Assessment of Procedural Pain in Term Neonates in Neonatal Department in Skopje
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Abstract
BACKGROUND: Although some researchers argue that the newborns don't feel pain due to their immature brain, evidence was presented that they do feel pain reacting with behavioral and physiological changes. These findings are substrate for developing pain assessment tools, although some controversial.
AIM: The objectives of this study were to test one of the available assessment tool for procedural pain in term newborns during two painful procedures in routine neonatal care (intramuscular injection and heel prick), to compare the level of pain caused by them, and to assess the time for recovery after procedures. The included term, healthy newborns, and the pain was assessed following strong recommended instructions. As baseline score was considered state of relaxed fed newborn.
RESULTS: Ðlthough not expected, the pain score was the highest during heel prick (23.6), and longer time was needed for recovery (more than 15 minutes), while pain experienced during intramuscular injection showed lower pain score (19.9).
CONCLUSION: Тhese results are based on small group of newborns, but nevertheless, it is strongly recommended to consider neonatal pain, assess it and apply evidence based management of procedural pain, due to the results of long term adverse effects on neurobehavioral development of the infant.Downloads
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