Table 2.
Change in type(s) of newborn pain treatment received by infants before (pre-) and after (post-) implementation of the intervention.
Type(s) of Newborn Pain Treatment Received by Infants | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Any of 3 Types | Parent-Led | Sucrose | Other | No Pain Relief | No Heel Prick | Unknown if Pain Relief Provided | Total | ||||||||||
n | % (Row) | n | % (Row) | n | % (Row) | n | % (Row) | n | % (Row) | n | % (Row) | n | % (Row) | n | % (Row) | ||
Overall (all sites combined) | Pre | 3806 | 48.8 | 1971 | 25.3 | 1923 | 24.7 | 283 | 3.6 | 1376 | 17.6 | 136 | 1.7 | 2222 | 28.5 | 7801 | 100.0 |
Post | 4152 | 53.8 | 1829 | 23.7 | 2373 | 30.7 | 221 | 2.9 | 889 | 11.5 | 138 | 1.8 | 2339 | 30.3 | 7723 | 100.0 | |
p-value | <0.0001 | 0.1353 | <0.0001 | <0.0001 | |||||||||||||
By maternal–newborn unit (MNU) | |||||||||||||||||
Site 1 | Pre | 1000 | 38.1 | 224 | 8.5 | 782 | 29.8 | 31 | 1.2 | 904 | 34.4 | 18 | 0.7 | 678 | 25.8 | 2626 | 100.0 |
Post | 1438 | 54.5 | 344 | 13.0 | 1115 | 42.2 | 20 | 0.8 | 529 | 20.0 | 3 | 0.1 | 656 | 24.8 | 2640 | 100.0 | |
Site 2 | Pre | 901 | 43.0 | 769 | 36.7 | 156 | 7.4 | 150 | 7.2 | 110 | 5.2 | 9 | 0.4 | 930 | 44.3 | 2097 | 100.0 |
Post | 798 | 36.6 | 640 | 29.3 | 167 | 7.7 | 110 | 5.0 | 128 | 5.9 | 20 | 0.9 | 1133 | 51.9 | 2182 | 100.0 | |
Site 3 | Pre | 123 | 42.7 | 109 | 37.8 | 23 | 8.0 | 36 | 12.5 | 31 | 10.8 | 16 | 5.6 | 86 | 29.9 | 288 | 100.0 |
Post | 141 | 53.4 | 139 | 52.7 | 3 | 1.1 | 25 | 9.5 | 14 | 5.3 | 28 | 10.6 | 56 | 21.2 | 264 | 100.0 | |
Site 4 | Pre | 256 | 72.9 | 40 | 11.4 | 222 | 63.2 | 5 | 1.4 | 37 | 10.5 | 28 | 8.0 | 27 | 7.7 | 351 | 100.0 |
Post | 260 | 79.0 | 78 | 23.7 | 195 | 59.3 | 1 | 0.3 | 13 | 4.0 | 30 | 9.1 | 26 | 7.9 | 329 | 100.0 | |
Site 5 | Pre | 321 | 83.8 | 95 | 24.8 | 266 | 69.5 | 6 | 1.6 | 5 | 1.3 | 5 | 1.3 | 50 | 13.1 | 383 | 100.0 |
Post | 332 | 81.2 | 9 | 2.2 | 326 | 79.7 | 2 | 0.5 | 30 | 7.3 | 18 | 4.4 | 27 | 6.6 | 409 | 100.0 | |
Site 6 | Pre | 61 | 27.1 | 60 | 26.7 | 1 | 0.4 | 12 | 5.3 | 97 | 43.1 | 35 | 15.6 | 21 | 9.3 | 225 | 100.0 |
Post | 95 | 44.0 | 93 | 43.1 | 3 | 1.4 | 8 | 3.7 | 37 | 17.1 | 23 | 10.6 | 53 | 24.5 | 216 | 100.0 | |
Site 7 | Pre | 418 | 81.6 | 413 | 80.7 | 7 | 1.4 | 6 | 1.2 | 1 | 0.2 | 15 | 2.9 | 74 | 14.5 | 512 | 100.0 |
Post | 372 | 75.9 | 372 | 75.9 | 0 | 0.0 | 9 | 1.8 | 4 | 0.8 | 15 | 3.1 | 91 | 18.6 | 490 | 100.0 | |
Site 8 | Pre | 726 | 55.0 | 261 | 19.8 | 466 | 35.3 | 37 | 2.8 | 191 | 14.5 | 10 | 0.8 | 356 | 27.0 | 1319 | 100.0 |
Post | 716 | 60.0 | 154 | 12.9 | 564 | 47.3 | 46 | 3.9 | 134 | 11.2 | 1 | 0.1 | 297 | 24.9 | 1193 | 100.0 | |
p-value | <0.0001 | <0.0001 | <0.0001 | <0.0001 | |||||||||||||
By hospital birth volume | |||||||||||||||||
≤1000 | Pre | 1179 | 67.0 | 717 | 40.8 | 519 | 29.5 | 65 | 3.7 | 171 | 9.7 | 99 | 5.6 | 258 | 14.7 | 1759 | 100.0 |
Post | 1200 | 70.3 | 691 | 40.5 | 527 | 30.9 | 45 | 2.6 | 98 | 5.7 | 114 | 6.7 | 253 | 14.8 | 1708 | 100.0 | |
≥2500 | Pre | 2627 | 43.5 | 1254 | 20.8 | 1404 | 23.2 | 218 | 3.6 | 1205 | 19.9 | 37 | 0.6 | 1964 | 32.5 | 6042 | 100.0 |
Post | 2952 | 49.1 | 1138 | 18.9 | 1846 | 30.7 | 176 | 2.9 | 791 | 13.2 | 24 | 0.4 | 2086 | 34.7 | 6015 | 100.0 | |
p-value | 0.0433 | 0.3710 | 0.0003 | 0.3133 | |||||||||||||
By newborn level of care (LOC) | |||||||||||||||||
Level 1 | Pre | 858 | 62.4 | 622 | 45.2 | 253 | 18.4 | 59 | 4.3 | 166 | 12.1 | 94 | 6.8 | 208 | 15.1 | 1376 | 100.0 |
Post | 868 | 66.8 | 682 | 52.5 | 201 | 15.5 | 43 | 3.3 | 68 | 5.2 | 96 | 7.4 | 226 | 17.4 | 1299 | 100.0 | |
Level 2b | Pre | 1627 | 47.6 | 1030 | 30.2 | 622 | 18.2 | 187 | 5.5 | 301 | 8.8 | 19 | 0.6 | 1286 | 37.6 | 3416 | 100.0 |
Post | 1514 | 44.9 | 794 | 23.5 | 731 | 21.7 | 156 | 4.6 | 262 | 7.8 | 21 | 0.6 | 1430 | 42.4 | 3375 | 100.0 | |
Level 2c | Pre | 1321 | 43.9 | 319 | 10.6 | 1048 | 34.8 | 37 | 1.2 | 909 | 30.2 | 23 | 0.8 | 728 | 24.2 | 3009 | 100.0 |
Post | 1770 | 58.1 | 353 | 11.6 | 1441 | 47.3 | 22 | 0.7 | 559 | 18.3 | 21 | 0.7 | 683 | 22.4 | 3049 | 100.0 | |
p-value | <0.0001 | <0.0001 | <0.0001 | <0.0001 | |||||||||||||
By parity | |||||||||||||||||
0 | Pre | 1588 | 48.3 | 788 | 24.0 | 840 | 25.6 | 108 | 3.3 | 570 | 17.4 | 39 | 1.2 | 989 | 30.1 | 3285 | 100.0 |
Post | 1773 | 52.9 | 728 | 21.7 | 1065 | 31.8 | 85 | 2.5 | 385 | 11.5 | 30 | 0.9 | 1086 | 32.4 | 3351 | 100.0 | |
1 | Pre | 1381 | 50.1 | 738 | 26.7 | 676 | 24.5 | 92 | 3.3 | 523 | 19.0 | 53 | 1.9 | 717 | 26.0 | 2759 | 100.0 |
Post | 1476 | 54.9 | 683 | 25.4 | 810 | 30.1 | 85 | 3.2 | 337 | 12.5 | 60 | 2.2 | 737 | 27.4 | 2688 | 100.0 | |
2+ | Pre | 835 | 47.6 | 445 | 25.4 | 405 | 23.1 | 83 | 4.7 | 283 | 16.1 | 44 | 2.5 | 515 | 29.4 | 1754 | 100.0 |
Post | 900 | 53.6 | 418 | 24.9 | 495 | 29.5 | 51 | 3.0 | 166 | 9.9 | 48 | 2.9 | 516 | 30.7 | 1680 | 100.0 | |
Missing | Pre | 2 | 66.7 | 0 | 0.0 | 2 | 66.7 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 1 | 33.3 | 3 | 100.0 |
Post | 3 | 75.0 | 0 | 0.0 | 3 | 75.0 | 0 | 0.0 | 1 | 25.0 | 0 | 0.0 | 0 | 0.0 | 4 | 100.0 | |
p-value | 0.6661 | 0.9793 | 0.7105 | 0.4885 | |||||||||||||
By infant sex | |||||||||||||||||
Female | Pre | 1860 | 48.9 | 991 | 26.1 | 905 | 23.8 | 132 | 3.5 | 684 | 18.0 | 76 | 2.0 | 1056 | 27.8 | 3800 | 100.0 |
Post | 1990 | 54.1 | 871 | 23.7 | 1146 | 31.1 | 106 | 2.9 | 414 | 11.2 | 65 | 1.8 | 1112 | 30.2 | 3681 | 100.0 | |
Male | Pre | 1946 | 48.6 | 980 | 24.5 | 1018 | 25.4 | 151 | 3.8 | 692 | 17.3 | 60 | 1.5 | 1166 | 29.1 | 4001 | 100.0 |
Post | 2162 | 53.5 | 958 | 23.7 | 1227 | 30.4 | 115 | 2.8 | 475 | 11.8 | 73 | 1.8 | 1227 | 30.4 | 4042 | 100.0 | |
p-value | 0.4012 | 0.1016 | 0.4217 | 0.1442 |