A new study reveals that a large proportion of very premature babies in Sweden experience pain during intensive care procedures, but pain relief is not always adequate. Researchers analyzed data from over 3,600 babies born between 22 and 31 weeks gestation, finding that 90% of the most extremely premature infants underwent painful procedures. While healthcare professionals reported that most babies experienced pain, there was a concerning disparity in the administration of morphine, particularly for the smallest and most vulnerable infants. The study highlights the need for improved pain assessment and treatment strategies in neonatal care.
Karolinska InstitutetJan 27 2025 A large proportion of babies born very early need intensive care, which can be painful. But the healthcare system fails to provide pain relief to the full extent. This is shown by the largest survey to date of pain in neonatal care , now published in the journal Pain.
There is a strong correlation between acute morbidity and being born very early. The earlier a baby is born, the more intensive care it needs. Intensive care involves procedures that can be painful, such as ventilator treatment, tube feeding, insertion of catheters into blood vessels and surgical procedures. It also requires various tests and investigations that may involve pain."
"Somewhat surprisingly, the smallest babies who were most exposed to pain had the lowest proportion of treatment with morphine. This may be a case of undertreatment," says Mikael Norman. Related Stories"Much is done to alleviate pain in babies. No child in neonatal care is left with severe pain untreated," he continues.
PAIN MANAGEMENT NEONATAL CARE PREMATURE BABIES INTENSIVE CARE UNDER TREATMENT
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