Neonatal pain : suffering, pain, and risks of brain damage in the fetus and newborn

For many years we have been talking about a very special patient, the embryo; and the numerous and encouraging successes brought about by embryofetal medicine in the application of both noninvasive therapies and invasive ultrasound-guided tre- ment are well known. On the other hand, it is more and more often the case today that the small patients in neonatal care are premature babies who have come to the world at a particul- ly low gestational age. This allows us to observe the continuity between the ph- es of growth inside the maternal uterus and after birth, which arrives at the correct moment for some lucky fetuses, for others very early, and for some altogether too soon. The neonatologists have the arduous task of sustaining these little patients in their strivings to survive, registering their energy and their vital dynamism, stu- ing the progressive development of the anatomical structures and the improvement of their physiology, verifying day by day the presence – sometimes fragile, so- times extremely resistant, but always human – of a child. A long line research has shown how, from the first moment onwards in that process of perfectly coordinated development that characterizes the life of the embryo, a human being gradually emerges who is increasingly able to interact with his or her environment. THEZONE.pdf......Page 1 front-matter.pdf......Page 2 01 Introduction- Pain and Suffering from the Womb Onwards.pdf......Page 15 Part I.pdf......Page 17 1.01 Gonadal Hormones and Pain Modulation.pdf......Page 18 1.02 Stress and Pregnancy- CRF as Biochemical Marker.pdf......Page 24 1.03 Pain Control During Labour.pdf......Page 37 Part II.pdf......Page 41 2.04 Ultrasound and Fetal Stress- Study of the Fetal Blink-Startle Reflex Evoked by Acoustic Stimuli.pdf......Page 42 2.05 Prenatal Affective Exchanges and Their Subsequent Effects in Postnatal Life.pdf......Page 45 2.06 Pain in the Fetus.pdf......Page 55 2.07 New Insights into Prenatal Stress- Immediate and Long-Term Effects on the Fetus and Their Timing.pdf......Page 66 Part III.pdf......Page 74 3.08 Pain Assessment and Spectral Analysis of Neonatal Crying.pdf......Page 75 3.09 Analgesic Procedures in Newborns.pdf......Page 80 3.10 Nonpharmacological Treatment of Neonatal Pain.pdf......Page 89 3.11 Sensory Saturation- An Analgesic Method.pdf......Page 104 3.12 Pharmacologic Analgesia in the Newborn.pdf......Page 108 3.13 Physical Stress Risk Agents in Incubators.pdf......Page 114 Part IV.pdf......Page 125 4.14 Neonatal Stressors.pdf......Page 126 4.15 New Insights into Neonatal Hypersensitivity.pdf......Page 134 4.16 From the Gate-Control Theory to Brain Programs for Neonatal Pain.pdf......Page 143 Part V.pdf......Page 150 5.17 Disclosure of Pathology to the Newborn’s Family.pdf......Page 151 5.18 Communication of Diagnosis- Pain and Grief in the Experience of Parents of Children with a Congenital Malformation.pdf......Page 156 5.19 Invest in Prenatal Life- a High-Yield Stock.pdf......Page 160 back-matter.pdf......Page 165 Until the 1980s it was denied that fetuses and neonates feel pain. With the advent of a deeper understanding of the pathophysiology and new diagnostic tools, the last 30 years have seen great developments in this field, but the treatment of neonatal and fetal pain is still a controversial issue and a central topic, not only in specialties directly concerned with it, but also in bioethics. Some important issues are still under investigation. When does pain perception appear? Is it ethical to cure fetal pain? Does fetal pain have consequences for the developing brain? Can a fetus suffer? This volume aims to give an overview of current knowledge in the field. An international team of specialists has been assembled to evaluate neonatal and fetal pain from various points of view – neurological, pediatric, gynecological, anesthesiological – and with regard to possible consequences of pain (including psychological) for the brain. This book will be an invaluable resource for neonatologists, pediatricians, anesthesiologists, gynecologists, and other professionals involved in this field, and for postgraduate students in all disciplines. "Until the 1980s it was denied that fetuses and neonates feel pain. With the advent of a deeper understanding of the pathophysiology and new diagnostic tools, the last 30 years have seen great developments in this field, but the treatment of neonatal and fetal pain is still a controversial issue and a central topic, not only in specialties directly concerned with it, but also in bioethics. Some important issues are still under investigation. When does pain perception appear? Is it ethical to cure fetal pain? Does fetal pain have consequences for the developing brain? Can a fetus suffer?" "This volume aims to give an overview of current knowledge in the field. An international team of specialists has been assembled to evaluate neonatal and fetal pain from various points of view - neurological, pediatric, gynecological, anesthesiological - and with regard to possible consequences of pain (including psychological) for the brain." "This book will be a resource for neonatologists, and other professionals involved in this field, and for postgraduate students in all disciplines."--Jacket This is the first book dealing with fetal pain and its consequences and with pain in premature babies. The volume gives an overview of the current knowledge in this field. An international team of renowned specialists evaluates neonatal and fetal pain from the different points of view, and possible consequences of pain – even psychological – on the brain. This book will be an invaluable resource for professionals and for post-graduate students in all disciplines. This volume provides an overview of current knowledge on neonatal pain. An international team of specialists has been assembled to evaluate neonatal and fetal pain from various points of view - neurological, pediatric, gynecological, anesthesiological - and with regard to possible consequences of pain for the brain Giuseppe Buonocore, Carlo V. Bellieni, Editors ; Foreword By Ignacio Carrasco De Paula. Includes Bibliographical References And Index. Book by Buonocore, Giuseppe, Bellieni, Carlo V., Carrasco de Paula, I.