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Arch Pediatr Adolesc Med. 2004;158:600.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In reply

We would like to thank Dr Black for his comment on our article "Do We Still Hurt Newborn Babies? A Prospective Study of Pain and Analgesia in Neonates."¹ We showed in our study that neonates experience an average of 14 painful procedures per day during neonatal intensive care unit (NICU) treatment. Consequently, during some days the number of painful procedures was lower and during other days the frequency was higher than 14 per day. The highest recorded frequency was 53 procedures during 1 day.

Furthermore, we have shown that during the first day of NICU admission, the frequency of painful procedures is higher, and in neonates receiving respiratory support, the situation is also worse than the average of 14 procedures per day. Therefore, we already investigated, in another study,² the effects of the routine use of continuous morphine administration in ventilated neonates from the first postnatal day because . . . [Full Text of this Article]

Sinno H. P. Simons, MSc; Monique van Dijk, PhD
Rotterdam, the Netherlands

Dick Tibboel, MD, PhD
Department of Pediatric Surgery
Erasmus MC-Sophia
Dr Molewaterplein 60
3015 GJ Rotterdam
The Netherlands
(e-mail: j.illsley@erasmusmc.nl)

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