Skin-to-Skin Contact Is Analgesic in Healthy Newborns

  • Larry Gray
    From the Department of Pediatrics, Boston University School of Medicine, Boston, Massachusetts; and the
  • Lisa Watt
    From the Department of Pediatrics, Boston University School of Medicine, Boston, Massachusetts; and the
  • Elliott M. Blass
    From the Department of Pediatrics, Boston University School of Medicine, Boston, Massachusetts; and the

Abstract

<jats:sec><jats:title>Objectives.</jats:title><jats:p>To determine whether skin-to-skin contact between mothers and their newborns will reduce the pain experienced by the infant during heel lance.</jats:p></jats:sec><jats:sec><jats:title>Design.</jats:title><jats:p>A prospective, randomized, controlled trial.</jats:p></jats:sec><jats:sec><jats:title>Setting.</jats:title><jats:p>Boston Medical Center, Boston, Massachusetts.</jats:p></jats:sec><jats:sec><jats:title>Participants.</jats:title><jats:p>A total of 30 newborn infants were studied.</jats:p></jats:sec><jats:sec><jats:title>Interventions.</jats:title><jats:p>Infants were assigned randomly to either being held by their mothers in whole body, skin-to-skin contact or to no intervention (swaddled in crib) during a standard heel lance procedure.</jats:p></jats:sec><jats:sec><jats:title>Outcome Measures.</jats:title><jats:p>The effectiveness of the intervention was determined by comparing crying, grimacing, and heart rate differences between contact and control infants during and after blood collection.</jats:p></jats:sec><jats:sec><jats:title>Results.</jats:title><jats:p>Crying and grimacing were reduced by 82% and 65%, respectively, from control infant levels during the heel lance procedure. Heart rate also was reduced substantially by contact.</jats:p></jats:sec><jats:sec><jats:title>Conclusion.</jats:title><jats:p>Skin-to-skin contact is a remarkably potent intervention against the pain experienced during heel stick in newborns.</jats:p></jats:sec>

Journal

  • Pediatrics

    Pediatrics 105 (1), e14-e14, 2000-01-01

    American Academy of Pediatrics (AAP)

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