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Do Babies Feel Pain When They Are Born?

Published in Newborn Pain 3 mins read

Yes, babies do feel pain when they are born.

While newborns cannot express pain in the same way adults do, their physiological systems are equipped to sense and respond to painful stimuli. It's crucial to understand that a baby's experience of pain is real, even if it manifests differently than in older individuals.

Understanding Newborn Pain Perception

The ability to feel pain, known as nociception, develops in the fetus well before birth. At the time of delivery, babies have fully developed neural pathways that allow them to perceive painful sensations. However, there are key differences in how newborns and adults experience pain:

  • Nociception Present: As the reference states, "At birth a baby has developed the neural pathways for nociception and for experiencing pain..." This indicates the basic neurological capacity for pain is present.
  • Immature Pain Responses: Although newborns can feel pain, their responses to it are not fully mature. Their pain responses are an "immature version of that of an adult" and might be expressed differently from how an older person would show pain.
  • Limited Expression: Babies don’t have the vocabulary or fine motor skills to precisely communicate pain. Crying, fussiness, changes in heart rate, and facial grimaces are common ways they demonstrate discomfort.
  • Increased Sensitivity: Some research suggests that newborns might actually be more sensitive to pain than older children or adults because their pain pathways are less refined, and the central nervous system is still developing.

How Newborn Pain is Different From Adult Pain

Here is a quick comparison table that highlights the main differences between newborn and adult pain perception:

Feature Newborn Adult
Nociception Developed pathways present Fully developed pathways
Responses Immature, often non-verbal Mature, can be verbal
Sensitivity Potentially higher Typically lower
Communication Limited to crying, facial cues Verbal, varied expressions

Examples of Painful Experiences for Newborns

While the birth process itself can be a stressful experience for babies, other procedures performed soon after birth, could cause pain:

  • Heel prick test: A common screening test involves pricking the baby's heel for blood sample collection.
  • Injections: Administering Vitamin K or other vaccinations may cause momentary discomfort.
  • Circumcision: Surgical removal of the foreskin is a painful experience if not done with appropriate pain management.

Conclusion

Babies are capable of feeling pain at birth. Their pain experiences, while different from adult pain, are a valid and significant area of consideration in their care. Understanding this is essential for providing proper comfort and pain management for newborns during medical procedures and general care.