The World Health Organization (WHO) recognizes that newborns feel pain and discomfort and may experience emotional distress, especially when separated from their families in the first hours of life. Pain management and comfort care are WHO standards of care. (Standards in below, in "source")
Pain in newborns affects neurodevelopment, with potential short- and long-term effects.
The Pan American Health Organization's Evidence-Based Clinical Practice Guidelines for the Follow-up of Newborns at Risk recommend that the frequency of check-ups be, according to each aspect to be evaluated, as shown in the following table:
Beyond the age of 2, children at risk should continue to be monitored, at least until they enter school.
To ensure the quality and safety of the retinopathy of prematurity (ROP) screening exam, the Pan American Health Organization's Clinical Practice Guidelines emphasize the importance of preparing the infant for fundus examination, including appropriate pain management and comfort during the procedure.
Before the ROP screening exam, to dilate the newborn's pupil, it is recommended:
Every year, an estimated 1 in 10 babies is born prematurely, which amounts to approximately 1.2 million children in the Region of the Americas.
Prematurity, defined as birth before the 37th week of gestation, is one of the leading causes of neonatal mortality, morbidity, and disability. Newborns face a significantly higher risk of complications — from breathing difficulties, infections, and poor growth to delays in neurological, school, and lifelong development.
Based on the best available scientific evidence, the Pan American Health Organization (PAHO) recommends the content of information for families before hospital discharge.
When it is not possible to avoid preterm birth, the most beneficial interventions are those that can increase the chances of survival and improve health outcomes for premature infants.
These interventions are provided to mothers shortly before or during delivery to prevent immediate or future health-related problems in the premature newborn, such as lung immaturity, susceptibility to infection, and neurological complications.
Retinopathy of prematurity (ROP) is the leading cause of preventable blindness in childhood. Managing ROP is a priority policy to reduce its prevalence and promote eye health.
Newborns, and children deserve safe care tailored to every stage of their lives.
Health professionals: your role is key to preventing avoidable harm.
Families play a key role in ensuring that newborns and children receive safe health care.
Mothers, fathers, and caregivers can contribute by keeping records of medications and symptoms, staying informed, asking questions, and voicing any concerns.
Join the Pan American Health Organization (PAHO) for a regional webinar to mark World Patient Safety Day 2025 under the slogan “Patient safety from the start!”.
On World Patient Safety Day, it’s critical to highlight the need for safe care from the very beginning of life. Newborns and children require care tailored to their age, weight, developmental stage, health needs, and social context to prevent avoidable harm.