The Effect of Kangaroo Mother Care on Fuss and Crying Time in Colicky Infants

Document Type : Original Article

Authors

1 MD, Neonatologist, Non-Communicable Pediatric Diseases Research Center, Babol University of Medical Sciences, Babol, IR Iran

2 MS.c, In Neonatal Nursing, Babol University of Medical Sciences, Babol, IR Iran

3 Assistant Prof. In Biostatistics, Babol University of Medical Sciences, Babol, IR Iran

4 M.S, Midwife, Babol University of Medical Sciences, Babol, IR Iran

Abstract

Abstract
Background:
Infantile colic is a common complaint in the first few weeks of life. On the other hand, because of its unknown etiology, there is not a specific therapy for this complaint, but various therapeutic options for reducing pain and restlessness of these infants are recommended. Skin to skin contact by Kangaroo Mother Care (KMC) increases in pain threshold and it seems to be a suitable method for the care of these infants. This study was designed to evaluate the effect of KMC on infantile colic.
Methods:
This case- control study was performed between March 2012 and March 2013. Subjects were 55 infants with exclusive breast fed infant, aged 15-60 days with excessive fuss and crying, referred to Infant and Child Clinic in Ayatollah Rohani Hospital in Babol, north of Iran. Babies whose weights were less than 2500 Grams and with inheritance and clinical diseases excluded from the study. Infants were subjected to KMC at least 2 hours a day. Standard questionnaire and Barr Scale were filled by interview. Data was analyzed by SPSS v.11.5 and T-test, a P- value less than 0.05 considered being significant.
Results:
The fuss and crying time before the KMC was 2.21±1.54 hours per day and decreased to 1.16±1.3 hours per day after the implementation of KMC. (p=0.001)
Conclusions:
Kangaroo mother care at home can be used as a simple and safe method for decreasing of cry and fussiness in colicky infants.
Keywords: Kangaroo Mother Care (KMC), fussiness, Colicky Infants, colic

Keywords

References

  1. Lucassen P, Assendelft W, van Eijk JTM, Gubbels J, Douwes A, Van Geldrop W. Systematic review of the occurrence of infantile colic in the community. Arch Dis Child. 2001;84(5):398-403.
  2. Clifford TJ, Campbell MK, Speechley KN, Gorodzinsky F. Infant ColicEmpirical Evidence of the Absence of an Association With Source of Early Infant Nutrition. Arch Pediatr  Adolesc Med. 2002;156(11):1123-8.
  3. Talachian E, Bidari A, Rezaie MH. Incidence and risk factors for infantile colic in Iranian infants. World  Gastroenterol. 2008;14(29):4662-6.
  4. Castral TC, Warnock F, Leite AM, Haas VJ, Scochi CG. The effects of skin‐to‐skin contact during acute pain in preterm newborns. Europ J Pain. 2008;12(4):464-71.
  5. Golianu B, Krane E, Seybold J, Almgren C, Anand K. Non-pharmacological techniques for pain management in neonates. Semin Perinatol; 2007; 31(5): 318-22.
  6. Gray L, Watt L, Blass EM. Skin-to-skin contact is analgesic in healthy newborns. Pediatrics. 2000;105(1):e14.
  7. Johnston CC, Filion F, Campbell-Yeo M, Goulet C, Bell L, McNaughton K, et al. Kangaroo mother care diminishes pain from heel lance in very preterm neonates: a crossover trial. BMC Pediatr. 2008;8:13.
  8. Sharpe ME. A serological classification of lactobacilli. J  Gen Microbiol. 1955;12(1):107-22.
  9. Wessel MA, Jackson EB,Harris RS Jr, Detwiler AC. Paroxysmal Fussing in Infancy, Sometimes Called "Colic". Pediatrics. 1954;14(5): 421-35.
10. Franck LS, Lawhon G.. Environmental and behavioral strategies to prevent and manage neonatal pain. Semin Perinatol; 1998:22(5)434-43.
11. Merenstein GB, Gardner SL. Handbook of neonatal intensive care. 6th ed. Missuri: Mosby; 2006.
12. Saeidi R, Asnaashari Z, Amirnejad M, Esmaeili H, Robatsangi MG. Use of “kangaroo care” to alleviate the intensity of vaccination pain in newborns. Iran J Pediatr. 2011;21(1):99-102.
13. Ellett MLC, Bleah DA, Parris S. Feasibility of using kangaroo (skin-to-skin) care with colicky infants. Gastroenterol Nurs. 2004;27(1):9-15.
14. Weissbluth L, Weissbluth M. Infant colic: the effect of serotonin and melatonin circadian rhythms on the intestinal smooth muscle. Med Hypotheses. 1992;39(2):164-7.
15. Barr RG. Colic and crying syndromes in infants. Pediatrics. 1998;102(Suppl E):1282-6.
16. Savino F, Tarasco V.. New treatments for infant colic. Curr Opin Pediatr. 2010; 22(6):791–7.
17. Pavlova SI, Kilic AO, Kilic SS, So JS, Nader-Macias ME, Simoes JA, et al.. Genetic diversity of vaginal lactobacilli from women in different countries based on 16S rRNA gene sequences. J Appl Microbiol. 2002;29(3):451-9.
18. Jasim Anabrees FI,  Paes B, AlFaleh K. Probiotics for infantile colic: a systematic review. BMC Pediatr. 2013;13:186.
19. Saeidi R, Tafazoli M, Gholami Robatsangi M. Kangaroo mother care for infantile colic: a randomized clinical trial. Tehran Univ Med J. 2010;67(12):870-5.
20. Ludington-Hoe SM, Hosseini RB. Skin-to-Skin Contact Analgesia for Preterm Infant Heel Stick. AACN Clin Issues. 2005;16(3):373-87.
21. Akcan E, Yiğit R, Atıcı A. The effect of kangaroo care on pain in premature infants during invasive procedures. Turk J Pediatr. 2009;51(1):14-8.
22. Sajedi F, Kashaninia Z, Rahgozar M, Noghabi FA. The effect of Kangaroo care on physiologic responses to pain of an intramuscular injection in neonates. Iran J Pediatr. 2007;17(4):339-44.

Files

Share

How to cite

Statistics