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facilitated tucking, Premature Infant Pain Profile, preterm infants, randomized clinical trials



  1. Obeidat, Hala PhD, RN
  2. Kahalaf, Inaam PhD, RN
  3. Callister, Lynn Clark PhD, RN, FAAN
  4. Froelicher, Erika Sivarajan PhD, MPH, MA, RN, FAAN


Background: Neonatal care demands attention to interventions that effectively reduce pain with pharmacological and nonpharmacological methods in preterm infants during invasive procedures.


Purpose: The aim of this systematic review was to determine the efficacy of facilitated tucking as nonpharmacological pain management in preterm infants.


Method: Electronic searches were conducted using the following databases: Ovid, Blackwell Synergy, ScienceDirect, PsychINFO, and CINAHL and with the following key words: facilitated tucking, preterm infant's pain responses, and randomized clinical trials for the period of 1995 to May 2008.


Results: The search generated 15 articles; 5 articles fit to the criteria of the systematic review. The following outcomes were statistically significant: heart rate; increase in oxygen saturation; sleep-wake state; Premature Infant Pain Profile scores; and neonate infant pain scores.


Conclusion: The studies reviewed provide important preliminary findings that suggest facilitated tucking may be beneficial to preterm infants in attenuating their responses to painful procedures.