Evidence · Systematic review or meta-analysis
Development of locally relevant clinical guidelines for procedure-related neonatal analgesic practice in Kenya: a systematic review and meta-analysis.
- Breast milk and breastfeeding
- Comfort and nursing care
- Family-integrated care
- Medical
- Nursing
- Pain and comfort
This paper is from 2020, more than five years ago. Newer evidence may have been published since.
Summary
This systematic review and meta-analysis of randomised trials informed the development of Kenya's first evidence-based guidelines for managing routine procedure-related pain in neonates in low-resource hospital settings. A panel of 17 Kenyan health-care professionals used the GRADE framework alongside local context to formulate recommendations. High-certainty evidence supported breastfeeding and oral sugar solutions over placebo, with moderate certainty for expressed breastmilk. The panel recommended breastfeeding as first-line analgesia, with expressed breastmilk or oral sugar for infants unable to breastfeed, plus parental presence, skin-to-skin care or non-nutritive sucking; the guidelines were adopted by the Kenyan Ministry of Health.
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- Licence:
- Open (Creative Commons)
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