Effectiveness of breast feeding and maternal holding on painful responses among term neonates undergoing heel lance for newborn screening at KMCH Coimbatore

Jesslin Elizabeth, Abraham (2016) Effectiveness of breast feeding and maternal holding on painful responses among term neonates undergoing heel lance for newborn screening at KMCH Coimbatore. Masters thesis, KMCH College of Nursing, Coimbatore.

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Abstract

OBJECTIVES: The main aim of the study was to assess the pain responses among neonates, compare the pain scores among Neonates with Breastfeeding and Maternal holding group and to associate pain scores with demographic variables in both groups. DESIGN: Randomized Control Trial post- test only design. SETTING: Kovai Medical Center and Hospital, Coimbatore. SAMPLE SIZE: 80 Neonates, 40 in Breastfeeding group and Maternal holding group from birth to 28 days who fulfill the criteria in the study. CONCEPTUAL FRAMEWORK: Modified Gate Control Theory by Melzack and Wall (2012). DATA COLLECTION PROCEDURE: After obtaining ethical clearance from concerned authorities, demographic data was collected from records. The investigator assessed the baseline heart rate and saturation of the neonates before procedure for 15 seconds and measured the variation in the heart rate and saturation and duration of cry by observing the pulse oxymeter which is attached to the neonates during heel lance for 30 seconds. Same way the neonates in control group were mummified and held in their mothers arm with heel exposed during the procedure and the investigator measured the variation in the heart rate and saturation and duration of cry by observing the pulse oxymeter during heel lance. In both group the pain were measured by using the PIPP scale. RESULTS: The mean pain score of breastfeeding and maternal holding groups were 4.10 and 13.60 respectively with a computed ‘t’ value of 27.136 which is significant at level of p < 0.01. Babies who received breast feeding as an intervention showed less pain response during heel lance. It shows that there is a significant difference between the two groups and thus alternative hypothesis was accepted. Breastfeeding group neonates cried less than one minutes and Maternal holding neonates cried more than 2 minutes. CONCLUSION: The intervention received by the neonates in breastfeeding group showed less mean pain score compared to maternal holding. So breastfeeding is an effective technique in reducing the procedural pain among neonates.

Item Type: Thesis (Masters)
Additional Information: (Reg.No.301415451)
Uncontrolled Keywords: Effectiveness ; breast feeding ; maternal holding ; painful responses ; term neonates ; heel lance ; newborn screening ; KMCH Coimbatore.
Subjects: NURSING > Paediatric Nursing
Depositing User: Subramani R
Date Deposited: 05 Nov 2018 19:33
Last Modified: 05 Nov 2018 19:33
URI: http://repository-tnmgrmu.ac.in/id/eprint/10073

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