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- Title
Comment la douleur en période périnatale influence-t-il la santé du foetus et de l'enfant? Regards croisés d'un chercheur et d'un clinicien.
- Authors
Poisbeau, Pierrick; Kuhn, Pierre
- Abstract
The quality of the environment is now well recognized as an essential factor in the proper development of the newborn and especially of its nervous system. At birth, this environment can become particularly aggressive, as is the case during the care of premature newborns in intensive care units. Past studies have clearly shown the deleterious effects of excessive painful stimulations on the long-termexpression of visceral/somatic hypersensitivity abnormalities, stress adaptation disorders and the appearance of neuropathologies affecting cognitive performance and sociability. These observations have been well replicated in animal models and are the subject of numerous research studies aimed at identifying the underlying mechanisms and the most sensitive brain structures. Our laboratory has recently shown that non-painful (sound, light, smell, mother-child interactions) also play an important role. The work carried out in clinical and fundamental research is reviewed in this article which focuses on the situation of preterm newborn infants. The results obtained to date support the implementation of individualized developmental care, involving parents and caregivers in an environment where sensory stimulations are adjusted to the sensory capabilities and expectancies of preterm infants during a sensitive period of brain development. This care is likely to optimize their short term well-being, their proper development and their later cognitive performances.
- Publication
Médecine de la Reproduction, 2020, Vol 22, Issue 4, p349
- ISSN
2650-8427
- Publication type
Article
- DOI
10.1684/mte.2020.0821