Nursing in perinatal and neonatal periods

Oreste Battisti, MD and « allied persons » 

The meanings of « nursing »  In agronomy, in mechanics, in cooking, In medicine : nurture, cure, protect, concerning adults and mainly

children…

Reasons for difficulties: Technical evolution and advances Psychological evolution and advances Short of time to get «  pauses »  Ethical and medico-legal pressure in decisions Short of time to obtain retro-information

Advances in understanding: research and observation have a tremendous importance

The «  look »  on fetal physiology

Advances in understanding the anatomical development of CNS: formation of pathways in cerebrum and cerebellum.

Things arriving in utero: sleeping and awaking periods, movements and suction…

Basic concepts about neurobiology

Roles of pulsatile secretion of hormones by the placenta

The situation of the preterm neonate

The effect of neonatal experience

The effect of human inter-relation process

Advances in understanding the physiology of the fetus and infant: mainly concerning the neurobiology, both in

mother and infant, and also the attachment.

To be improved: the preparation during pregnancy, during labour and delivery, and in obstetrical ward…

Advances in understanding about clinical examination and other usual situations

When everything is processing normally and as

imagined, the « task »   seems easy…

However, when a difficulty is coming at once, we are not enough prepared in imagining and living a « difficult »  task

One should consider not only the present, but also the past of individuals…

Advances in understanding the hospital periods: High Risk Pregnancy, labour and delivery, Neonatal Intensive Care, Pediatrics

Several aspects should be re-adjusted:- in people working with or living a pregnancy:- in people working with or living an infant:

Re-defining the concept of nursing:

What does « nursing » mean ? Who is in fact performing « nursing » ? Who is actually being « nursed »  ? What are the periods concerned by the perinatal and neonatal

« nursing »  ?

The importance of adverse experiences and or depression in the mother during the first 3 years of life: reasons to change in us several references…

Imprinting bad memories in the infant

Effects on limbic and frontal structures

Effects on eating and sleeping habitudes

Super-added effects on mother and father

Redefine periods and field of works

Periods: fetal, perinatal, neonatal, infantile, etc… Field of work: in the « unit »  and outside the

« unit » 

Conclusions( 1 ): nursing is an envelope around the «infant + family» , which is including several type of persons with their knowledge and ignorance…

Conclusions ( 2 ): that envelope should be devoted mainly to parents and the infant

Before birth After birth in « acute and

long-term » phases. Clinical research should

include non separately doctors and allied persons

There isn’t although a universal « key »  for all cases, we can remind basic things. Have a nice day today and nice days in your work. This fetus tell us a timid «bye, bye»