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In low and middle income countries, painful neonatal procedures are often performed without adequate use of analgesia. In addition to ethical concerns, unaddressed pain in preterm NICU patients is also correlated with delayed growth and poorer neurodevelopment outcomes. In the current study, the National Pain Guideline Group conducted a systematic review and meta-analysis that sought to develop evidence-based recommendations for neonatal analgesia guidelines, specific to non-tertiary settings in Kenya. The NPGG recommended that breastfeeding, with skin-to-skin contact, should be a first-line analgesic.
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