[Pediatricians' knowledge of neonatal pain]

Area of Science:

• Pediatrics
• Pain Management
• Neonatal Care

Background:

• Untreated neonatal pain can lead to long-term adverse effects.
• Comprehensive knowledge of pain and its relief is vital for effective neonatal pain management.
• Assessing current knowledge levels among healthcare professionals is essential.

Purpose of the Study:

• To evaluate the knowledge of European pediatric residents and specialists regarding neonatal pain.
• To identify specific areas of strength and weakness in their understanding of neonatal pain perception and management.

Main Methods:

• An online Google Form questionnaire was distributed internationally over three months (May-July 2021).
• The survey covered knowledge on neonatal pain perception, its effects, and pharmacological/non-pharmacological treatments.
• 1229 responses were collected from physicians across 39 European and 44 non-European countries.

Main Results:

• Respondents demonstrated varying levels of knowledge: 77% on general pain, 69% on pain relief, and 59% on pain perception.
• High correct response rates were observed for the pain-relieving effect of breastfeeding (96%).
• A significant knowledge gap was identified regarding whether newborns can sleep through severe pain (only 21% correct).
• Adequate pain knowledge correlated positively with participation in pain-related training, use of pain scales, and adherence to pain relief protocols.

Conclusions:

• Physicians possess some knowledge of neonatal pain, but significant gaps and underestimation of infant pain persist globally.
• Lack of knowledge among healthcare personnel is a primary driver for inadequate neonatal pain treatment.
• Implementing targeted education programs, standardized protocols, and pain measurement tools can enhance caregiver knowledge and improve pain management for neonates.