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After a Little Massage … Urine Business
The study
One hundred and twenty-seven full-term newborns admitted to a Turkish NICU, aged 3 to 30 days, were randomized into 1 of 2 clean catch urinary collection techniques to compare time to and success of urine collection. Both techniques included feeding 25 minutes before procedure, cleaning the genital area, holding the naked infant under his or her arms, providing nonnutritive sucking or sucrose syrup during the procedure, and waiting up to 5 minutes for voiding. In addition, infants in the experimental group received alternating suprapubic finger tapping and lumbar paravertebral massage until micturition. Infants were excluded for poor feeding, dehydration, oliguria/anuria, treatment with nephrotoxic drugs, and illnesses affecting mobility. The majority of enrolled infants underwent urine collection in the context of fever or hyperbilirubinemia.
The key findings
Compared with the control group (n = 64), the experimental group (n = 63) had a lower median time to void (60 vs 300 seconds, P < .01) and a higher percentage of successful voiding within 5 minutes (78% vs 33%, P < .01). The proportion of contaminated samples did not differ between the 2 groups …
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