Aim: Preterm infant is deprived of various in-utero sensory experiences which have been documented as risk factor for prevalence broad range neurodevelopmental impairment in preterm infants. The present study evaluates the pain processing pattern neonates with and without known abnormalities using Premature Infant Pain Profile (PIPP)-a 7 indicator measure that include three behavioural (facial ...

This paper reports experiments that explore performance differences in two previous studies that investigated SVM classification of neonatal pain expressions using the Infant COPE database. This database contains 204 photographs of 26 neonates (age 18-36 hours) experiencing the pain of heel lancing and three nonpain stressors. In our first study, we reported experiments where representative exp...

AIM To validate and evaluate the psychometric properties of the ALPS-Neo, a new pain assessment scale created for the continuous evaluation of pain and stress in preterm and sick term infants. METHODS A unidimensional scale for continuous pain, Astrid Lindgren Children's Hospital Pain Scale (ALPS 1), was developed further to assess continuous pain and stress in infants treated in the neonatal...

BACKGROUND Evidence internationally suggests that staffing constraints and non-supportive work environments result in the rationing of nursing interventions (that is, limiting or omitting interventions for particular patients), which in turn may influence patient outcomes. In the neonatal intensive care unit (NICU), preliminary studies have found that discharge preparation and infant comfort ca...


 Introduction: Heel prick is one of the commonest procedures carried out in hospitalised newborns. Pain a subjective experience for which neonates, infants and children respond with behavioural reactions. Applying hot pack to skin surface causes proximal blood vessels dilate due raised temperature may decrease pain perception neonates. We intended study effect heel warming during neonates...

There is evidence that the developmental trajectory of cortisol secretion in preterm infants is altered, with elevated basal cortisol levels observed postnatally through at least 18 months corrected age (CA). This alteration is possibly due to neonatal pain-related stress. High cortisol levels might contribute to greater risk of impaired neurodevelopment. Since maternal factors are important fo...

Introduction: Pain in neonates is largely underestimated and neglected. Pain experience can alter clinical outcome, brain development and subsequent behavior in newborns. Numerous newborns undergo blood sampling routinely in nurseries/NICUs and these procedures are often done without pain relieving measures. Heel lancing and venepuncture are two common procedures for blood sampling in neonates....

objectives the current study aimed to compare the two methods based on the perceptions of the nurses working in neonatal intensive care units (nicu). patients and methods a comparative-descriptive study carried out on 35 nicu nurses in taleghani and al-zahra teaching hospitals in tabriz, iran, in 2013. data were collected by self-administered questionnaire (13 items). data analysis, including t...

The objective of this study was to assess the efficacy and safety of oral 30% dextrose during venepuncture in neonates. Neonates admitted in the Special Care Nursery for jaundice from September 200 to January 2001 were recruited for this double-blind randomised controlled trial. The intervention consisted of administration of either 2 ml of oral 30% dextrose or 2 ml of sterile water 2 minutes b...

OBJECTIVE To study the physiological and behavioral response to pain. METHODS 80 healthy neonates requiring bilirubin estimation, blood sugar etc, were randomly assigned to receive a venous puncture. All parameters were recorded 10 minutes prior, during and 10 minutes after the procedure. Evaluated NIPS score and RR. HR, NIBP and O2 saturation observed on Datex-Ohmeda multimonitor. RESULTS ...