{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T05:52:22Z","timestamp":1791179542365,"version":"4.1.0"},"reference-count":32,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004077","name":"Kocaeli \u00dcniversitesi","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004077","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004410","name":"T\u00fcrkiye Bilimsel ve Teknolojik Ara\u015ft\u0131rma Kurumu","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004410","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2026,10]]},"abstract":"ABSTRACT<\/jats:title>\n \n Aim<\/jats:title>\n To evaluate the effect of skin\u2010to\u2010skin contact during caesarean section on neonatal pain and stress during the first intramuscular injection.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Prospective randomized controlled trial.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n The study was conducted between January and July 2023 in an education and research hospital. Sixty healthy term newborns of women undergoing elective caesarean delivery under spinal anaesthesia were randomly allocated to skin\u2010to\u2010skin contact (\n n<\/jats:italic>\n \u2009=\u200930) or routine care (\n n<\/jats:italic>\n \u2009=\u200930). In the intervention group, standardized skin\u2010to\u2010skin contact was provided for approximately 3\u2009min during caesarean section. Neonatal pain and stress were assessed using the Newborn Pain and Stress Assessment Scale (ALPS\u2010Neo) at four predefined timepoints.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n ALPS\u2010Neo scores were similar between groups at baseline but were lower in the skin\u2010to\u2010skin contact group immediately before, during, and after the first intramuscular injection. During the injection, the mean between\u2010group difference was \u22122.633 (95% CI: \u22123.135 to \u22122.132,\n p<\/jats:italic>\n \u2009<\u20090.001), with a large standardized effect (Hedges'\n g<\/jats:italic>\n \u2009=\u2009\u22122.68, 95% CI: \u22123.38 to \u22121.99).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Brief intraoperative skin\u2010to\u2010skin contact may reduce immediate neonatal pain and stress during the first intramuscular injection after caesarean birth.<\/jats:p>\n <\/jats:sec>\n \n Implications for the Profession and\/or Patient Care<\/jats:title>\n Skin\u2010to\u2010skin contact may provide a simple non\u2010pharmacological strategy to support neonatal comfort during routine painful procedures after caesarean birth when appropriate clinical and thermal conditions are ensured.<\/jats:p>\n <\/jats:sec>\n \n Impact<\/jats:title>\n This study supports the analgesic and stress\u2010reducing effects of skin\u2010to\u2010skin contact and extends existing evidence to brief intraoperative contact during caesarean delivery. Repeated assessment showed that the between\u2010group difference was greatest during the painful procedure.<\/jats:p>\n <\/jats:sec>\n \n Reporting Method<\/jats:title>\n The study was reported in accordance with the CONSORT Statement for Randomized Trials of Nonpharmacologic Treatments.<\/jats:p>\n <\/jats:sec>\n \n No Patient or Public Contribution<\/jats:title>\n There was no patient or public involvement in the design, management, interpretation, reporting, or dissemination of this study. Women and their newborns were involved solely as research participants, and written informed consent was obtained from the women before participation.<\/jats:p>\n <\/jats:sec>\n \n Trial and Protocol Registration<\/jats:title>\n \n ClinicalTrials.gov<\/jats:ext-link>\n (registration number: NCT05700552).\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/nop2.70836","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T05:02:24Z","timestamp":1791176544000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of Skin\u2010To\u2010Skin Contact During Caesarean Section on Pain and Stress in Newborns: A Randomized Controlled Trial"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4287-3016","authenticated-orcid":false,"given":"Seda","family":"Yazici Yel","sequence":"first","affiliation":[{"name":"Darica Farabi Training and Research Hospital Kocaeli Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4366-5056","authenticated-orcid":false,"given":"Sena Dilek","family":"Aksoy","sequence":"additional","affiliation":[{"name":"Faculty of Health Science, Department of Midwifery Kocaeli University Kocaeli 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J.2013.\u201cBeyond Survival: Integrated Delivery Care Practices for Long\u2010Term Maternal and Infant Nutrition Health and Development.\u201d(Issue 73)."},{"issue":"4","key":"e_1_2_14_24_1","first-page":"339","article-title":"The Effect of Kangaroo Care on Physiologic Responses to Pain of an Intramuscular Injection in Neonates","volume":"17","author":"Sajedi F.","year":"2007","journal-title":"Iranian Journal of Pediatrics"},{"key":"e_1_2_14_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004950.pub4"},{"key":"e_1_2_14_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102022\u2010062296"},{"key":"e_1_2_14_27_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph182111484"},{"key":"e_1_2_14_28_1","first-page":"95","volume-title":"What Is the Right Temperature for a Neonate?","author":"Singer 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