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Related Experiment Videos

Pain perception in the neonate: implications for circumcision.

A V Myron1, D P Maguire

  • 1Center for the Advancement of Nursing Practice, Boston's Beth Israel Hospital, MA 02215.

Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing
|May 1, 1991
PubMed
Summary

Neonatal circumcision is often done without anesthesia, despite evidence that newborns can feel pain. This review examines pain perception in infants and its implications for anesthesia use during the procedure.

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Area of Science:

  • Neonatal care
  • Pediatric pain management
  • Surgical procedures

Background:

  • Neonatal circumcision is a common procedure performed globally.
  • Anesthesia is not routinely administered during neonatal circumcision in many medical centers.
  • There is ongoing debate regarding the necessity and ethics of anesthesia for this procedure.

Purpose of the Study:

  • To review the anatomical and physiological aspects of the pain response in newborns.
  • To discuss the current scientific literature on pain perception in neonates.
  • To explore the relevance of neonatal pain perception to the use of anesthesia during circumcision.

Main Methods:

  • Literature review of anatomical and physiological pain responses in newborns.
  • Synthesis of studies investigating pain perception in neonates.

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  • Discussion of ethical considerations and clinical implications.

    • Main Results:

    • Newborns possess the anatomical and physiological capacity to perceive pain.
    • A significant body of research supports the ability of neonates to experience pain.
    • Understanding neonatal pain pathways is crucial for evaluating current practices.

    Conclusions:

    • The capacity of neonates to perceive pain necessitates a re-evaluation of circumcision practices.
    • The use of anesthesia during neonatal circumcision should be considered to mitigate pain.
    • Further research and clinical guidelines are needed to address pain management in neonates undergoing circumcision.