Evidence map›Paper›PMID 40805899›Full record

ArticleHealthcare (Basel, Switzerland)2025

Beyond Pain Management: Skin-to-Skin Contact as a Humanization Strategy in Cesarean Delivery: A Randomized Controlled Trial.

José Miguel Pérez-Jiménez, Rocío de-Diego-Cordero, Álvaro Borrallo-Riego, Manuel Luque-Oliveros, Domingo de-Pedro-Jimenez, Manuel Coheña-Jimenez, Patricia Bonilla Sierra, María Dolores Guerra-Martín

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
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

8 authors.

José Miguel Pérez-JiménezDepartment of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, c/Avenzoar 6, 41009 Seville, Spain.ORCID 0000-0002-5648-9365
Rocío de-Diego-CorderoDepartment of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, c/Avenzoar 6, 41009 Seville, Spain.ORCID 0000-0002-3453-003X
Álvaro Borrallo-RiegoDepartment of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, c/Avenzoar 6, 41009 Seville, Spain.
Manuel Luque-OliverosDepartment of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, c/Avenzoar 6, 41009 Seville, Spain.ORCID 0000-0003-4346-617X
Domingo de-Pedro-JimenezIndorama Ventures Quimica, S.L.U., Pol. Ind. Guadarranque, sn., 11360 San Roque, Spain.ORCID 0000-0002-3681-3682
Manuel Coheña-JimenezPodiatry Department, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain.ORCID 0000-0001-5714-6594
Patricia Bonilla SierraDepartment of Health Sciences, Technical Private University of Loja, Loja 110107, Ecuador.ORCID 0000-0003-4782-523X
María Dolores Guerra-MartínDepartment of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, c/Avenzoar 6, 41009 Seville, Spain.ORCID 0000-0002-1409-1287

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative pain management after a cesarean section remains a significant challenge, as inadequate control can delay maternal recovery and hinder early bonding and breastfeeding. While multimodal analgesia is the standard approach, non-pharmacological strategies like immediate skin-to-skin contact (SSC) are often underused despite their potential benefits in reducing pain, improving uterine contractions, and increasing maternal satisfaction.

objectiveTo evaluate the effects of immediate SSC on postoperative pain perception, uterine contraction quality, and maternal satisfaction, and to explore ways to incorporate SSC into routine post-cesarean care to promote recovery and humanized care.

methodA randomized clinical trial was conducted with 80 women undergoing elective cesarean sections, divided into two groups: SSC (40 women) and control (40 women). Postoperative pain was measured using the Visual Analog Scale (VAS) at various intervals, while uterine contraction quality and maternal satisfaction were assessed through clinical observation and a Likert scale, respectively.

resultsWe found that women in the SSC group experienced significantly lower pain scores (VAS2 and VAS3,

conclusionsImmediate SSC after cesarean is an effective, humanizing intervention that reduces pain, supports uterine contractions, and boosts maternal satisfaction. These findings advocate for integrating SSC into standard postoperative care, aligning with ethical principles of beneficence and autonomy. Further research with larger samples is necessary to confirm these benefits and facilitate widespread adoption in maternity protocols.

Indexed as

cesarean sectionhumanized carematernal satisfactionpostoperative painskin–to–skin contactuterine contraction

Identifiers

PMID40805899
PMCPMC12346837

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.