Résumé
De nombreuses procédures de médecine fœtale sont potentiellement douloureuses pour le fœtus. Il a cependant fallu de nombreuses années pour que les professionnels s’interrogent sur la douleur fœtale et ses éventuelles conséquences. Les données de l’expérimentation animale et chez le fœtus humain démontrent que le fœtus, comme l’adulte, présente, en réponse à une stimulation douloureuse, une réponse comportementale, hémodynamique et hormonale dès le début du second trimestre de la grossesse. Ces stimulations douloureuses sont aussi susceptibles d’avoir des conséquences à long terme. Il est donc légitime de s’interroger sur la nécessité d’une analgésie fœtale pour tout geste pour lesquels une analgésie est pratiquée chez un prématuré du même âge gestationnel.
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Debarge, V.H., Robin, V.B., Emmanuelli, V., Dutriez, I., Aubry, E., Storme, L. (2011). Douleur et analgésie fœtale. In: 41es Journées nationales de la Société Française de Médecine Périnatale (Grenoble 12–14 octobre 2011). Springer, Paris. https://doi.org/10.1007/978-2-8178-0257-2_4
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DOI: https://doi.org/10.1007/978-2-8178-0257-2_4
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