Is phototherapy stressful? A study to compare the stress of neonates in single and double-surface phototherapy

Varghese Abraham, Elizabeth Johnson, Khristina Deep, Deepanjali Dip, Pratima Yadav, Mahima Singh

Journal of Clinical Neonatology 2018 7(1):38-40

Objectives: The aim of this study is to compare the stress level of neonate undergoing double-surface (DS) and single-surface (SS) phototherapy. Study Design: This was a prospective observational study. Study Setting: Neonates with indirect hyperbilirubinemia on phototherapy in Special Newborn Care Unit of Christian Hospital, Chhatarpur, Madhya Pradesh, India (A Unit of Emmanuel Hospital Association, New Delhi). Materials and Methods: The stress level of neonate under DS and SS phototherapy was assessed with COMFORT-B scale. The neonate was assessed before the start of phototherapy (zero hours) and was further assessed at 2, 6, 12, and 24 h of phototherapy. Results: A total of 94 neonates were included in the study, of which 56 (59.5%) are term and 38 (40.5%) are preterm. The maximum COMFORT-B scale score was 23, and the minimum score was 7. The mean COMFORT-B score was marginally higher with DS phototherapy at all hours of phototherapy, but it is not statistically significant. Similar observations were noted among terms and preterms. Conclusion: There is no additional stress to neonates in DS phototherapy compared to SS phototherapy.

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