The Role of Prenatal Psychology
in Obstetrics, Neonatology, Psychology & Sociology
World Congress, Moscow, May 20-24 2007
The 17th International Congress of the
International Society of Pre- & Perinatal Psychology & Medicine (ISPPM)
&
6th All-Russia Congress of the
Russian Association for Pre- & Perinatal Development (RAPPD)
Conference Proceedings published by Academia MOCKBA
INTRODUCING A SERIES OF 5 INSTALMENTS
Professor Nina Chicherina and her team have to be congratulated on mounting such an ambitious and successful operation, a happy gathering, involving tremendous skill and hard work. Moscow’s World Congress 2007, The Prenatal Child and Society presented a powerful array of experience, and cutting-edge findings on pre- and perinatal care and primal psychotherapy. I have tried to summarise and coordinate the presentation-articles as a guide to the great Congress Books (some 200,000 words in English). Only as these important research findings are coordinated in practice, can they fully benefit forthcoming children, families and society. This means attending to inter-disciplinary balance, especially as our international society, The International Society of Prenatal and Perinatal Psychology and Medicine (ISPPM) is creating an academic curriculum.
I hope this report may help:
1. Communication between teams working in similar fields.
2. Coordination of insights from different fields for better parenting and
childbearing.
The Congress revealed dark clouds of deteriorating family life, penetrated by shafts of light, as research illuminates ways of nurturing each new child in health and sanity, ways that can gradually transform society.
It is hard to coordinate this heterogeneous collection of overlapping texts, so my pattern is a rough one. This first instalment is on the context of conception in the environment and evolution, and on differing views of contraception, including the extraordinary relationship between contraception and Russia’s falling birth rate. The next instalment (2nd) will concern the double problem of unwanted conception and of being an unwanted child, and caring responses to each of these problems. Then will come (3rd) the science of stress and the fetus; statistical research into risks of negative imprinting, its prevention and healing, with ways of enhancing prenatal and postnatal experience. The following instalment (4th) will attend to practical care during gestation, critical timing in brain development, and sophisticated neonatal care for preterm babies. The last instalment (5th) will relate to opportunities in first-year maternal care and preschool for healing and enhancement of children’s lives. The series concludes with allusions to past and present thinking in prenatal psychology and our hopes for the children more happily nurtured and the transforming effect in society.
A. THE CONTEXT OF CONCEPTION
The prenatal period is fundamental to development of body and health. Development is dependent on materials – nutrition and respiration – for structure; and on sensations – thoughts and emotions of the mother, as she is affected by her partner and immediate environment. As nutrients integrate into his structure, information imprints on the cellular memory and genes of the new being. Christine Fauré calls on future parents not to disturb the best conditions with our violent ways, but to allow the best of our lives to surround the conception and prenatal education of each new life. Will it be love and hope or fear and anger that biochemically imprint the child and future generations?
Parents need to prepare early, since imperfections may not all be healable and may take too long. After 30 years many children who had received prenatal conscious loving attention have been observed. Physicians and teachers testify to their perfect physical, emotional, and mental development and loving and altruistic character, calm and deep concentration. Most striking has been the level of magnetic personality and natural leadership. Conception appears to be a key period, which reflects Pythagoras’s comment on the sperm as subject to immorality or violence; while Plato held that a woman should live in peace, joy, pride and prayer to imprint her child well. Socrates called for a child’s education from before conception, and to continue in formal education. ‘Only the peace that has its roots in ourselves can expand into the world … thus strong and balanced beings will be born, capable of organizing a more just and humane world, where finally peace will reign’ (Christine Fauré, France).
Nurture for healthy childbearing has to be considered in the context of our evolution and recognition of recent diversions from our evolutionary path. Simon House drew attention to the thousands of generations in evolution over which our diet of fish and shellfish provided enough docosahexaenoic acid (DHA) and eicosapentaenoic (EPA) to make possible our huge neocortex.
In our move away from water and hunting of wild foods, the most serious losses seem to be DHA and EPA, minerals such as iodine and zinc, and vitamins, such as folic acid and other B vitamins. Farming increased our protein, enabling a woman to produce a child a year, reducing the gap which allowed her more time to recoup levels of DHA and other key nutrients, and also reducing that valuable bonding time of 3 or 4 years between each child.
From before conception, parental nutrition and clearing toxins and diseases are vital to health, and particularly brain acuity and behaviour. Highly relevant is development of the limbic system, seat of consciousness till 3-5 years. But then activation of the powerful neocortex relegates these memories to the unconscious. After that, those limbic impulses from beyond our awareness become difficult for our conscious mind to understand and control.
Understanding nurture in terms of biochemistry and epigenetics highlights ways we can learn from our ancestors’ way of life. Some of these revelations are beginning to help us recover our wellbeing, through more physically active lives, foods akin to those of the water and the wild, better sustained affection and, the key, applying these insights to childbearing. (Simon House, Britain).
Healthy nutrition is key for normal fetal development. Igor Kon gave classic examples in the effects of folic acid deficiency and vitamin A excess. The usual diet of Russian women and other European populations has an excess of omega-6s while low in omega-3s. About 15 years ago the team showed that omega-3s decrease the frequency of premature birth through pre-ecclampsia, possibly connected with decreasing peroxidation. Omega-3s are especially important, as are trace elements, notably selenium also as an antioxidant, since excessive lipid peroxidation threatens brain development. Pregnant women in the Russian town of Ryazan, compared with Moscow, were shown to be low in intake and serum status of selenium and need enrichment (Igor Kon & HM Doan, Russia). See: Dairy Products in Infant Nutrition in Russia – Current Situation by Igor Kon & Sergey Simonenko, Institute of Children Nutrition, Moscow, Russia.
Differences between Western and Eastern thought in pre- and perinatal psychology are highlighted by Grigori Brekhman. Our Western concept has traditionally been of a mother-child unit. The Eastern concept is of a complex multi-level person, in terms of: biology, energy, emotion, brain, soul, spirit and other levels. On this assumption it is on all these levels that harmonious development of the unborn child requires cooperation with his mother from the earliest. So on the basis of systems and management theory, we considered the configuration – unborn child – mother – nuclear family – extended family – society – immediate ecological environment – solar system.
Information transfer by wave function is universal and can operate below the conscious level. The authors have shown the mechanism of this wave interaction between mother and unborn child and believe that the same mechanisms underlie interaction between the unborn child and his external environment. Attention to the subsystems could help us generate offspring who achieve better preservation of life, intelligence, and civilization on our planet (Grigori Brekhman, NM Shilina & MV Gmoshinskaya, Russia/Israel).
B. CONTRACEPTION AND THE FALLING BIRTH RATE
Russia’s falling birth rate is due to anti-family values caused by material ambition amid economic hardship, maintains Anatoliy Antonov. Despite attempts to increase contraception, birth control is still achieved largely through abortion, which features on average seven times in a woman’s life. For every 10 live births there are 14 abortions. The way to overcome Russia’s demographic problem is for the pendulum to swing back towards ‘familism’ (Anatoliy Antonov, Russia).
9 out of 10 school-leavers in Russia have signs of body or spirit infantilism, leaving them unable to carry out role functions of mother and father appropriately. No economic or medical program can overcome our country’s demographical crisis long-term, Alexander Shepovalnikov believes. In 2007 Zarakovskij et al showed improvement in some social factors, yet 10% of married couples are infertile, every 4th pregnancy ends in a miscarriage, 70-75% of labours are problematic, and the proportion of healthy newborns is down to 5-30%. These indicators alert us mainly to deterioration of the reproductive function.
During all stages of the lifecycle, starting with the first period of prenatal development, ‘even before zygote formation’, and onwards beyond childhood, all factors need attention, with appropriate therapies, towards the creation of a functional family. This cannot be managed merely by the several relevant professions, but needs a new social program supported by the Government (Alexander Shepovalnikov, TS Koposova & LV Sokolova, Russia).
A child’s potential as a citizen relates directly to the nine months of fetal development, the cradle of a whole human life. This directly affects the person’s resource of talents for future achievements, explains Natalia Moscichova-Gitelson.
No longer merely traditional or speculative, integrated systematic studies in new science fields, applied to principles of lifecycle development in general and of the human fetal period in particular, explore stage by stage the fetus/child’s physiological and psychological development. Study of historical regional cultures of Russia and other nations contributes to development of fetal upbringing. We take account of the views of parents-to-be: religious, national, regional; specific parental features, age, circumstances. The family is inevitably the child’s basic socialising institute, the child’s emotional and psychological atmosphere (Natalia Moscichova-Gitelson, Russia
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).
‘In our depopulation so-called family planning is the deliberate factor, introduced under various pretexts, from birth-control to AIDS-prevention and abortion-prophylaxis’, states Igor Beloborodov. Other factors include natural population movements common to European countries. The world over, family planning technologies have achieved birth rate reduction, including China, India, and Latin America, ‘and it goes on happening in rapidly dying-out Russia’. To maintain their population Russia requires 2.1 births per woman now (the current birth rate being 1.3) or a rise to 3.1 by 2025 to compensate for previous low birth rates.
An essential, though imprecise, concept is ‘maternal capital’ – for the work of reproduction, childcare, primary socialization and so on. Family life has to be reconstructed as an industrial, self-sufficient and self-provided cell of society; no longer patient and ward of the state, but a de-medicalised, self-sufficient home-and-work cell with appropriate technologies. Rather than genderless workers, non-divorcing families with several children would be preferable. Family childbearing will be favoured by the entire system, of tax, housing, services, credit, and pensions. The State should first aim for the new family-oriented form of economic activity, based on the latest knowledge and technologies, to achieve unity of work and home, devoted to family values and striving for professional realization.
Changes have begun. The joint-stock company Norilsk Nickel pays metallurgists 30k rubles (£650) pm, and also 11k (£250) to their non-working wives with children, which far exceeds any sick and maternity leaves. But the children grow in their mother’s constant care, with benefits to the future labour market and pension schemes. Even this isn’t new. In 1914 Henry Ford paid married family men twice the norm. Concludes Beloborodov: ‘We cannot suppose that thrifty Ford was mistaken!’
See: The strategy of the demographic development of Russia (2005) VN Kuznetsova & LL Rybakovsky (Igor Beloborodov, Russia).
Amid growing global awareness that our planetary health depends on population control, such an outburst against contraception may seem to us extraordinary, let alone the perception of an international motive to reduce a specific nation’s population, rather than to reduce abortions and HIV/AIDS. This is no doubt due partly to Russia’s population of 140 million now being less than half the former Soviet Union’s of 290 million at its break-up in 1991. Yet this Congress featured the acute awareness of breakdown in family life, which seems far beyond that in Western Europe, gravely reducing people’s power of reproducing at all, let alone healthily. This will become more apparent in the next (2nd) instalment, which also focuses on the double problem of the unwanted conception and of being an unwanted child, with caring responses to each of these problems.
Summaries of Presentations/Articles edited & collated by
Simon House