The myth and half-truths of fetal pain decrypted: A metaverse

Fetal pain is one of the most controversial topics in medicine because of the disagreement between people whether the fetus can perceive pain or not and the absence of any direct objective method for the assessment of fetal pain. Although fetus is incapable of declaring pain, various studies have sh...

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Main Authors: Sargam Goel, Suman Choudhary, Ashok Kumar Saxena, Mayank Sonkar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Pain
Subjects:
Online Access:http://www.indianjpain.org/article.asp?issn=0970-5333;year=2022;volume=36;issue=3;spage=120;epage=127;aulast=Goel
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author Sargam Goel
Suman Choudhary
Ashok Kumar Saxena
Mayank Sonkar
author_facet Sargam Goel
Suman Choudhary
Ashok Kumar Saxena
Mayank Sonkar
author_sort Sargam Goel
collection DOAJ
description Fetal pain is one of the most controversial topics in medicine because of the disagreement between people whether the fetus can perceive pain or not and the absence of any direct objective method for the assessment of fetal pain. Although fetus is incapable of declaring pain, various studies have shown that the mere experience of pain without the aptitude of self-contemplation is worth paying attention to, and that the pain in fetus need not be comparable to that of a mature adult to matter. Furthermore, refusing to acknowledge fetal pain in late preterm fetuses would jeopardize the advances in neonatal care because it would question the use of analgesia in neonates of similar gestational age. This systematic review article examines the neuroanatomical and physiological evidence of nociception in the fetus and its implications, which compel the need for its alleviation. It looks into the adequacy of International Association for the Study of Pain definition of pain to define fetal pain. The article also provides a brief overview of the existing literature on whether safe analgesia and anesthesia techniques exist for abortions and therapeutic fetal procedures. We performed a literature search for English-language articles using the electronic database with keywords: controversy in fetal pain, fetal anaesthesia, fetal analgesia, fetal pain, fetus, neuroanatomy of fetal pain, neurophysiology of fetal pain, nociception, and recent advances in understanding of fetal pain
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spelling doaj.art-841f8ef156484d6f8d2a90c5a8699e042022-12-22T03:00:36ZengWolters Kluwer Medknow PublicationsIndian Journal of Pain0970-53332022-01-0136312012710.4103/ijpn.ijpn_5_22The myth and half-truths of fetal pain decrypted: A metaverseSargam GoelSuman ChoudharyAshok Kumar SaxenaMayank SonkarFetal pain is one of the most controversial topics in medicine because of the disagreement between people whether the fetus can perceive pain or not and the absence of any direct objective method for the assessment of fetal pain. Although fetus is incapable of declaring pain, various studies have shown that the mere experience of pain without the aptitude of self-contemplation is worth paying attention to, and that the pain in fetus need not be comparable to that of a mature adult to matter. Furthermore, refusing to acknowledge fetal pain in late preterm fetuses would jeopardize the advances in neonatal care because it would question the use of analgesia in neonates of similar gestational age. This systematic review article examines the neuroanatomical and physiological evidence of nociception in the fetus and its implications, which compel the need for its alleviation. It looks into the adequacy of International Association for the Study of Pain definition of pain to define fetal pain. The article also provides a brief overview of the existing literature on whether safe analgesia and anesthesia techniques exist for abortions and therapeutic fetal procedures. We performed a literature search for English-language articles using the electronic database with keywords: controversy in fetal pain, fetal anaesthesia, fetal analgesia, fetal pain, fetus, neuroanatomy of fetal pain, neurophysiology of fetal pain, nociception, and recent advances in understanding of fetal painhttp://www.indianjpain.org/article.asp?issn=0970-5333;year=2022;volume=36;issue=3;spage=120;epage=127;aulast=Goelfetal analgesiafetal painneuroanatomy of fetal painneurophysiology of fetal painnociceptiontherapeutic fetal procedures
spellingShingle Sargam Goel
Suman Choudhary
Ashok Kumar Saxena
Mayank Sonkar
The myth and half-truths of fetal pain decrypted: A metaverse
Indian Journal of Pain
fetal analgesia
fetal pain
neuroanatomy of fetal pain
neurophysiology of fetal pain
nociception
therapeutic fetal procedures
title The myth and half-truths of fetal pain decrypted: A metaverse
title_full The myth and half-truths of fetal pain decrypted: A metaverse
title_fullStr The myth and half-truths of fetal pain decrypted: A metaverse
title_full_unstemmed The myth and half-truths of fetal pain decrypted: A metaverse
title_short The myth and half-truths of fetal pain decrypted: A metaverse
title_sort myth and half truths of fetal pain decrypted a metaverse
topic fetal analgesia
fetal pain
neuroanatomy of fetal pain
neurophysiology of fetal pain
nociception
therapeutic fetal procedures
url http://www.indianjpain.org/article.asp?issn=0970-5333;year=2022;volume=36;issue=3;spage=120;epage=127;aulast=Goel
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