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CTRI Number  CTRI/2025/08/092503 [Registered on: 06/08/2025] Trial Registered Prospectively
Last Modified On: 05/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Process of Care Changes 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   A study to find ability of reverse kangaroo care in decreasing pain in babies undergoing eye test to check the condition ROP 
Scientific Title of Study   Effectiveness of reverse kangaroo mother care (rKMC) in reducing pain in neonates during retinopathy of prematurity (ROP) screening- An open labelled randomized controlled trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Vijaykumar 
Designation  Junior resident 
Affiliation  AIIMS Bathinda 
Address  Department of Pediatrics, AIIMS Bathinda, Jodhpur romana, Mandi Dabwali road, Bathinda, Punjab - 151001

Bathinda
PUNJAB
151001
India 
Phone  9916791402  
Fax    
Email  vijaymedha222@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Manish Swami 
Designation  Assistant professor 
Affiliation  AIIMS Bathinda 
Address  Department of Neonatology, AIIMS Bathinda, Jodhpur romana, Mandi Dabwali road, Bathinda, Punjab - 151001

Bathinda
PUNJAB
151001
India 
Phone  9991909318  
Fax    
Email  dmanishswami@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Vijaykumar 
Designation  Junior resident 
Affiliation  AIIMS Bathinda 
Address  Department of Pediatrics, AIIMS Bathinda, Jodhpur romana, Mandi Dabwali road, Bathinda, Punjab - 151001

Bathinda
PUNJAB
151001
India 
Phone  9916791402  
Fax    
Email  vijaymedha222@gmail.com  
 
Source of Monetary or Material Support  
Department of Pediatrics, AIIMS Bathinda, Jodhpur romana, Mandi Dabwali road, Bathinda, Punjab - 151001, India 
 
Primary Sponsor  
Name  AIIMS Bathinda 
Address  Jodhpur romana, Mandi Dabwali road, Bathinda, Punjab - 151001 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Vijaykumar  AIIMS Bathinda  Department of Neonatology, Jodhpur romana, Mandi Dabwali road, Bathinda, Punjab - 151001
Bathinda
PUNJAB 
9916791402

vijaymedha222@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, AIIMS Bathinda  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: P073||Preterm [premature] newborn [other],  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  ROP screening in conventional method  The neonate is screened for ROP on radiant warmer 
Intervention  ROP screening in rKMC position  The neonate is screened for ROP while on reverse kangaroo mother care (rKMC) position till its completion usually 2-10minutes 
 
Inclusion Criteria  
Age From  1.00 Day(s)
Age To  99.00 Day(s)
Gender  Both 
Details  1. Neonates who require ROP screening under GOI (RBSK 2017) guidelines.
2. Neonates either on room air or non-invasive respiratory support requiring FiO2 less than/equal to 30% at the time of ROP screening.
3. Neonates with weight more than 800 grams at the time of ROP screening regardless of mode of delivery, gestational age, singleton or twin status. 
 
ExclusionCriteria 
Details   
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To determine the
effectiveness of reverse
KMC in reducing the pain
during ROP screening 
Before procedure (30-90 seconds after putting mydriatic agents), During procedure (30-90 seconds after speculum insertion), After procedure (30-90 seconds after removing speculum) 
 
Secondary Outcome  
Outcome  TimePoints 
Compare difference in PIPP-R score  Before procedure (30-90 seconds after putting mydriatic agents), During procedure (30-90 seconds after speculum insertion), After procedure (30-90 seconds after removing speculum) 
Determine & compare mean change in
Heart rate (HR), SpO2, Respiratory rate
(RR) before & after procedure in
rKMC vs Conventional arm 
Before procedure (30-90 seconds after putting mydriatic agents), During procedure (30-90 seconds after speculum insertion), After procedure (30-90 seconds after removing speculum) 
Compare number of apnea episodes in rKMC vs Conventional arm  Before procedure (30-90 seconds after putting mydriatic agents), During procedure (30-90 seconds after speculum insertion), After procedure (30-90 seconds after removing speculum) 
Procedural time difference between both the arms   From insertion of speculum
and removal of speculum 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   19/08/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Open to Recruitment 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This study examines reverse Kangaroo Mother Care (rKMC) as an innovative approach to improve ROP screening in preterm neonates by reducing pain, enhancing comfort, and addressing challenges in traditional methods. 
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