KMC reduced the pain score by 39%, 32% and 30% during and at 3\u2010 and 15\u2010min after procedure respectively as compared to control (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01). The increase in PIPP\u2010R score from pre\u2010procedural level was 40%, 35% and 31% lower in KMC than no\u2010KMC arm (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01). A greater proportion of newborns had significantly less severe grades of pain in the intervention arm compared to the no\u2010KMC arm (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Orogastric tube placement is a painful procedure. KMC significantly reduces periprocedural pain and its effect continues for at least 15\u00a0min after the procedure.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.16212","type":"journal-article","created":{"date-parts":[[2022,9,22]],"date-time":"2022-09-22T07:01:56Z","timestamp":1663830116000},"page":"2248-2253","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Effect of kangaroo mother care on pain during orogastric tube insertion in low\u2010birthweight newborns: An open label, randomised trial"],"prefix":"10.1111","volume":"58","author":[{"given":"Geetika","family":"Srivastava","sequence":"first","affiliation":[{"name":"Department of Pediatrics Era's Lucknow Medical College  Lucknow India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anantika","family":"Garg","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Guru Teg Bahadur Hospital Delhi  Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nanda","family":"Chhavi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Era's Lucknow Medical College  Lucknow India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MMA","family":"Faridi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Era's Lucknow Medical College  Lucknow India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,9,21]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"WHO. Global Nutrition Targets 2025: Low Birth Weight Policy Brief Series (WHO\/NMH\/NHD\/14.2). Geneva: World Health Organization; 2014.https:\/\/www.who.int\/nutrition\/topics\/globaltargets_lowbirthweight_policybrief.pdf"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.300.1.60"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.104.1.e13"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1523\/JNEUROSCI.0348-06.2006"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1155\/2010\/474838"},{"key":"e_1_2_6_7_1","volume-title":"Kangaroo Mother Care: A Practical Guide","author":"World Health Organisation","year":"2003"},{"key":"e_1_2_6_8_1","first-page":"CD002771","article-title":"Kangaroo mother care to reduce morbidity and mortality in low birthweight infants","volume":"8","author":"Conde\u2010Agudelo A","year":"2016","journal-title":"Cochrane Database Syst. 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