Children should learn to use a specific strategy before pain occurs or before it becomes severe. To reduce the child's effort, instructions for a strategy, such as distraction or relaxation, can be audiotape and played during a period of comfort. However, even after they have learned an intervention, children often need help using it during a painful procedure. intervention can also be used after the procedure. This gives the child a chance to recover, feel mastery, and cope more effectively , Several studies have documented the effectiveness of non" pharmacologic analgesia, such as containment, positioning nonnutritive sucking, and kangaroo holding, in neonate during painful procedures. Containment is achieve through positioning and blanket rolls if provides a "nest" that enhances the infant's feelings of security and decreases stress. Comforting measures and swaddling reduce crying and heart rate after procedures such as heel punctures and injections