Obstetrics, Gynaecology and Reproductive Medicine
Volume 19, Issue 4 , Pages 115-116, April 2009

Fetal awareness

Richard Smith PhD MRCOG is a Consultant Obstetrician and Subspecialist in Fetal Medicine at the Norfolk & Norwich University Hospitals Foundation NHS Foundation Trust, Norwich, UK

Abstract 

Evidence is imprecise, but the fetus is probably not capable of being aware before 16 weeks, and has the mechanisms necessary for awareness after 26 weeks. Administering fetal analgesia is not straightforward, and theoretical benefits for the fetus must be weighed against actual risks for the mother. Obstetricians should be aware of the issues to allow sensitive discussion with patients undergoing procedures where the subject of fetal awareness may arise.

Keywords: analgesia, awareness, fetal pain, stress

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PII: S1751-7214(08)00244-3

doi:10.1016/j.ogrm.2008.11.014

Obstetrics, Gynaecology and Reproductive Medicine
Volume 19, Issue 4 , Pages 115-116, April 2009