Evidence map›Paper›PMID 34258864›Full record

SynthesisMaternal & child nutrition2021

Skin-to-skin contact to improve premature mothers' anxiety and stress state: A meta-analysis.

Shengnan Cong, Rui Wang, Xuemei Fan, Xiaowei Song, Lijuan Sha, Zhu Zhu, Hui Zhou, Ying Liu, Aixia Zhang

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisReview
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Maternal & child nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06781307 (Department of Nurse-Midwifery and Women Health Graduate Institute of Nurse-Nurse-Midwifery), which is not on this map. Cited by 30 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 6 pooled it
8.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06781307 nacompletednot on this mapstarted 2023, after this paper: background citation

Department of Nurse-Midwifery and Women Health Graduate Institute of Nurse-Nurse-Midwifery

TypeinterventionalSponsorJen-Ai Hospital Institutional Review BoardRan2023 to 2025Enrolled70ConditionsAttachmentArmsskin to skin
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 6 syntheses or guidelines pooled it, 58 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Shengnan CongSchool of Nursing, Nanjing Medical University, Jiangsu, China.
Rui WangSchool of Nursing, Nanjing Medical University, Jiangsu, China.
Xuemei FanWomen's Hospital of Nanjing Medical University (Nanjing Maternity and Child Health Care Hospital), Nanjing, China.
Xiaowei SongDepartment of Neurosurgery, Sir Run Run Hospital, Nanjing Medical University, Jiangsu, China.
Lijuan ShaSuqian First hospital, Jiangsu, China.
Zhu ZhuWomen's Hospital of Nanjing Medical University (Nanjing Maternity and Child Health Care Hospital), Nanjing, China.
Hui ZhouWomen's Hospital of Nanjing Medical University (Nanjing Maternity and Child Health Care Hospital), Nanjing, China.
Ying LiuWomen's Hospital of Nanjing Medical University (Nanjing Maternity and Child Health Care Hospital), Nanjing, China.
Aixia ZhangSchool of Nursing, Nanjing Medical University, Jiangsu, China.ORCID 0000-0002-1266-0925
Nanjing Maternity and Child Health Care Hospital · CNNanjing Medical University · CNSoochow University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Premature mothers present more anxiety and stress after delivery, which may be caused by mother-infant separation while hospitalised. Skin-to-skin contact (SSC), a mitigating factor for mother-infant 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-analysis 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] -0.72; 95% CI -1.08 to -0.35) and stress state ([SMD] -0.84; 95% CI -1.59 to -0.09). One subgroup analysis revealed that SSC can relieve anxiety if performing SSC no less than 1 h per day ([SMD] -0.94; 95% CI -1.34 to -0.53). Another subgroup analysis suggested that applying SSC repeatedly and lasting less than 1 week ([SMD] -1.49; 95% CI -2.31 to -0.66) or for 1 week to 2 weeks ([SMD] -1.04; 95% CI -1.29 to -0.79) can significantly reduce maternal anxiety level but no significance if lasting over 2 weeks ([SMD] -0.33; 95% CI -0.67 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 min could improve postpartum anxiety states, while SSC alone was not as effective when carried out over 2 weeks.

Indexed as

Kangaroo-Mother Care MethodPremature BirthAnxietyFemaleHumansInfantMothersPregnancyRandomized Controlled Trials as Topicanxietypostpartum periodpremature birthskin to skin contactstress

Identifiers

PMID34258864
PMCPMC8476413
OpenAlexW3178856759

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.