Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2020 Apr 28;2(2):50-57.
doi: 10.1002/pne2.12017. eCollection 2020 Jun.

Personal perspectives: Infant pain-A multidisciplinary journey

Affiliations
Review

Personal perspectives: Infant pain-A multidisciplinary journey

Ruth Eckstein Grunau. Paediatr Neonatal Pain. .

Abstract

Understanding of infant pain has been transformed in the past 30 years. From assumptions that newborns were insensitive to pain, fundamental work established not only the infants perceive pain, but also there are critical windows in which pain can have long-lasting consequences. My multidisciplinary work revealed that repetitive pain exposure during the late 2nd and 3rd trimesters of fetal life "ex-utero" in infants born very preterm is related to long-term adverse associations with altered brain development, programming of stress systems, and thereby neurodevelopment. Here, influences will be described, discovery research summarized, and evidence of biological pathways proposed.

Keywords: brain; development; infant; pain; preterm; stress.

PubMed Disclaimer

Conflict of interest statement

The author declares no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Schema of Grunau research program

Similar articles

Cited by

References

    1. Fitzgerald M, Lynn B. The sensitization of high threshold mechanoreceptors with myelinated axons by repeated heating. J Physiol (Lond). 1977;265(2):549‐563. - PMC - PubMed
    1. Fitzgerald M, Millard C, MacIntosh N. Hyperalgesia in premature infants. Lancet. 1988;331(8580):292. - PubMed
    1. Anand KJ, Sippell WG, Aynsley‐Green A. Randomised trial of fentanyl anaesthesia in preterm babies undergoing surgery: effects on the stress response. Lancet. 1987;329(8524):62‐66. - PubMed
    1. Johnston CC, Strada ME. Acute pain response in infants: a multidimensional description. Pain. 1986;24(3):373‐382. - PubMed
    1. Grunau RE, Craig KD. Pain expression in neonates: facial action and cry. Pain. 1987;28(3):395‐410. - PubMed