• Ruchi N Nanavati, Rajiv Balan, and Nandkishor S Kabra.
• Department of Neonatology, Seth GS Medical College and KEM Hospital, Acharya Donde Marg, Parel, Mumbai 400 012, India. Correspondence to : Dr Nandkishor S Kabra, Department of Neonatology, Seth GS Medical College and KEM Hospital, Acharya Donde Marg, Parel, Mumbai 400012, Maharashtra, India. nskabra@gmail.com.
• Indian Pediatr. 2013 Nov 8;50(11):1011-5.

ObjectiveTo compare the pain relief effect of Kangaroo Mother Care (KMC) and Expressed Breast Milk (EBM) on the pain associated with adhesive tape removal in very low birth weight (VLBW) neonates.DesignRandomized Controlled Trial.SettingNeonatal intensive care unit of a tertiary care teaching hospital.Participants15 VLBW neonates who needed adhesive tape removal for the first part and 50 VLBW neonates needing adhesive tape removal for the second part.MethodsIn first stage of the study, we studied whether adhesive tape removal in VLBW neonates was painful. In the second stage, eligible VLBW neonates were randomised to compare the efficacy of KMC and EBM in reducing the pain during the procedure of adhesive tape removal.Outcome VariablesPremature Infant Pain Profile (PIPP) Score, heart rate, oxygen saturation.ResultsThere was significant increase in pain associated with the removal of adhesive tape (Mean pre-procedure PIPP score 3.47 ± 0.74; post-procedure mean PIPP score 12.13 ± 2.59; P<0.0001). The post intervention mean PIPP pain score was not significantly different between the KMC and EBM groups (P= 0.62).ConclusionRemoval of adhesive tape is a painful procedure for VLBW neonates. There was no difference between KMC and EBM in relieving pain associated with adhesive tape removal.

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