Cochrane · systematic review · CD008435

Skin‐to‐skin care for procedural pain in neonates

Johnston, C, Campbell‐Yeo, M, Disher, T, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

NeonatalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 28.6%Low 0 · 0%Moderate 4 · 57.1%High 1 · 14.3%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Skin‐to‐Skin care for procedural pain in neonates ‐ summary of findings

Population: procedural pain in neonates
7 questions
OutcomeEffectEvidenceStatus / GRADE
Heart rate during painful procedure
no estimate extracted5 studies · 161 participantsVery low
Heart rate following painful procedure
no estimate extracted4 studies · 120 participantsHigh
PIPP Score 30 seconds after painful procedure
no estimate extracted5 studies · 268 participantsModerate
Downgraded: imprecision, inconsistency
NIPS ‐ Proportion of infants in low or no pain during procedure
no estimate extracted3 studies · 480 participantsVery low
Downgraded: imprecision, inconsistency
NIPS ‐ Infants in no pain during recovery
no estimate extracted2 studies · 380 participantsModerate
Downgraded: imprecision, inconsistency
Duration of cry (seconds) following heel lance
no estimate extracted2 studies · 33 participantsModerate
Downgraded: imprecision, inconsistency
Duration of cry (seconds) following IM injection
no estimate extracted2 studies · 100 participantsModerate
Downgraded: imprecision, inconsistency