Culturally Based Practice in Neonatal Procedural Pain Management: A Mini Review
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Updated: Dec 6, 2025

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Published on: February 9, 2024
Siti Yuyun Rahayu Fitri1, Viera Wardhani2, Windy Rakhmawati1
1Pediatric nursing department, Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia.
Insights
Culturally based pain management in neonates is under-researched. This review explores methods like acupuncture and massage, showing potential benefits but inconsistent results due to varied measurement techniques.
Area of Science:
- Neonatal care
- Pain management
- Cultural health practices
Background:
- Cultural factors increasingly influence healthcare, yet neonatal pain management lacks culturally-informed research.
- Limited understanding of culturally specific approaches to managing pain in newborns.
Purpose of the Study:
- To review culturally based procedural pain management strategies for neonates globally.
- To identify and analyze diverse cultural practices used for neonatal pain relief.
Main Methods:
- Mini-review of existing literature on culturally based neonatal pain management.
- Analysis of studies on acupuncture, foot massage, reflexology, Yakson touch, and aromatherapy.
- Evaluation of methodologies, including randomized controlled trials (RCTs).
Main Results:
- Several culturally derived methods for neonatal pain management were identified: acupuncture, foot massage/reflexology, Yakson touch, and aromatherapy.
- Acupuncture has been more extensively studied via RCTs due to its standardizable techniques.
- All reviewed methods show indications of positive impact, but study results are inconsistent.
Conclusions:
- Culturally based pain management in neonates shows promise but requires further standardization.
- Inconsistent outcomes are attributed to diverse measurement methods and challenges in standardizing cultural practices.
- Future research should focus on standardized outcome measures for culturally sensitive neonatal pain interventions.
Abstract:
Cultural factors have gradually become important considerations in health services, including in pain management for adult and pediatric patients. However, research on culturally based pain management in neonates remains limited. This mini review aims to provide an overview of procedural pain management in neonates based on cultural approaches from various countries. The review found that there are several analyses of pain management procedures for neonates developed from cultural practices, namely, acupuncture, foot massage and reflexology, Yakson touch therapy, and aromatherapy. The acupuncture method (invasive and non-invasive) is more widely studied using randomized controlled trials (RCTs) than the other methods because the techniques applied can be standardized and measured. There are indications of the positive impact of all the methods examined in this review, but the results of studies have not been consistent because of the diversity of outcome measurement methods used and because of the difficulty of creating standardized procedures to measure pain management methods that are based on cultural practices.
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