Optimal site of tactile stimulation during initial steps of neonatal resuscitation: a three-arm randomized controlled trial.
ResuscitationJun 26, 2026 (epub)
Varsha Kolachena, Mayank Priyadarshi, Poonam Singh et al.
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In 30 seconds
This randomized controlled trial evaluated the effects of three tactile stimulation sites (sole, trunk, back rub) on peripheral oxygen saturation (SpO 2 ) in 183 non-crying neonates ≥32 weeks' gestation during initial resuscitation. The study found no significant differences in SpO 2 at 5 minutes, with values of 83.1%, 85.4%, and 82.4% respectively (p = 0.392).
Key findings
- 5-min SpO 2 was 83.1% for sole rub, 85.4% for trunk rub, and 82.4% for back rub (p = 0.392).
- Minute-specific changes in heart rate and SpO 2 were comparable across all groups.
- FiO 2 requirement was higher in the back rub group, though not statistically significant.
- No procedure-related complications occurred in any group.
Why it matters
Understanding the optimal site for tactile stimulation during neonatal resuscitation is crucial for improving outcomes in non-crying infants. This study provides evidence that no specific site significantly enhances oxygen saturation, guiding clinical practice in resuscitation protocols.