Nursing in perinatal and neonatal periods

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Nursing in perinatal and neonatal periods

• Oreste Battisti, MD and allied persons  

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The meanings of nursing  

• In agronomy, in mechanics, in cooking,
• In medicine nurture, cure, protect, concerning
  adults and mainly children

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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

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Advances in understanding research and
observation have a tremendous importance
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The   look   on fetal physiology
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Advances in understanding the anatomical
development of CNS formation of pathways in
cerebrum and cerebellum.
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Things arriving in utero sleeping and awaking
periods, movements and suction
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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

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Advances in understanding the physiology of the
fetus and infant mainly concerning the
neurobiology, both in mother and infant, and also
the attachment.
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To be improved the preparation during pregnancy,
during labour and delivery, and in obstetrical
ward
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Advances in understanding about clinical
examination and other usual situations
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When everything is processing normally and as
imagined, the  task    seems easy
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However, when a difficulty is coming at once, we
are not enough prepared in imagining and living
a  difficult   task
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One should consider not only the present, but
also the past of individuals
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Advances in understanding the hospital periods
High Risk Pregnancy, labour and delivery,
Neonatal Intensive Care, Pediatrics
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Several aspects should be re-adjusted- in
people working with or living a pregnancy- in
people working with or living an infant
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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   ?

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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

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Redefine periods and field of works

• Periods fetal, perinatal, neonatal, infantile,
  etc
• Field of work in the unit   and outside the
   unit  

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

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There isnt 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