Efficacy of a Novel Site of Tactile Stimulation (Partha’s site) for Neonatal Resuscitation – A Prospective Interventional Study

Abstract

ABSTRACT Background: Traditional tactile stimulation methods in neonatal resuscitation involve stroking or tapping the back of the infant. However, a recent study has investigated additional tactile stimulation areas, such as the baby’s feet, with a high concentration of nerve endings. In this connection, the primary author has selected a bilateral inguinal crease as an alternate site for tactile stimulation. This study examines the effectiveness of this novel stimulation site in generating crying in noncrying neonates. Methodology: A prospective interventional study was conducted in an established obstetric hospital from February to November 2023. The study population comprised 100 noncrying infants who did not respond to conventional tactile stimulation. The outcome variables included maternal age, gestational age, birth weight, grimace and respiration scores of Apgar, and the time taken to achieve the maximum score after stimulation. Results: Most neonates (71%) achieved a grimace score of 2 after stimulation, and the mean time to achieve this response was 1.39 (2) s. Seventy-six percent of neonates achieved a respiration score of 2 after stimulation, and the mean time to achieve it was 2.24 (0.5) s. Furthermore, 98% of infants had a favorable outcome without further invasive interventions. Conclusion: The novel site of bilateral inguinal stroking is an effective tactile stimulation site in neonatal resuscitation. The findings suggest that this approach may provide a quicker and more consistent response, reducing the need for positive pressure ventilation and potentially improving neonatal outcomes.