{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:00:40Z","timestamp":1787756440796,"version":"build-2784847793"},"reference-count":46,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,7,13]],"date-time":"2021-07-13T00:00:00Z","timestamp":1626134400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Premature mothers present more anxiety and stress after delivery, which may be caused by mother\u2013infant separation while hospitalised. Skin\u2010to\u2010skin contact (SSC), a mitigating factor for mother\u2013infant separation, can benefit infants and mothers in many ways, but few studies focused on its efficacy on maternal anxiety and stress states. Therefore, this review aims to evaluate the effect of SSC on anxiety and stress. Comprehensive research was conducted in nine databases. Meta\u2010analysis was conducted to investigate the effect of SSC, and subgroup analyses were performed to explain the sources of heterogeneity. Eight randomised controlled trials with 728 participants were included, and SSC significantly reduced the level of anxiety ([standardised mean difference, SMD] \u22120.72; 95% CI \u22121.08 to \u22120.35) and stress state ([SMD] \u22120.84; 95% CI \u22121.59 to \u22120.09). One subgroup analysis revealed that SSC can relieve anxiety if performing SSC no less than 1\u2009h per day ([SMD] \u22120.94; 95% CI \u22121.34 to \u22120.53). Another subgroup analysis suggested that applying SSC repeatedly and lasting less than 1\u2009week ([SMD] \u22121.49; 95% CI \u22122.31 to \u22120.66) or for 1\u2009week to 2\u2009weeks ([SMD] \u22121.04; 95% CI \u22121.29 to \u22120.79) can significantly reduce maternal anxiety level but no significance if lasting over 2\u2009weeks ([SMD] \u22120.33; 95% CI \u22120.67 to 0.01). SSC can effectively improve anxiety and stress states among premature mothers after delivery, and not definitive finding presents that only SSC that was performed no less than 60\u2009min could improve postpartum anxiety states, while SSC alone was not as effective when carried out over 2\u2009weeks.<\/jats:p>","DOI":"10.1111\/mcn.13245","type":"journal-article","created":{"date-parts":[[2021,7,14]],"date-time":"2021-07-14T02:53:30Z","timestamp":1626231210000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":54,"title":["Skin\u2010to\u2010skin contact to improve premature mothers' anxiety and stress state: A meta\u2010analysis"],"prefix":"10.1111","volume":"17","author":[{"given":"Shengnan","family":"Cong","sequence":"first","affiliation":[{"name":"School of Nursing Nanjing Medical University  Jiangsu 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of Nanjing Medical University (Nanjing Maternity and Child Health Care Hospital)  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Zhou","sequence":"additional","affiliation":[{"name":"Women's Hospital of Nanjing Medical University (Nanjing Maternity and Child Health Care Hospital)  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Liu","sequence":"additional","affiliation":[{"name":"Women's Hospital of Nanjing Medical University (Nanjing Maternity and Child Health Care Hospital)  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1266-0925","authenticated-orcid":false,"given":"Aixia","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Nursing Nanjing Medical University  Jiangsu China"},{"name":"Women's Hospital of Nanjing Medical University (Nanjing Maternity and Child Health Care Hospital)  Nanjing 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