000			02267cam a2200289 4500500
005			20250112045857.0
041			_afre
042			_adc
100	1	0	_aDonner, Catherine _eauthor
700	1	0	_a Holoye, Anne _eauthor
245	0	0	_aWhat do we know about fetal pain?
260			_c2021.
500			_a85
520			_aQuestions and research about fetal pain and its consequences follow on from those about neonatal pain and its management in the 1980s. Traditional definitions of pain cannot be applied to the fetus. Fetal pain is currently defined as the response to nociceptive stimulation. Nociceptors are widely present at the cutaneous level in the fetus. Nociceptive stimulation does not mean that the fetus has the ability to “feel.” The fetus is equipped to perceive nociceptive stimulation. The question is whether this system is operational. The maturation of the central nervous system is a complex process that is difficult to study. The practice of potentially painful invasive procedures for the fetus triggered research on fetal analgesia in the 1990s. Various situations were identified as potentially painful during the antenatal period. Although the fetus does not experience pain as a conscious being, it does show an adaptive stress response to nociceptive stimulation resulting in hemodynamic and hormonal changes. These changes, if they occur at a critical stage of CNS development, may have immediate but also long-term consequences. New imaging techniques are opening up new possibilities for research both in the accuracy of brain development at each gestational age and in a functional approach. The complexity of brain development, the consequences of the fetal environment, and the consequences of different stimuli, including pain, require transdisciplinary research.
690			_afetal pain
690			_aneurological development
690			_asensoriality
690			_anociception
690			_aanalgesia
690			_afetal pain
690			_aneurological development
690			_asensoriality
690			_anociception
690			_aanalgesia
786	0		_nPérinatalité | 13 | 3 | 2021-10-26 | p. 111-115 | 2678-6524
856	4	1	_uhttps://shs.cairn.info/journal-perinatalite-2021-3-page-111?lang=en
999			_c196202 _d196202