My formal training as a midwife was obtained at Columbia University in 1979, however it was the hundreds of women and families who taught me the art, compassion and knowing that is required to be “ a midwife” Over the years, I provided care to women in variety of clinical settings. I have taught and precepted midwifery students in association with several educational programs, most recently Frontier nursing university. Throughout years of academia and clinical practice, I was driven to understand why some women developed life threatening obstetrical complications while others with risky life styles had problem free pregnancies and good outcomes. My doctoral focus on pre and perinatal psychology and the associated disciplines of epigenetics, embryology, neurobiology and intergenerational hereditary transmission has led me to understand the importance of a holistic approach to improve maternal wellbeing as means to improve perinatal outcomes during the preconception period. This presentation will share this science and protocols with my audience.
Traditionally, obstetrics has failed to regard the unborn child (prenate) as a conscious being with the ability to feel or be influenced by its perinatal experiences. The field of pre and perinatal psychology dates back to 1981 with Dr. Otto Frank, an assistant to Dr. Sigmund Freud published his book on the trauma of birth” Since that time, the sciences of embryology, hypnosis, neurobiology and epigenetics have provided evidence to show that from as early as conception, the prenate is influenced psychologically and physiologically by events which occur in the womb. Through implicit or cellular memory, a newborn traumatized during the perinatal period, may develop dysfunctional behavioral patterns to cope with unresolved emotional triggers.. The earlier in life the unresolved issues were first experienced, and the response, can prompt epigenetic changes beginning as early as in utero. These intrauterine epigenetic changes can manifest as mental and/or physical disease in adulthood. By understanding theories of pre and perinatal psychology, clinicians can introduce practices and protocols to help their clients avoid, resolve or mitigate the impact of perinatal trauma.
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