Abstract

BACKGROUND: Aim of the present study was to investigate the effectiveness of swaddling on pain during Chest Physiotherapy in Neonates.

MATERIALS AND METHODOLOGY: The research was carried out on neonates at Tertiary care hospital. 30 neonates were included in study based on inclusion criteria. The neonates were randomly allocated into group A who were given chest physiotherapy only and group B were given chest physiotherapy and swaddling by senior physiotherapist. At the first visit the pain level of neonates in both groups was recorded using “Neonatal Infant Pain Scale” by principal investigator

RESULTS: In the study, Statical analysis was done using Mann Whitney U test and P value was set at less than 0.05. It was detected that there was no significant difference between pain score in group A and group B at pre, during, immediate and  2 minute, however a significant difference in pain score was noted  at 4, 6 and 8 minutes.

CONCLUSION: Swaddling is effective in controlling pain in neonates during chest physiotherapy at 4, 6 and 8 minutes.

KEYWORDS: Neonates, Chest Physiotherapy, Swaddling, Pain, Infants.

1.      “Neonate”. Merriam-Webster online dictionnary. Merriam-Webster Retrived 2007-03-27.

2.      Lissauer T. Physical examination of the newborn. In: Gleason CA, Devaskar SU, eds. Avery's Diseases of the Newborn. 9th ed. Philadelphia, PA: Elsevier Saunders; 2012:chap 29

3.      Baby center. India: Baby centre 2016 (cited 2016june15): avaible from http://www.Baby center.in/

4.      Carmen Gainnantonio, Patrizia Papacci, RobertaCiarniello.Chest physiotherapy in preterm infants with lung diseases.Italian journal of paediatrics 2010.36:65.3-15.

5.      Flenady VJ, GrayPH. Chest Physiotherapy for preventing morbidity in babies being extubated from mechanical ventilation, 2002.(2):CD000283

6.      Twycross A. (2006) Managing pain during the first year of life. 2006  2.1.

7.      Lalitha Krishna. Pain relief in neonates.2013.2.

8.      Using  pediatric pain scales Neonatal infant pain scale (NIPS).

9.      Rowena Bennet. Swaddling. Baby care advice 2003(cited2016june25)available http;//www.babycareadvice2003.com.

10.  BregieE.vanSleuwen,Adele C, et.al. Swaddling: A Systemic Review. Pediatrics2007.v120.I4

11.  Franck L S. New method to quantitatively describe pain behaviour in infants. 1986. 35. 28-31

12.  Wachter-Shikora Nl. Pain theories and their relevance to the pediatric population. Issues in comprehensive  pediatric nursing. 1981. 5.321-6

13.  Lawrence J , Find all citations by this author (default). Or filter your current search Alcock D , Find all citations by this author (default). Or filter your current search McGrath P,et.al. The development of a tool to assess neonatal pain. 1993.12(6):59-66.

14.  Neil L. Schechter, Charles B. Berde, Et.Al. Pain in infants, children, and adolescents. 2003. 65

15.  Lai Ping Ho R , Simone S M Ho,Et.Al; A feasibility and efficacy randomised controlled trail of swaddiling For controlling procedural pain in preterm infants. Journal of Clinical nursing. 2016. V-25, I3-4. 472-482.

16.  S Ohgi, T Akiyama, K Arisawa. Randmizes controlled trial of swaddling versus massage in the management of excessive crying in infants with cerebral injuries. Department Of preventive medicine and health promotion. 2004. 89.212-216

17.  Moorrow, Caral Dnp,Cnm. Reduced neonatal pain during routine heel lance procedure. The american journal of maternal/child nursing. 2010. 35. 6. 346-354.

18.  Fatemeh Hashemi,Laila Taheri,Fariba Ghodsbin,Et.Al. Comparing the effect of swaddling and breastfeeding and their combined effect on pain induced by BCG vaccination in infants. 11.

19.  Shahin Dezhdar; Faezeh Jahanpour; Saeedeh Firouz Bakht. The effects of kangroo mother care and swaddling on venipunture pain in premature neonates:A Randomized clinical trial. 18(4)

20.  S.Ho, L.Ho;  Effects of facilitated swaddling for controlling procedural pain in premature neonates: A randomized controlled trial. 2012. V13. 4. S59.