GOLD Learning Speakers

South Africa

Dr. Nils Bergman, MB ChB, MPH, MD

  • Speaker Type: Preterm Lecture Pack 2014, ABM Conference 2016, GOLD Neonatal 2017
  • Country: South Africa
Biography:

Dr Nils Bergman calls himself a Public Health Physician, and currently promotes and researches skin-to-skin contact on a fulltime basis.

He is an Honorary Senior Lecturer at the University of Cape Town, South Africa, and a research affiliate of the South African Medical Research Council.

Dr. Bergman was born in Sweden and raised in Zimbabwe, where he also later worked as a mission doctor. He received his medical degree (MB ChB) at the University of Cape Town, and later a Masters in Public Health at the University of the Western Cape. During his years in Zimbabwe he completed a doctoral dissertation (MD, equivalent to PhD) on scorpion stings. He has worked in rural South Africa, Zimbabwe and Sweden, and his last posting was Senior Medical Superintendent of Mowbray Maternity Hospital in Cape Town, overseeing 18000 births per year.

He enjoys sharing the wildlife of Africa with his wife and three youngsters.

CE Library Presentation(s) Available Online:
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Note: Currently only available through a bundled series of lectures
Understanding resilience: why a preterm needs its mother.
Our latest understanding of developmental neuroscience is based understanding epigenes. These are influenced by the earliest environment encountered, as the switches make “predictive adaptive responses”. These influence brain development as well as subsequent psychological and physiological health over the lifespan. Early gene expression makes the brain and its circuitry, and neuronal circuits are the essence of what we subsequently become: “we are our brains”. Cortisol is the most well known activator of the epigene, but it only does so when it can act unopposed for long periods of time. The “opposition” to cortisol comes from the combined effect of dopamine (the reward hormone) and oxytocin (the social hormone). Resilience is therefore about healthy dopamine and oxytocin circuits. It is mother’s presence that is required for the establishment of these. Preterm infants need resilience, and must have their mothers with them always.
Accreditation, Main Category, Product Type
Presentations: 4  |  Hours / CE Credits: 4  |  Viewing Time: 4 Weeks
Watch Today!
View Lecture
Note: Currently only available through a bundled series of lectures
The Neuroscience behind the skin-to-skin imperative
The underlying science to all biology is that genes make brains and bodies, and brains make those bodies behave to accomplish ‘reproductive fitness’. Recent advances have shown that the ENVIRONMENT influences the genes through epigenetic processes, and fires and wires brain circuits, and also determines highly conserved behaviors necessary for fitness. Human reproductive fitness begins with birth and breastfeeding, and the necessary environment is maternal-infant SKIN-TO-SKIN CONTACT (SSC). Essential steps are described, transition to extrauterine life, maternal regulation, biological roots of bonding, breastfeeding as an integrated behavior with sleep, with early maternal sensitization and later attuned parenting. The opposite of SSC is SEPARATION, leading to toxic stress with a number of mal-adaptions that may remain for life. The most significant relate to emotional and social intelligence, and failures in breastfeeding. The ecobiodevelopmental model captures this accurately, but must be applied at birth to accomplish fitness for early childhood development.
Presentations: 22  |  Hours / CE Credits: 13.5  |  Viewing Time: 8 Weeks
Hours / CE Credits: 0.75 (details)  |  Categories: Breastfeeding and Lactation
Watch Today!
View Lecture
Note: Currently only available through a bundled series of lectures
The Neuroscience behind the skin-to-skin imperative
The underlying science to all biology is that genes make brains and bodies, and brains make those bodies behave to accomplish ‘reproductive fitness’. Recent advances have shown that the ENVIRONMENT influences the genes through epigenetic processes, and fires and wires brain circuits, and also determines highly conserved behaviors necessary for fitness. Human reproductive fitness begins with birth and breastfeeding, and the necessary environment is maternal-infant SKIN-TO-SKIN CONTACT (SSC). Essential steps are described, transition to extrauterine life, maternal regulation, biological roots of bonding, breastfeeding as an integrated behavior with sleep, with early maternal sensitization and later attuned parenting. The opposite of SSC is SEPARATION, leading to toxic stress with a number of mal-adaptions that may remain for life. The most significant relate to emotional and social intelligence, and failures in breastfeeding. The ecobiodevelopmental model captures this accurately, but must be applied at birth to accomplish fitness for early childhood development.
Presentations: 1  |  Hours / CE Credits: 0.75  |  Viewing Time: 2 Weeks
Hours / CE Credits: 0.75 (details)  |  Categories: Breastfeeding and Lactation