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Related Experiment Videos

Newborn behavioral and physiological responses to circumcision.

Margaret Malnory1, Teresa S Johnson, Russell S Kirby

  • 1College of Nursing, University of Wisconsin at Milwaukee, Milwaukee, WI 53201, USA.

MCN. the American Journal of Maternal Child Nursing
|September 23, 2003
PubMed
Summary

Preoperative acetaminophen may help manage newborn pain during circumcision. This study found reduced movement and improved breathing in infants receiving the medication, though crying increased slightly.

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Area of Science:

  • Neonatal care
  • Pediatric pain management
  • Surgical analgesia

Background:

  • Circumcision is a common neonatal procedure often associated with pain.
  • Current pain management strategies for neonatal circumcision vary, with some providers not routinely using analgesia.
  • Assessing and managing procedural pain in newborns is crucial for their well-being.

Purpose of the Study:

  • To evaluate the impact of preoperative acetaminophen on the behavioral responses of newborns undergoing circumcision.
  • To determine if oral acetaminophen administered before circumcision can mitigate pain indicators.

Main Methods:

  • A convenience sample of 53 male newborns (35-42 weeks GA) were divided into two groups: one receiving oral acetaminophen pre-procedure, the other receiving no analgesia.

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  • Behavioral responses were assessed using the Neonatal Inventory Pain Scale (NIPS) and physiological monitoring.
  • Data collection occurred at multiple time points: preoperatively, intraoperatively, and up to 60 minutes postoperatively.

    • Main Results:

    • Newborns receiving preoperative acetaminophen showed significantly lower NIPS scores for arm and leg movements, facial expression, state of arousal, and breathing quality.
    • While crying scores were higher in the acetaminophen group, they remained in the lowest range for both groups.
    • No demographic differences were observed between the groups.

    Conclusions:

    • Preoperative acetaminophen administration appears to be a beneficial intervention for managing pain associated with neonatal circumcision.
    • This study supports the use of preoperative analgesia to improve newborn comfort during circumcision.
    • Nurses should advocate for policy changes to ensure pain relief interventions are available for all newborns undergoing procedures.