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Electrophysiological Measurements and Analysis of Nociception in Human Infants
Published on: December 20, 2011
Pain definitions revised: newborns not only feel pain, they also suffer
1Bioethics Centre, University of Siena, Italy.
Insights
Premature babies, even extremely small ones, possess personhood and experience pain and suffering. Recognizing their dignity is crucial for effective neonatal pain management and analgesic treatment.
Area of Science:
- Neonatal care
- Bioethics
- Developmental psychology
Background:
- Premature infants are often perceived as unresponsive and socially incapable due to incubator isolation.
- Current understanding and treatment of pain in premature neonates remain inadequate.
- The concept of personhood in newborns is debated, impacting care decisions.
Purpose of the Study:
- To argue for the personhood of newborns, including premature infants.
- To highlight the capacity of premature babies to feel pain and suffer.
- To emphasize the necessity of acknowledging neonatal dignity for effective pain management.
Main Methods:
- Philosophical argumentation on personhood.
- Analysis of neonatal responsiveness and emotional expression.
- Review of current practices in neonatal analgesic treatment.
Main Results:
- Premature infants exhibit an "emotional world" beyond simple reactivity.
- Newborns, regardless of gestational age, possess personhood and experience pain and suffering.
- Resistance to adequate neonatal pain treatment persists due to undervaluing neonates' personhood.
Conclusions:
- Full acknowledgement of neonatal dignity and personhood is essential.
- Effective neonatal analgesic treatment requires recognizing the personhood of all newborns.
- Ethical considerations must guide the treatment of pain in premature infants.
Abstract:
Premature babies are relatively unreactive, often being completely isolated in an incubator and considered incapable of social behavior. To the attentive observer, however, they reveal an unsuspected emotional world: not only do they feel pain (the clash arising from an attack to their physical integrity), but they are also capable of suffering (the clash arising from an attack to their person's integrity) as they are persons. In this paper the author argues in favour of newborns' personhood. This needs to be considered in neonatal analgesic treatment, even for extremely small babies, as recognition and adequate treatment of neonatal pain is still resisted: full acknowledgement of neonatal dignity and personhood is a prerequisite for an effective treatment of neonatal pain.
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