Skin-to-skin care is an effective and safe intervention to reduce procedural pain in neonates

Commentary on: Johnston C, Campbell-Yeo M, Fernandes A, et al. Skin-to-skin care for procedural pain in neonates. Cochrane Database Syst Rev. 2014:CD008435.

Implications for practice and research

Skin-to-skin contact/care (SSC) is an effective and safe intervention for reducing procedural pain as measured by physiological and behavioural indicators and can be used in routine neonatal practice.

Further studies are needed to examine similar and clearly defined pain outcomes, taking into account SSC duration, age and comparison with other interventions.

Context

Unrelieved pain caused by invasive procedures in early life is associated with detrimental outcomes in all major organ systems and has lasting implications for impairment of biobehavioural and neurodevelopment outcomes in neonatal period and later life.1 2 However, 40%–90% of infants still do not receive effective pain-relieving interventions.3 4 Non-pharmacological interventions, especially those incorporating parental involvement, that is, SSC (or kangaroo care), are recommended. SSC is...

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