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. 2017 Feb 16;2017(2):CD008435. doi: 10.1002/14651858.CD008435.pub3

Kostandy 2013.

Methods Randomized Controlled Trial
Participants 36 term infants (GA 28 to 36 completed weeks)
Birth weight, mean, ± SD, grams: 3358.25 (skin‐to‐skin: 3389.7 ± 333.3; Control: 3326.8 ± 324.08)
Painful procedure: IM Injection
Study period: July 2002 to December 2002
Interventions Skin‐to‐skin: 10 to 15 minutes prior to, and during, heel lance
Control: infant supine in bassinet 10‐15 minutes prior to heel lance
Outcomes Cry time (seconds), Anderson Behavioural State Scale, heart rate
Notes Country: United States
Power calculation: yes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Each mother‐neonate dyad was randomly assigned using the computerized minimization method.
Allocation concealment (selection bias) Low risk Randomization was completed for each participant, using a minimization method calculated by a computer program. Staff could not access this information prior to group assignment.
Blinding (performance bias and detection bias) 
 All outcomes High risk The nature of the intervention makes blinding study staff and participants impossible, no blinding of outcomes assessors.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All dyads completed the study
Selective reporting (reporting bias) Low risk All mothers and neonates enrolled in the study completed the protocol, all outcomes were reported.