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 |
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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 |
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Outcomes | Cry time (seconds), Anderson Behavioural State Scale, heart rate | |
Notes | Country: United States Power calculation: yes |
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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. |