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Updated: Jun 17, 2025

Electrophysiological Measurements and Analysis of Nociception in Human Infants
Published on: December 20, 2011
Effect of Yakson Touch and White Noise on Pain in Neonatal Heel Blood Collection: A Randomized Controlled Study
Insights
Yakson touch significantly reduces infant pain during heel blood collection more effectively than white noise. This gentle caregiver interaction offers a superior non-pharmacological approach to managing newborn procedural pain.
Area of Science:
- Neonatal Care
- Pain Management
- Pediatric Nursing
Background:
- Infants experience pain during routine preventive health procedures like heel blood collection.
- Untreated pain can significantly impact vulnerable newborns.
Purpose of the Study:
- To evaluate the efficacy of Yakson touch and white noise in alleviating pain during newborn heel blood collection.
- To compare the pain-reducing effects of Yakson touch and white noise interventions.
Main Methods:
- A parallel randomized controlled experimental design was employed.
- 66 infants (37-40 weeks gestational age) were randomized into three groups: Yakson Touch (n=22), White Noise (n=22), and Control (n=22).
- Pain was assessed using the Newborn Infant Pain Scale (NIPS).
Main Results:
- The Yakson Touch Group showed the lowest mean NIPS score (2.04±1.17), followed by the White Noise Group (2.80±1.47), and the Control Group (3.72±1.07).
- A statistically significant difference in pain scores was observed between the groups (P < .001).
- Yakson touch demonstrated the most significant reduction in pain, with white noise being the second most effective.
Conclusions:
- Yakson touch is a highly effective non-pharmacological intervention for managing procedural pain in newborns.
- Yakson touch offers superior pain control compared to white noise during invasive procedures in infants.
- These findings support the integration of Yakson touch into routine neonatal care to enhance infant comfort.
Context:
As part of preventive health services, infants are exposed to painful procedures, such as venous interventions, injections, and heel blood collection. Infants, in particular, are sensitive and vulnerable to untreated pain.
Objective:
This study aims to evaluate the effect of Yakson touch and white noise on pain in newborn heel blood collection. Yakson touch include the interaction between the caregiver and the care recipient.
Design:
The study was conducted using a parallel randomized controlled experimental design. The research was conducted during the Guthrie screening test routinely performed on newborns.
Setting:
The study was carried out at the Family Health Center, which has the highest number of patients in a province in the Eastern Anatolia Region of Turkey between May 1st and August 30th, 2022.
Participants:
A total of 66 babies with a gestational age of 37-40 weeks were included in the study.
Intervention:
In the study, infant participants were randomly assigned to one of three groups: the Yakson Touch Group (n=22), the White Noise Group (n=22), and the Control Group (n=22). Infants in the Yakson Touch Group received the Yakson touch from the same researcher. Infants in the White Noise Group listened to a song "Don't Let Your Baby Cry 2" from the album "Colic". Infants in the Control Group received routine intervention procedures.
Outcome Measures:
The study data were collected using the Introductory Information Form and the Newborn Infant Pain Scale (NIPS).
Results:
After the procedure, the mean Yakson Touch Group of the NIPS score was 2.04±1.17, the mean White Noise Group of the NIPS score was 2.80±1.47, and the mean Control Group of the NIPS score was 3.72±1.07. There was a significant difference between the groups after the procedure (P < .001; ηp2=0.248 ). The Yakson touch procedure was found to be the most effective at decreasing the pain score, and white noise was the second most effective.
Conclusions:
Yakson touch is more effective than white noise in controlling pain due to invasive procedures in babies.
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