Advances in neonatal research demonstrate that newborns experience pain and that controlling pain has short- and long-term benefits for all newborns [ 1-3 ]. Professional bodies and parent groups expect health care providers to prevent infants from experiencing pain [ 4-6 ]. Varying degrees of neonatal discomfort or pain may occur during routine patient care (eg, gavage tube placement, bladder catheterization, or physical examination) [ 7 ], moderately invasive procedures (eg, suctioning, phlebotomy, or peripheral intravenous [IV] access), or more invasive procedures (eg, chest tube placement, circumcision, or central venous access). Pain is most common and intense in infants admitted to the neonatal intensive care unit (NICU). Infants admitted to the NICU frequently experience acute pain from skin-breaking procedures, established pain following surgery, and prolonged (chronic) pain from diseases like necrotizing enterocolitis (NEC) or epidermolysis bullosa. However, despite ongoing efforts, there remains no consistent definition for prolonged or chronic pain in newborn infants [ 8,9 ]. In part due to the lack of consensus regarding the definition of persistent neonatal pain, it appears that only 10 percent of neonates received daily assessments for prolonged continuous pain in the NICU [ 10 ]. (See "Assessment of neonatal pain" .)
**B12, no this is not a steroid , but many items we add to our cycles are not steroids. As women are also necessarily a bit more limited to what they can use, we have to find other options. This is not a requirement to this cycle, we are simply providing you with quality options. If B12 is used, it is highly recommended that you choose injectable B12, specifically Methylcobalamin as it is by far the most effective. This will provide a massive boost of energy to your training and greatly improve recovery, which is the most important factor.