Search results for "Perinatal"

Historia de las madres en occidente: repensar la maternidad

2005

El objetivo del presente trabajo es profundizar sobre la historia de la concepción de la maternidad, enmarcándola como un proceso evolutivo y vital propio del desarrollo psicobiológico humano, pero con características diferentes en cada etapa histórica. Ser madre en la especie humana excede el hecho biológico y tiene un significado a nivel social, cultural, histórico y psicológico. Dos fenómenos han influído fuertemente a partir de la segunda mitad del Siglo XX - en la historia de la maternidad: los estados de bienestar,-especialmente en los países desarrollados- y el crecimiento de las ciencias biológicas en relación a la posibilidad a planificar los nacimientos. La maternidad recorre el c…

La palabra en las maternidades: una aproximación a la psicología perinatal

2001

El reconocimiento del recién nacido como un ser interactuante con el medio físico y humano que lo rodea, implicó cambios en las conductas de los equipos de salud , a cargo de las unidades de internación neonatal. Los conceptos de interacciones precoces, de apego, de díada, de vulnerabilidad maternal, competencias conductuales del recien nacido, y su utilización reciente en el desarrollo de la psicología perinatal, marcaron una transformación en el enfoque de los distintos profesionales involucrados en el proceso del nacimiento. Por un lado, podemos decir que la medicalización del acto del nacimiento en la sociedad occidental ha permitido disminuír el riesgo morbi-mortalidad matern…

Évaluation de la qualité métrologique des données du programme de médicalisation du système d’information (PMSI) en périnatalité : étude pilote réali…

2015

Resume Position du probleme La France est l’un des derniers pays europeens a ne pas pouvoir fournir d’informations perinatales fiables, indispensables a la realisation de travaux de recherche et a la production d’indicateurs nationaux. Le systeme d’information perinatale en France est fragmente et les donnees, difficiles a regrouper, ne repondent pas aux exigences d’Europeristat. Les donnees du PMSI offrent la potentialite de fournir des informations systematiques et standardisees pour l’ensemble des naissances. L’objectif etait d’etudier la qualite metrologique des donnees du PMSI pour construire des indicateurs de base en sante perinatale dans trois centres hospitaliers universitaires, av…

Mothering under the influence: How perinatal drugs of abuse alter the mother-infant interaction

2018

AbstractAlthough drug-abusing women try to moderate their drug and alcohol use during pregnancy, they often relapse at a time when childcare needs are high and maternal bonding is critical to an infant’s development. In the clinical setting, the search for the neural basis of drug-induced caregiving deficits is complex due to several intervening variables. Rather, the preclinical studies that control for drug dose and regimen, as well as for gestational and postpartum environment, allow a precise determination of the effects of drugs on maternal behaviour. Given the relevance of the issue, this review will gather reports on the phenotypic correlates of maternal behaviour in preclinical stud…

Perinatal nutrition: How to take care of the gut microbiota?

2016

Perinatal and postnatal nutritional environments can result in long-lasting and/or permanent consequences that may increase the risk of chronic diseases in adulthood. The impact of perinatal nutrition on infant microbiome development has been increasingly gaining interest, however scarce information can be found about nutrition on maternal microbiome. The infant microbiome plays an essential role in human health and its assembly is determined by maternal offspring exchanges of microbiota. Microbial colonization runs in parallel with the immune system maturation and has a decisive role in intestinal physiology and regulation. This process is adversely affected by several practices, including…

Prospective risk of stillbirth and neonatal complications in twin pregnancies: systematic review and meta-analysis

2016

Twin pregnancies are at increased risk of stillbirth. Uncomplicated twin pregnancies are commonly delivered earlier to prevent stillbirth; however, there is a risk of neonatal complications associated with being born prior to 39 weeks’ gestation. The optimal gestational age for delivery in twin pregnancies is unknown and likely varies by chorionicity. The present study aimed to determine the prospective risk of stillbirth in women with uncomplicated monochorionic and dichorionic twin pregnancies, and neonatal mortality risks, when delivered beyond 34 weeks of gestation. Data on twin pregnancies that reported rates of stillbirth were obtained from MEDLINE, EMBASE, and Cochrane Library. Separ…

Introduction

2019

Timely and appropriate medical care can significantly influence the health of a newborn. When considering how to best deliver such care, we must first note that each human represents the result of a balance between nature (genetics) and nurture (environment). Importantly, while most of our care is centered on in utero development, the preconception period is also a time at which genetic and environmental factors can interact to exert effects that ultimately influence the health of the future offspring. In this issue's Views and Reviews, we provide data to suggest that modern preconceptional care should become a key component of reproductive medicine, not only to improve implantation and pre…

Surge of Peripheral Arginine Vasopressin in a Rat Model of Birth Asphyxia

2018

Mammalian birth is accompanied by a period of obligatory asphyxia, which consists of hypoxia (drop in blood O2 levels) and hypercapnia (elevation of blood CO2 levels). Prolonged, complicated birth can extend the asphyxic period, leading to a pathophysiological situation, and in humans, to the diagnosis of clinical birth asphyxia, the main cause of hypoxic-ischemic encephalopathy (HIE). The neuroendocrine component of birth asphyxia, in particular the increase in circulating levels of arginine vasopressin (AVP), has been extensively studied in humans. Here we show for the first time that normal rat birth is also accompanied by an AVP surge, and that the fetal AVP surge is further enhanced in…

2017

Perinatal maternal consumption of energy dense food increases the risk of obesity in children. This is associated with an overconsumption of palatable food that is consumed for its hedonic property. The underlying mechanism that links perinatal maternal diet and offspring preference for fat is still poorly understood. In the present study we aim at studying the influence of maternal high-fat/ high-sugar diet feeding (western-diet, WD) during gestation and lactation on the reward pathways controlling feeding in the rat offspring from birth to sexual maturity. We performed a longitudinal follow-up of WD and Control offspring at three critical time periods (childhood, adolescence and adulthood…

Methods for assessing the severity of perinatal asphyxia and early prognostic tools in neonates with hypoxic-ischemic encephalopathy treated with the…

2020

Despite the progress in perinatal care, perinatal asphyxia (PA) remains a significant problem in neonatology. The development of therapeutic hypothermia (TH) has improved the prognosis, but it still remains uncertain in hypoxic neonates. The evaluation of the severity of ischemia/hypoxia after birth is crucial to the choice of treatment, and with accurate long-term prognosis, appropriate further patient care can be planned. This article presents various methods for the preliminary assessment of brain damage and prognosis in newborns with PA treated with TH. The importance of assessing the neurological condition and the usefulness of laboratory and electrophysiological testing and imaging ar…