Review Article

Kangaroo Care for Relieving Neonatal Pain Caused by Invasive Procedures: A Systematic Review and Meta-Analysis

Table 1

Basic characteristics, patient characteristics, and outcome indicators of the included pieces of literature.

AuthorYearIntention-to-treat totalNumber of the experimental groupNumber of the control groupGA (weeks)Painful stimulus occasionsExperimental group methodControl group methodOutcome indicators

Campbell-Yeo et al. [8]2019162818132.6 ± 2.1Heel lanceKC through the procedureOral Sucrose (1 ml, 24%)(a)

de Sousa Freire et al. [9]200862313133.7 ± 1.57Heel lanceKC through the procedureOral glucose (1 ml, 25%)(a)

Mitchell et al. [13]201326131129Nasal suctioning2 hours daily skin-to-skin holdingMinimal parent holding(a)

Sen et al. [14]202064323234.38 ± 1.59Heel lanceKC through the procedureOral Sucrose (0.5 ml, 24%)(a) (b) (c)

Gao et al. [15]201480404037Heel lanceKC through the procedureStandard care(b)

Cong et al. [16]201248252330 ± 2.2Heel lanceKC through the procedureStandard care(b)

Nimbalkar et al. [17]202020010010033.6 ± 1.89Heel lanceKC through the procedureOral Sucrose (1 ml, 24%)(a) (c)

Shukla et al. [18]2018100505032.79 ± 2.34Heel lanceKC through the procedureOral Sucrose (1 ml, 24%)(a) (c)

Kristoffersen et al. [19]201946212533 ± 2Eye examinationsKC through the procedureStandard care(a)

Chermont et al. [20]200932016016039 ± 1Intramuscular injection of hepatitis B vaccineKC through the procedureOral glucose (1 ml, 25%)(d)

Kostandy et al. [21]201336171939.7 ± 1.29Intramuscular injection of hepatitis B vaccineKC through the procedureStandard care(b)

Gray et al [22]2000301515NAHeel lanceKC through the procedureStandard care(b)

Note. PIPP, premature infant pain profile; GA, gestational age; KC, kangaroo care; HR, heart rate; SPO2, pulse oxygen saturation; NFCS, neonatal facial coding system; and NA, not available. Outcomes: (a) PIPP score after the procedure; (b) HR value during the procedure; (c) SPO2 during the procedure; (d) the NFCS Score.