Psychological Trauma (PTPPPA 2015): Prenatal, Perinatal

Total Page:16

File Type:pdf, Size:1020Kb

Psychological Trauma (PTPPPA 2015): Prenatal, Perinatal SERBIAN GOVERNMENT MINISTRY OF EDUCATION, SCIENCE AND TECHNOLOGICAL DEVELOPMENT PROCEEDINGS 1st International Congress on Psychological Trauma: Prenatal, Perinatal & Postnatal Aspects (PTPPPA 2015) Editors Grigori Brekhman Mirjana Sovilj Dejan Raković Belgrade, Crowne Plaza 15-16 May, 2015 Patrons: Ministry of Education, Science and Technological Development – Republic of Serbia Association for Prenatal and Perinatal Psychology and Health – USA Cosmoanelixis, Prenatal & Life Sciences - Greece DRF Fund for Promoting Holistic Research and Ecology of Consciousness - Serbia Organizers: Life activities advancement center - Serbia The Institute for Experimental Phonetics and Speech Pathology - Serbia The International Society of Pre- and Perinatal Psychology and Medicine - Germany Organiziation: Organizing Committee, IEPSP, LAAC Secretariat, Gospodar Jovanova 35, 11000 Belgrade, Serbia. Tel./Fax: (+381 11 3208 544, +381 11 2624 168) e-mail: [email protected] web: http://www.iefpg.org.rs Publisher: Life activities advancement center The Institute for Experimental Phonetics and Speech Pathology Electronic version on publication Editors: Grigori Brekhman, Mirjana Sovilj, Dejan Raković Circulation: 500 ISBN: 978-86-89431-05-6 2 Scientific Committee Organizing Committee Chair: Chairs: G. Brekhman (Israel) S. Maksimović (Serbia) V. Kljajević (Serbia) Vice-chairs: M. Sovilj (Serbia) Members: D. Raković (Serbia) T. Adamović(Serbia) S. Arandjelović (Serbia) Lj. Jeličić (Serbia) Members: V. Ilić (Serbia) E. Ailamazjan (Russia) S. Janković-Ražnatović (Serbia) S. Bardsley (USA) J. Jovanović (Serbia) H. Blazy (Germany) M. Mićović (Serbia) P. Fedor-Freybergh (Slovakia) Ž. Mihajlović (Serbia) M. Dunjić (Serbia) D. Pavlović (Serbia) D. Djordjević (Serbia) L. Trifunović (Serbia) O. Gouni (Greece) O. Vulićević (Serbia) Č. Hadži Nikolić (Serbia) M. Vujović (Serbia) S. Hildebrandt (Germany) S. Janjatovic (Italy) L. Janus, (Germany) Secretariat: V. Jerotić (Serbia) J. Bojović (Serbia) D. Karabeg (Norway) V. Žikić (Serbia) N. Kovalenko (Russia) Lj. Klisić (Serbia) I. Kononenko (Slovenia) Scientific Committee R. Linder (Germany) Scientific Committee A. Ljubić (Serbia) L. Nasarenko (Ukraine) Chair: N. Nedeljković (Serbia) M. Sovilj (Serbia) D. Mandić (Serbia) S. Milenković (Serbia) Vice-chairs: B. Milovanović (Serbia) D. Popov (Bulgaria) P. Ognjenović (Great Britain) M. Subotić (Serbia) Lj. Rakić (Serbia) M. Subotić (Serbia) Members: R. Radulović (Serbia) R. Bjeljac Babić (France) J. Rhodes (USA) V. Bojanova (Bulgaria) V. Stambolović (Serbia) G. Breakman (Israel) O. Škarić (Macedonia) V. Delić (Serbia) S. Tashaev (Russia) F .Grandori (Italy) J.&T. Turners (Holland) S. Golubović (Serbia) R. Yahav (Israel) O. Gouni (Greece) D. Horga (Croatia) Z. Ivanovski (Macedonia) S. Jovičić (Serbia) Dj. Koruga (Serbia) A. Kostić (Serbia) E. Luschei (USA) P. Marković (Serbia) K. Matsuno (Japan) Lj. Rakić (Serbia) D. Raković (Serbia) I. A. Sternin (Russia) V. A. Shestakov (Russia) B. Tošović (Austria) Organizing Committee Chair: 4 Kid Desirable Ребенок Желанный Music V. Shainsky Муз. - Владимира Шаинского, Words-Remake by Katia Brekhman Римейк - Кати Брехман 1. Kid Desirable - everybody loves it! 1. Ребенок Желанный - Он всеми любим! Unique and unrepeatable, Единственный в мире и не повторим, Unique and inimitable, Единственный, неповторимый, Unique and favorable kid. Единственный, очень любимый. Chorus Счастливые дети умеют учиться, Happy kids are able to learn, Умеют дружить, от души веселиться! To make friends, and enjoy themselves! А там, где ребенок желанный, Where the kid is desirable, Хорошие папы и мамы! Good are moms and dads! 2. How important and necessary to have friends 2. Как важно и нужно друзей повстречать To discuss vital themes with them И темы насущные здесь обсуждать To get kids born without traumas Без травмы, чтоб дети рождались To enjoy fully their lives! И жизнью своей наслаждались! Chorus Happy kids are able to learn, Счастливые дети умеют учиться, To make friends, and enjoy themselves! Умеют дружить, от души веселиться! There should not be the world Ведь так не должно быть на свете With unnecessary kids... Чтоб были ненужными дети… We all are responsible for this, Мы с вами за это в ответе, To have happy kids! Чтоб были счастливыми дети! 5 6 PREFACE The First International Congress "Psychological Trauma: Prenatal, Perinatal & Postnatal aspects (PTPPPA 2015)” was successfully held in Belgrade, Serbia, during 15-17 May 2015. This Congress was organized by Life Activities Advancement Center – Serbia, The Institute for Experimental Phonetics and Speech Pathology – Serbia, and The International Society of Pre- and Perinatal Psychology and Medicine – Germany. The Congress was organized under the auspices of Ministry of Education, Science and Technological Development – Republic of Serbia, Association for Prenatal and Perinatal Psychology and Health – USA, Cosmoanelixis, Prenatal & Life Sciences – Greece, and DRF Fund for Promoting Holistic Research and Ecology of Consciousness – Serbia. We kindly acknowledge all of them, and also our Scientific Committee, Organizing Committee, and Secretariat – and particularly all our participants who have presented fifteen plenary lectures, nineteen oral presentations, nine poster presentations, and three workshops. It was the first Congress devoted to the comparative analysis of prenatal, perinatal and postnatal psychological traumas and their interaction. The aim of the Congress was to summarize modern knowledge in biology, medicine, psychology, including prenatal and postnatal phases of life, and other natural sciences, in order to give the impulse for the intensification of research of psychological traumas and their consequences. This is necessary for better understanding of these phenomena and providing opportunity to find the more effective approaches and techniques of their diagnostics, therapy and prophylaxis. A special attention was given to: (i) Possibilities of diagnostics of prenatal, perinatal, and postnatal psychological traumas – separately and/or by their combination, (ii) Therapy of patients with such psychological traumas, (iii) Trans-generation passing of such psychological traumas, (iv) Eliminating or reducing the impact of distorted information on psychosomatic condition and functioning of a person, and (v) Topicality of prophylactics of prenatal, perinatal, and postnatal traumas, in which the whole humankind should be involved. The presentations included Theoretical aspects of consciousness, thinking, and psychological traumas (Part I), Prenatal and perinatal aspects of psychological traumas and their treatments (Part II), and Ways of diagnostics, treatment, and prevention of psychological traumas in general (Part III). All presentations even different in contents were quite interesting, providing new information and new fresh ideas. So, participants of the Congress (psychologists and psychotherapists, obstetricians- gynecologists and other physicians, biophysicists and engineers, and other specialists) have estimated this forum as a very successful event. The three intriguing workshops were also presented: (i) Tashaev’s on Relief in Psychological and Psychosomatic Traumas by Means of Body Discomfort Personification, (ii) Gouni’s on Applying the Salutogenic Principles in the field of Prenatal Psychology or How Can Our Children Live a Better Quality of Life, and (iii) J&T Turners’ on substantiation of the Whole-Self Prebirth Psychodiagnostics and an interpretation of the efficacy of the Whole-Self Prebirth Psychology, Psychotherapy, Philosophy and Education in human relationships. Globally, the conclusions of presented papers provided the following message: (i) For understanding development of human consciousness, communication, behaviour and learning, we must apply a holistic approach from the prenatal period, from preconception, because a man is a unique expression of trans-generational characteristics of his ancestors and interactions with closer and wider environment; (ii) If in considering development of communication and behaviour we do not perceive this fact, we might consequently come into a situation of not being able to have substantial insight into our own situation and behaviour, and even less of the others; (iii) Experts who 7 deal with child development, upbringing and education, should complement their knowledge with the art of composing and interpreting genealogic tree (somatic, psychological, spiritual), thus gaining holistic insight into the complete development of a person from the moment of conception, and being adequately prepared to support young generations properly. We look forward to organizing our next Congress on this exciting and important field soon. Editors 8 CONGRESS REPORT TO ISPPM AND APPPAH By Dr. Rupert Linder, Past President of ISPPM I want to describe to you some impressions of the Prenatal Trauma Congress from May 2015 in Belgrade. It was organized by our most appreciated old friend Grigori Brekhman together with Mirjana Sovilj and Dejan Rakovic from Belgrade. The atmosphere of the place was lovely – a recently new build comfortable Hotel adjacent to the Sava river – a little above its flowing into the Danube. Although the issue of prenatal trauma certainly is no light fare, it got better digestable by the friendliness of the organizing staff and the lot of experienced older and young presenters from the impressingly busy Institute for Experimental Phonetics and Speech Pathology in Belgrade. There have been friendly connections since decades with the
Recommended publications
  • Child Maltreatment 3E Guide Cover
    THIRD EDITION G.W. Medical Publishing, Inc. St. Louis THIRD EDITION Angelo P. Giardino, MD, PhD, FAAP Associate Chair – Pediatrics Associate Physician-in-Chief/Vice President, Clinical Affairs St. Christopher’s Hospital for Children Professor in Pediatrics Drexel University College of Medicine Adjunct Professor of Pediatric Nursing LaSalle University School of Nursing Philadelphia, Pennsylvania Randell Alexander, MD, PhD, FAAP Professor of Pediatrics, and Chief Division of Child Protection and Forensic Pediatrics Department of Pediatrics University of Florida Jacksonville, Florida Professor of Pediatrics Morehouse School of Medicine Atlanta, Georgia G.W. Medical Publishing, Inc. St. Louis FOREWORD Safeguarding the health and well-being of all children has been an increasing focus of modern society. We have come far from the days when parents considered their children “property.” Along the way we have instituted many measures to improve the health of children: immunizations, car seats, lead detection and abatement, the “Back to Sleep” campaign, and the “Reach Out and Read” campaign, to name a few. The battle against child abuse and neglect has also made significant strides, although the war is far from over. Twenty years ago our knowledge of normal anogenital anatomy in children was just beginning to emerge, and disclosures about child sexual abuse were often discounted as stories confabulated by children. Secrets about being molested remain hidden in many cases, but sometimes they do surface in the psychiatric and medical complaints of adult men and women. It is hoped that research as well as professional and lay educational efforts have lessened the disease burden of many sexually abused individuals.
    [Show full text]
  • Healing the Body-Mind in Heart-Centered Therapies
    Journal of Heart-Centered Therapies, 2006, Vol. 9, No. 2, pp. 75-137 © 2006 Heart-Centered Therapies Association Healing the Body-Mind in Heart-Centered Therapies David Hartman, MSW and Diane Zimberoff, M.A. * Abstract: Some of the most profound influences on human behavior may be found within the deep evolutionary streams of human nature, flowing through the hormonal and nervous systems, regulated by the instinctual “reptilian brain” (limbic system). These archaic, archetypal patterns, when denied or thwarted or undischarged, split off from the whole self and become trapped in the body. That is where we find them, and how we heal them. We assess the damaging effects of traumatic response in the womb and in childhood. If a person tends toward hyperarousal (fight/flight) response that is not effectively discharged, his/her body will tend to utilize parasympathetic dissociation as a defensive effort to achieve the semblance of homeostasis. If a person tends toward hyporarousal (freeze) response that is not effectively discharged, his/her body will tend to utilize sympathetic dissociation to achieve the semblance of homeostasis. The area of the body that is not feeling (parasympathetic dissociation) can be equally as important an indicator of stored trauma as body parts that do feel (sympathetic dissociation). We review the Theory of Structural Dissociation proposed by Nijenhuis as a way to understand the common alternation between re-experiencing trauma and detachment from or unawareness of the trauma. The primary emotions are regulated neurally. The emotional operating systems proposed by Panksepp can be divided into the primordial set (FEAR, RAGE, and SEEKING) basic to survival; and the social set (LUST, PANIC, CARE and PLAY) characteristic of mammals, which depend on the creation and maintenance of social bonds for survival.
    [Show full text]
  • The Vulnerable Prenate. William R. Emerson
    Correct Variant The Vulnerable Prenate William R. Emerson (USA) Abstract. Emerson reports on the effects of prenatal traumas, drawing on his 20 years of research into the significance of prenatal and perinatal experiences for an individual’s life-history. More than one trauma is usually involved. Emerson assumes that children can experience consciously before birth and also have a prenatal memory. A number of examples are given to illustrate this. One of Emerson’s important findings is that prenatal traumas may result in complications at birth. In particular, a child that suffers injury before birth may experience a normal birth as traumatic. Another significant observation is that prenatal and perinatal traumas impede an individual’s ability to form relationships and predispose him or her to violence later on. An increasing number of therapists are now able to deal with the effects of prenatal and perinatal traumas in the therapeutic setting. * The prenate (i.e., the unborn baby) is vulnerable in a number of ways that are generally unrecognized and unarticulated. Most people think or assume that prenates are unaware, and seldom attribute to them the status of being human. I recall a recent train trip, where an expectant mother sat in a smoking car filled with boisterous and noisy people. I asked her whether she had any concern for her unborn baby, and whether she thought the smoke or the noise would be bothersome to her unborn child. Her reply was, “Well of course not, my dear. They are not very intelligent or awake yet.” Nothing could be further from the truth.
    [Show full text]
  • ENT of UATION MEMOR the HUMAN FETUS Cothelijne Van Heter
    PDF hosted at the Radboud Repository of the Radboud University Nijmegen The following full text is a publisher's version. For additional information about this publication click this link. http://hdl.handle.net/2066/146798 Please be advised that this information was generated on 2021-09-24 and may be subject to change. ENT OF UATION MEMOR THE HUMAN FETUS Cothelijne van Heter • DEVELOPMENT OF HABITUATION AND MEMORY IN THE HUMAN FETUS Van Heteren, Cathelijne Francisca - Development of habituation and memory in the human fetus - 2001 Thesis University Nijmegen - with réf.- with summary m Dutch -136 p. ISBN: 90-9015000-5 Print: Grafisch Bedrijf Ponsen &i Looijen BV Wageningen Graphic Design Marie-Louise Dusée No part of this book may be reproduced in any form without permission of the author. This research project was financially supported by ZorgOnderzoek Nederland and the Hersenstichting Nederland. Publication of this thesis was financially supported by ATL Nederland BV, Ferring BV, GlaxoSmithKline, Hitachi Ultrasound BV, Medical Dynamics, Novo Nordisk Farma BV, Organon Nederland BV, Pie Medical Benelux BV, Sanofi-Synthélabo, Schering Nederland BV. DEVELOPMENT OF HABITUATION AND MEMORY IN THE HUMAN ?-f τ'••<, Een wetenschappelijke proeve op het gebied van de Medische Wetenschappen Proefschrift ter verkrijging van de graad van doctor aan de Katholieke Universiteit Nijmegen, volgens besluit van het College van Decanen in het openbaar te verdedigen op vrijdag 5 oktober 2001 des namiddags om 1.30 uur precies door Cathelijne Francisca van Heteren
    [Show full text]
  • Elearn Comfort Promise
    and treat pain Reducing pain with needle procedures Our Objective Design, test & deploy the clinical practices, and foster the culture, required to eliminate all needless pain and to minimize all moderate and severe physical pain and distress…………… Goal: To partner with patients and families to create a better patient experience. Scope: All acute and procedural pain Initial efforts : We started with needle procedures, because the majority of patients and families named them as their (child’s)worst pain. This will include: Lab draws ,POC testing, injections, PIV starts, PICC placements, arterial sticks or line placements, and PAC access. 2 | © 2013 Needle Procedures Current staff attitudes: •Needles don’t hurt that much, especially finger sticks. • The pain of a needle stick is unavoidable… •“So just get it the first time and do it quick!” Current reality: •Needle sticks do hurt and cause anxiety(most kids rate them 6/10). •Finger and heel sticks are usually more painful, take longer, and may require more than 1 stick. •We have solid evidence on how to reduce or eliminate needle pain. 3 | © 2013 Why do we care? • Most children receive a minimum of 18 needle procedures, in their first year of life. • If they were born pre-term the exposure is significantly higher; − Critically ill infant may experience >480 painful procedures during NICU stay. − Neonates at 33 weeks gestational age admitted to NICU experienced an average of 10 painful procedures/day; 79 %were performed without any type of analgesia. Barker DP (1995) Arch Dis Child Fetal Neonatal Ed 72:F47-8; Johnston CC (1997) Clin J Pain 13:308-12 Carbajal, R., Rousset, A.,Danan, C., Coquery, S., Nolent, P., Ducrocq, S., et al.
    [Show full text]
  • Rainbows Basic Symptom Control in Paediatric Palliative Care
    Ninth edition, 2013 Basic Symptom Control in Paediatric Palliative Care The Rainbows Children’s Hospice Guidelines www.togetherforshortlives.org.uk Basic Symptom Control in Paediatric Palliative Care The Rainbows Children’s Hospice Guidelines Ninth Edition, 2013 ISBN: 1 898447284 Basic Symptom Control in Paediatric Palliative Care © Dr Satbir Singh Jassal Formulary © The Association for Paediatric Palliative Medicine (APPM), March 2012 The formulary is due for revision at the end of 2014 Author: Dr Satbir Singh Jassal B.Med Sci, B.M., B.S., DRCOG, Dip Pall Med, DFSRH, MRCGP, FRCPCH (Hon), Medical Director Rainbows Children’s Hospice and General Practitioner Production: Myra Johnson and Katrina Kelly, Together for Short Lives Design: Qube Design Associates Ltd Certified by the Information Standard Together for Short Lives is the leading UK charity that speaks for all children with life-threatening and life-limiting conditions and all those who support, love and care for them. When children are unlikely to reach adulthood, we aim to make a lifetime of difference for them and their families. Together for Short Lives 4th Floor, 48-52 Bridge House, Baldwin Street, Bristol BS1 1QB T: 0117 989 7820 [email protected] www.togetherforshortlives.org.uk Together for Short Lives is a registered charity in England and Wales (1144022) and Scotland (SC044139) and a company limited by guarantee (7783702) Disclaimer: Although Together for Short Lives has taken care to ensure that the contents of this document are correct and up to date at the time of publishing, the information contained in the document is intended for general use only.
    [Show full text]
  • Suffering and Science
    1 Special Interest Group for Philosophy and Ethics Suffering and Science Launde Abbey 23 - 26 June 2008 1 Contents Introduction Peter Wemyss-Gorman 3 Science and Suffering 1. Suffering, mind and the brain: Neuroimaging of religion-based coping 4 Katja Wiech 2. Can we ‗Face‘ the pain? Levinasian phenomenology and pain 11 Alex Cahana 3. Why pain? A psychological and evolutionary perspective 19 Amanda Williams 4. Consciousness studies and understanding pain: Reciprocal lessons 25 Ron Chrisley 5. Suffering: Is it just matter and its transformations or are we missing 34 something? Alan Lannigan _ 6. Mind-Body dualism and Pain 43 Barbara Duncan 7. Placebos and the relief of pain and suffering 55 Paul Dieppe 8. Cultural issues and pain 60 Sue Peacock 9. Professionalism and managerialism in Lord Darzi‘s NHS 66 Michael Platt 10. Nice ‗n nasty; interestin‘ and mundane – Fairness in the clinic 69 Willy Notcutt 10. Poetry and Pain 74 Michael Hare Duke For further information or to obtain copies of this report or the transcript of the 2007 meeting on Suffering and the World's Religions, contact Peter Wemyss-Gorman. Email: [email protected] The Special Interest Group is grateful to NAPP Pharmaceuticals for their generous support of this meeting. Illustration of the front cover used by kind permission of Launde Abbey 2 Contributors Katja Wiech: Post-doctoral Fellow in the Oxford Centre for Functional MRI of the Brain Alex Cahana: Professor and Chair, John Bonica Pain Division, Seattle Amanda Williams: Clinical Psychologist, St Thomas‘
    [Show full text]
  • Pain Education Manual for Physical Therapist Professional Degree Programs
    Pain Education Manual For Physical Therapist Professional Degree Programs Authors: Mark Shepherd, PT, DPT, OCS, FAAOMPT Bellin College, Green Bay, WI Carol Courtney, PT, PhD, ATC Northwestern University, Chicago, IL Craig Wassinger, PT, PhD East Tennessee State University, Johnson City, TN D. Scott Davis, PT, MS, EdD, OCS Marshall University, Huntington, WV Bill Rubine, MS, PT Oregon Health and Science University Healthcare, Portland, OR Reviewers: Kathleen Sluka, PT, PhD Marie Bement, PT, MPT, PhD Kory Zimney, PT, DPT, PhD Shana Harrington, PT, PhD Rachel Tran, PT, DPT, NCS Megan Sions, PT, PhD, DPT, OCS Kim Clarno, PT, DPT, OCS Jon Weiss, PT, DPT, GCS Amethyst Messer, PT, DPT, GCS Copyright 2021, Academy of Orthopaedic Physical Therapy, APTA, Inc. Introduction The presence of pain is one of the most common reasons people seek health care services. National surveys have found that persistent pain—defined as pain lasting longer than 3 months—affects approximately 100 million American adults, roughly one-third of the United States (US) population, and that the economic costs attributable to such pain approach $600 billion annually.1 With the prevalence of individuals seeking relief from pain, the rise of the opioid crisis came front and center in the United States. In 2021, The American Physical Therapy Association (APTA) updated a published white paper detailing the role physical therapists (PT) have in the treatment of pain and ultimately, the opioid crisis.2 The white paper explicitly states, “Physical therapists, who engage in an examination process that focuses on not only the symptoms of pain but also the movement patterns that may be contributing to pain, must become central to this multidisciplinary strategy.”2(p5) Physical therapists must work collaboratively with patients, health care providers, payers, and legislators to help stop the opioid crisis, but with this call to arms, there is a need for evidence informed knowledge and skills to appropriately address those in pain.
    [Show full text]
  • Critical Care Decisions in Fetal and Neonatal Medicine: Ethical Issues Published by Nuffield Council on Bioethics 28 Bedford Square London WC1B 3JS
    Critical care decisions in fetal and neonatal medicine: ethical issues Published by Nuffield Council on Bioethics 28 Bedford Square London WC1B 3JS Telephone: 020 7681 9619 Fax: 020 7637 1712 Email: [email protected] Website: http://www.nuffieldbioethics.org ISBN 1 904384 14 5 November 2006 To order a printed copy please contact the Nuffield Council on Bioethics or visit the website. © Nuffield Council on Bioethics 2006 All rights reserved. Apart from fair dealing for the purpose of private study, research, criticism or review, no part of the publication may be produced, stored in a retrieval system or transmitted in any form, or by any means, without prior permission of the copyright owners. Production management by: The Clyvedon Press Ltd 95 Maes-y-Sam Pentyrch Cardiff CF15 9QR Printed by: Latimer Trend & Company Ltd Estover Road Plymouth PL6 7PY Critical care decisions in fetal and neonatal medicine: ethical issues Nuffield Council on Bioethics Professor Sir Bob Hepple QC FBA (Chairman) Professor Peter Smith CBE (Deputy Chairman) Professor Margaret Brazier OBE* Professor Roger Brownsword Professor Sir Kenneth Calman KCB FRSE The Rt Rev Richard Harries DD FKC FRSL Professor Peter Harper Professor Søren Holm Mr Anatole Kaletsky Dr Rhona Knight Professor Sir John Krebs FRS* Professor Peter Lipton Professor Hugh Perry Professor Lord Plant of Highfield Dr Alan Williamson FRSE * co-opted members of the Council for the period of chairing the Working Parties on Critical care decisions in fetal and neonatal medicine: ethical issues
    [Show full text]
  • Specialist Neonatal Respiratory Care for Babies Born Preterm [E] Evidence Reviews for Sedation and Analgesia
    National Institute for Health and Care Excellence Draft for Consultation Specialist neonatal respiratory care for babies born preterm [E] Evidence reviews for sedation and analgesia NICE guideline <TBC at publication> Evidence reviews October 2018 Draft for Consultation These evidence reviews were developed by the National Guideline Alliance, hosted by the Royal College of Obstetricians and Gynaecologists DRAFT FOR CONSULTATION Error! No text of specified style in document. Disclaimer The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The recommendations in this guideline are not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian. Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with compliance with those duties. NICE guidelines cover health and care in England. Decisions on how they apply in other UK countries are made by ministers in the Welsh Government, Scottish Government, and Northern Ireland Executive.
    [Show full text]
  • Pain Management for Infants During Vaccination: Evaluation of Online Resources and Pilot
    Pain Management for Infants during Vaccination: Evaluation of Online Resources and Pilot Testing of Parent-Targeted Interventions Shokoufeh Modanloo, BScN, MScN A thesis submitted to Faculty of Health Sciences, School of Nursing in partial fulfillment of the requirements for the Doctorate in Philosophy degree in Nursing Faculty of Health Sciences School of Nursing University of Ottawa © Shokoufeh Modanloo, Ottawa, Canada, 2020 VACCINATION PAIN MANAGEMENT FOR INFANTS ii Abstract The overall aim of this thesis was to improve the use of recommended pain management strategies during infant vaccination by investigating the quality and use of evidence-based online parent resources. Study 1: A two-armed pilot randomized control trial (RCT) was conducted to evaluate the feasibility, acceptability and preliminary efficacy of two interventions, delivered online, aimed at improving the use of recommended pain management strategies during infant vaccination. Parents of infants < six months old were randomized to 1) Be Sweet to Babies videos and tip sheet; and 2) Be Sweet to Babies videos, tip sheet and Motivational Interviewing- informed Affirmative Statements and Questions (AS&Q). Results showed it was feasible to recruit parents via online means (201 eligible respondents recruited in a week, 170, 85% provided written consent, and 89, 59% completed all data collection. From these 89 participants, there was high acceptability of the study, 84 (94%) were satisfied with study processes, and 78 (88%) intended to recommend the strategies to others. For preliminary efficacy, almost all participants used at least one of the pain management strategies in the subsequent vaccination (Intervention 1 (49, 98%); Intervention 2 (38, 95%)). There were no significant differences in the use of pain management strategies between the two study groups.
    [Show full text]
  • Quantifying Noxious-Evoked Baseline Sensitivity in Neonates to Optimise Analgesic Trials
    RESEARCH ARTICLE Quantifying noxious-evoked baseline sensitivity in neonates to optimise analgesic trials Maria M Cobo1,2‡, Caroline Hartley1‡, Deniz Gursul1, Foteini Andritsou1, Marianne van der Vaart1, Gabriela Schmidt Mellado1, Luke Baxter1, Eugene P Duff1,3, Miranda Buckle1, Ria Evans Fry1,4, Gabrielle Green1, Amy Hoskin1, Richard Rogers5, Eleri Adams4, Fiona Moultrie1†, Rebeccah Slater1†* 1Department of Paediatrics, University of Oxford, Oxford, United Kingdom; 2Universidad San Francisco de Quito USFQ, Colegio de Ciencias Biologicas y Ambientales, Quito, Ecuador; 3Wellcome Centre for Integrative Neuroimaging, University of Oxford, Oxford, United Kingdom; 4Newborn Care Unit, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom; 5Department of Anaesthetics, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom Abstract Despite the high burden of pain experienced by hospitalised neonates, there are few analgesics with proven efficacy. Testing analgesics in neonates is experimentally and ethically challenging and minimising the number of neonates required to demonstrate efficacy is essential. EEG (electroencephalography)-derived measures of noxious-evoked brain activity can be used to *For correspondence: assess analgesic efficacy; however, as variability exists in neonate’s responses to painful [email protected]. procedures, large sample sizes are often required. Here, we present an experimental paradigm to uk account for individual differences in noxious-evoked baseline sensitivity which can be used to †These authors contributed improve the design of analgesic trials in neonates. The paradigm is developed and tested across equally to this work four observational studies using clinical, experimental, and simulated data (92 neonates). We ‡These authors also contributed provide evidence of the efficacy of gentle brushing and paracetamol, substantiating the need for equally to this work randomised controlled trials of these interventions.
    [Show full text]