Objective: Newborn express signs of stress in response to pain such as crying, variations in facial expression and spontaneous motor activity. There are two main approaches to assess pain in newborns: behavioral scales and physiological parameters. The aim of our study is to compare 3 of the most used scales of pain assessment in newborn in order to evaluate the most reliable. Methods: Painful stimulus was represented by a routine metabolic screening hell lance blood test, performed on the 5th day of life of 14 healthy full-term newborns. We assessed pain behaviour response of the neonates using 3 scales (Cheops, Grunau-Craig, ATTIA). Scores were obtained by observation of 2 blind coders. Response to pain was also evaluated by measuring variations in transcutaneous partial oxygen pressure. Results: Our study shows that the scales we used are reliable adequately correlated to physiological variations (decreasing of TcPO2 during the painful stimulus up to 35 mmhg). The ATTIA assessment scale was considered to be the most reliable by both coders. Attia scale seems to differentiate pain experience from neonatal distress states of different origin in a more sophisticated way comparing to CHEOPS and Grunau-Craig. Conclusions: Pain assessment cales are a useful tool to detect painful experiences in newborns in order to give adequate analgesia, if required, especially in Intensive Care Units.
|Translated title of the contribution||Assessment of pain in healthy full-term neonates: A study comparing 3 behavioral scales|
|Number of pages||9|
|Journal||Rivista Italiana di Pediatria|
|Publication status||Published - 1999|
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health