TY - CHAP M1 - Book, Section TI - Pain in the Neonate A1 - Gomella, Tricia Lacy A1 - Eyal, Fabien G. A1 - Bany-Mohammed, Fayez Y1 - 2020 N1 - T2 - Gomella's Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, 8e AB - Before the 1980s, it was a common belief that preterm infants lacked the neurodevelopmental capacity to feel pain. This resulted in severe undertreatment of pain in the neonate during hospitalization. It is now known that infants have the required neuroanatomical connections to feel pain, and actually experience a higher degree of sensitivity to pain as compared to children and adults. Neonates are subject to many painful procedures, especially the most immature infant. Although neonatology has made strides in the past 20 years to understand pain, it remains a challenge to effectively assess and treat the various types of pain experienced in the neonatal intensive care unit (NICU). A recent study revealed that there is a worldwide trend of undertreatment of neonatal pain and that more attention should be given to pain prevention, assessment, and treatment. Countries with nationally accepted guidelines for pain management (such as France, Sweden, and the Netherlands) do a better job in treating neonatal pain than those countries without guidelines. The American Academy of Pediatrics (AAP) recently updated the recommendations for managing procedural pain in neonates. These recommendations include the following: SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1168355993 ER -