Skin-to-Skin Contact Diminishes Pain From Hepatitis B Vaccine Injection in Healthy Full-Term Neonates

Kostandy, Raouth R.; Anderson, Gene Cranston; Good, Marion

doi:10.1891/0730-0832.32.4.274

Cited by 37 publications

(24 citation statements)

References 38 publications

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“…Use of the procedure delineated above should make use of SSC during painful procedures more consistent than currently occurs [27]. The evidence base clearly supports SSC as an effective pain reduction nursing intervention [16] [26] [38] [39] [40]. The procedure described above meets criteria for maintaining ergonomic integrity of the health care worker conducting the painful procedures.…”

Section: Discussionmentioning

confidence: 99%

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Clustered Pain Procedures in Skin-to-Skin Contact (SSC) Position for Full Term Newborns

Kostandy¹,

Ludington‐Hoe²

2017

WJNS

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As a part of their routine care, full term newborns face many painful procedures immediately after birth and during the first couple days of life. Skin-toSkin Contact (SSC) has been recommended as a non-pharmacological pain management intervention in newborns. However, the use of SSC in labor and delivery rooms as well as in postnatal units and nurseries is limited due to the discomfort that the nurses and phlebotomists themselves experience during positioning the newborns and themselves to complete these routine procedures. The objective of this paper is to describe a step-by-step procedure that was developed and used in a randomized clinical trial to manage newborns pain during clustered pain procedures. The procedure worked well and no complaints of discomfort were reported by the nurses during the study.

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Section: Discussionmentioning

confidence: 99%

“…Leave the mother-newborn dyad skin-to-skin for 10-15 minutes for calming. Ten-to-fifteen minutes is sufficient to help the dyad nest and relax [16] [36]. 8.…”

Section: The Proceduresmentioning

confidence: 99%

Clustered Pain Procedures in Skin-to-Skin Contact (SSC) Position for Full Term Newborns

Kostandy¹,

Ludington‐Hoe²

2017

WJNS

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“…During routine care practices, full-term, healthy infants are exposed to some interventions that are considered painful, including heel lance procedures for blood sampling and intramuscular injections. Skin-to-skin contact has been shown to reduce the responses of newborns to painful stimuli, including a decrease in facial grimace, heart rate, and crying time when compared to those who were not in skin-to-skin contact during the same procedures (Gray, Watt, & Blass, 2000;Kostandy, Anderson, & Good, 2013;Liu, Zhao, & Li, 2015).…”

Section: Skin-to-skin Contact For Full-term Infantsmentioning

confidence: 99%

Immediate and Sustained Skin-to-Skin Contact for the Healthy Term Newborn After Birth: AWHONN Practice Brief Number 5

2016

Nursing for Women's Health

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“…Skin-to-skin contact in full-term and preterm infants effectively reduces pain. Pain reduction from single heel lance (Cong et al, 2012), intramuscular injection (Vivancos, Leite, Scochi, & Dos Santos, 2010), and vaccination (Kostandy, Anderson, & Good, 2013) occurs with SSC. Skin-to-skin contact certainly works better in reducing pain than no intervention whatsoever (Chidambaram, Manjula, Adhisivam, & Bhat, 2014).…”

Section: Psychospiritual Realm (Pain and Stress Reduction)mentioning

confidence: 99%

Skin-to-Skin Contact

Ludington‐Hoe

2015

McN: The American Journal of Maternal/Child Nursing

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Birth and the newborn environment are stressful, especially for preterm infants who have to contend with medical conditions while adapting to the extrauterine world. Therefore, preterm newborns are excellent candidates for comforting measures. Skin-to-skin contact is the best way to provide comfort in several of the realms of Kolcaba's Comfort Theory. Evidence suggests that skin-to-skin contact between the mother and newborn changes the discomforting newborn environment into one that is profoundly comforting. Skin-to-skin contact promotes infant physiologic stability and warmth, helps in organizing infant sleep, reduces stress and pain, and makes breast milk readily available. Comfort to the newborn can be effectively accomplished by skin-to-skin contact.

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Skin-to-Skin Contact Diminishes Pain From Hepatitis B Vaccine Injection in Healthy Full-Term Neonates

Abstract: SSC neonates cried less compared with controls (23 vs 32 seconds during injection; 16 vs 72 seconds during recovery), reached calmer BSts sooner (M = 2.8 vs M = 6.5 time points), and trended toward more rapid HR decrease. SSC as described was safe and effective and merits further testing.

Cited by 37 publications

References 38 publications

Clustered Pain Procedures in Skin-to-Skin Contact (SSC) Position for Full Term Newborns

Clustered Pain Procedures in Skin-to-Skin Contact (SSC) Position for Full Term Newborns

Immediate and Sustained Skin-to-Skin Contact for the Healthy Term Newborn After Birth: AWHONN Practice Brief Number 5

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