ABSTRACTS of the 13th National Congress of the HSPPPM, the Hungarian Society of Prenatal and Perinatal Psychology and Medicine 

Life inside the womb - growth potentials in the pre- and perinatal period. Perinatal programming, vegetative imprinting, primal health


2016-02-12 Friday at 9:30am OPENING ISPPM and APPPAH and HSPPPM

Dr. Péter BÖDECS, President of the HSPPPM opens the 13th National Congress. 

Video message from Sandra BARDSLEY, President of the APPPAH, the Association For Prenatal And Perinatal Psychology And Health

Message from Dr. Ludwig JANUS, former President of the ISPPM, the International Society for Pre- and Perinatal Psychology and Medicine. 

Video message from Olga GOUNI, leader of the Greek perinatal society. 

(Photo: Dr. Sven HILDEBRANDT, current President of the ISPPM, Nóra ROSNYAY, Perinatus Foundation, Sandra BARDSLEY, President of the APPPAH, Katalin OROSZ, Board Member of the HSPPPM, and Dr. Ludwig JANUS, former President of the ISPPM. Photographer: Zsuzsa RABOVAY HORVATH. October 24, 2015, in Berlin, 27th Annual Conference of the ISPPM)


2016-02-12 Friday at 9:40am In memoriam Professor Jenő Raffai.

Speaker: Dr. Ágnes SOMKÖVI



2016-02-12 Friday at 10:05am, LECTURE 1HSPPPM President Peter BODECS

TITLE: Nutrition during pregnancy and its effects on fetal development. Fetal programming hypothesis in the everyday work of gynecologists and obstetricians

SPEAKER’s NAME: Péter BÖDECS, gynecologist and obstetrician, President of the HSPPPM.

ORGANIZATION: Szent György Health Center Győr, Karolina Hospital Mosonmagyaróvár, Margit Hospital Csorna

ABSTRACT: Overweight and malnutrition are primary reasons for complications affecting the mother and the fetus during pregnancy. Hungary is one of the worldwide leaders in these disorders. Diseases in connection with nutrition have relevant transgenerational effects and they fundamentally influence the quality of the next generations’ lives. The efficiency rate for curing metabolic disorders that originate in the perinatal period is rather low.


2016-02-12 Friday at 10:30am, LECTURE 2.  Andrek Hadhazi Kekecs

TITLE: Fetal programming? The effects of intrauterine experience on development and attachment styles.

SPEAKERS: Andrea ANDREK, psychologist, ELTE PPK Perinatal Consultant Training

Éva HADHÁZI PhD, Development Psychology Department, KGRE

Zoltan KEKECS PhD, Baylor University, Department of Psychology and Neuroscience

ABSTRACT: According to the fetal programming theory the conditions of early, intrauterine development create physiological imprints in the brain that occur many years later as a risk factor for certain diseases. The presentation will review research results of the past years, with heavy emphasis on the impact of the psycho-social stress of the mother in the fetus. The conclusions of domestic research of the past two years will be briefly presented. The research examined the relationship between mothers’, fathers’ and their fetus, its changes and the impact of factors supporting the parent-child bond. The results of our study confirm that supporting the expectant parents is a high priority in health prevention. Accepting the baby and a stable relationship and lifestyle of the parents lay the foundation for sensitivity towards the infant’s needs, creating the conditions for secure attachment style. This, in the long term, contributes to a better quality of physical and mental state of the next generations. 


2016-02-12 Friday at 10:55am, LECTURE 3. 

TITLE: Folklore data and case studies on vegetative imprinting, how ancient knowledge appears in fetus protecting techniques

SPEAKER: Judit Eszter MOLNÁR, clinical psychologist


2016-02-12 Friday at 11:50am, LECTURE 4.  HSPPPM Katalin VARGA

TITLE: Epigenetics and nutrition

SPEAKER: Katalin VARGA PhD, Head of the Affective Psychology Department at ELTE; ELTE University, Budapest

ABSTRACT: The main aspects of epigenetics will be presented in this talk, answering the question why it is the opposite of mutation. Epigenetics can be perceived as a fast and flexible possibility for change, mediating the "message" of environmental conditions to the upcoming generation(s). The role of "motherhood," the type of motherly care can serve as this very mediator. In the spirit of flexibility I discuss whether the proper (psycho) therapeutic procedures - presumably - provide an opportunity to prevent the passing down of negative trans-generational patterns.



2016-02-12 Friday at 12:15pm, LECTURE 5.   HSPPPM Attila UJVARI

TITLE: 444 days – 114 births without a Caesarean section

SPEAKER’s NAME: dr. Attila UJVÁRI, gynecologist and obstetrician 

ORGANISATION: Szent István Hospital, Budapest 

ABSTRACT: Analyzing records and data of this - most possibly not reproducible - row of deliveries followed by one obstetrician. We are looking for factors that led to these results, and with the experiences of other colleagues this may lead to new guidelines or aids that can help to reduce the frighteningly incrising number of cesarean sections worldwide. This group of pregnant ladies seeking our help with their labor were highly motivated in vaginal birth. There wasn't any contraindication of their vaginal birth. In this period we had to do 8 cesarean section either as a planned operation for contraindications or immediate danger at the onset of labor. The responsible obstetrician had many helping people:

- another obstetrician doing some of the antenatal visits and being a backup person if needed.

- personally arranged midwifes in many cases.

- group of psychologists specialized in labor, pregnancy, fertility etc.

- physiotherapists, specialists for consultations - endocrinologists, diabetes, thrombophilias, cardiologists, ophthalmologists etc. - who had the same reassuring and encouraging attitude regarding natural vaginal birth.

The majority of these deliveries took place at St. Stephen government hospital, that is well known for supporting natural birth and breastfeeding, although the private hospitals provided good support as well. The responsible obstetrician has been personally exceptionally highly motivated in helping safe vaginal birth during his professional carrier. 


2016-02-12 Friday at 12:40pm, LECTURE 6.  HSPPPM Csaba NADOR

TITLE: “C-section again? Yes, but this time in an other way.” First experiences about the implementing of natural Caesarean section

SPEAKER’s NAME: dr. Csaba NÁDOR, neonatolologist

ORGANISATION: Chief consultant at the NICU, Department of Obstetrics and Gynecology.

INTRODUCTION: Dr. Nádor is the chief consultant at the NICU for 10 years, first the one of the National Medical Center, since 2007 the NICU at the the Medical Center, Hungarian Defence Forces. Member of the board of the Hungarian Perinatology Society, secretary of the Neonatology Council and the chief quality manager of neonatology in Hungary. He is the board member of the Hungarian Society of Pre- and Perinatal Psychology and Medicine since 2015. During his whole professional career he dealt with neonates and premature infants. He believes that the family-friendly approach has an important role not only in the normal newborn care but even in the care of premature babies under 1000 grams. 

ABSTRACT: A Caesarean section is not good, but it may be necessary. When carrying out it is essential to consider that it is not just a decision affecting the woman, but even the fetus may be negatively affected. In developed Western countries the ratio of the surgically completion of pregnancies is rising. In Germany in 2006 22%, in 2013 31.8% of the newborn babies were born by Caesarean section. In Hungary this ratio remained above 30% for the last 5 years. A "normal" C-section has many negative long-term effects. Such are delayed skin-to-skin contact, disruption of the 9 phase of the "golden hour", frequent interruption of the mother-baby-dyad during the mother's mobilization period, ignoration of the baby's early hunger signs, deprivation of the family from the "birth experience", hindering early attachment. These adverse effects can be eliminated with natural Cesarean section practices. Our aim is that in our department natural C-section becomes a regular practice according the majority of planned Caesarean sections. During the natural Caesarean section mothers (fathers too) can follow the process visually. As seen at vaginal births we create the conditions of immediate (within minutes) skin-to-skin contact between mother and baby, and this is maintained without any interruption for a minimum of two hours.


2016-02-12 Friday at 13.05pm, LECTURE 7.  HSPPPM Erzsebet VARADY

TITLE: Maternal obesity - role of foetal programming in childhood and adult obesity. Prevention and possible strategies to diminish the effect of foetal programming.

SPEAKER: Elizabeth VÁRADY MD, neonatologist

INTRODUCTION: Paediatrician, neonatologist, IBCLC. From 1966 until 1988 working in the Semmelweis University Paediatric Department, from 1975 in the Perinatal Intensive Care Unit of the 2nd Dept. Of Obstetrics and Gynecology. From 1989 until retirement in 2005 Head of Department of the Neonatal Services of a general hospital attached to medical university in the UAE. Involved in undergraduate and postgraduate teaching. Returning to Hungary, member of the National Breastfeeding Promotion Committee, working for the promotion of the Baby Friendly Hospital Initiative in the country. Since 2010 teaching in the one year course. 

ABSTRACT: Childhood and adult overweight (BMI > 25 kg/ m2) and obesity (BMI>30 kg/m2) became a global health problem in the last 30 years. In the European Region of the WHO every second adult and every fifth child is overweight. The classification of preconceptional maternal BMI, the recommended weight gain during pregnancy, the weekly weight gain in the 2nd and 3rd trimester and the support of postpartum weight loss are discussed.  The higher, than recommended preconceptional maternal BMI and weight gain during pregnancy increase the risk of obesity in the offspring. As in the last few recent decades prevalence of obesity has increased worldwide, maternal gestational problems have a higher prevalence, than in the past. Obesity increases the risk of miscarriage, stillbirth, premature birth, preeclampsia, gestational diabetes and the incidence of complications is proportional to the degree of obesity.  Obese women have a higher rate of caesarean section and VBAC (vaginal birth after caesarean section) is less likely, than in women with normal prepregnancy BMI and normal weight gain during pregnancy.  In the offspring there is a higher incidence of congenital anomaly (neural tube and cardiac defects). Due to the higher incidence of birthweight>4000 g there is a higher incidence of birth injuries and problems of metabolic and physiological adaptation to extrauterine life. Long term consequences of maternal obesity in the offspring: higher incidence of childhood and adult obesity, associated with higher incidence of type2 diabetes mellitus, hypertension and cardiovascular complications.

In the development of childhood obesity genetic, behavioural and environmental factors play a role during the sensitive period of development (the first 1000 days following conception). The increased risk of obesity in the offspring of obese mothers is most likely due to the changes of the epigenome and metabolic programming (insulin and leptin resistance). The amount of fat tissue in children and adults has generally a positive association with birthweight, but the association is U or J shaped; both low and high birthweight has an association with childhood and adult obesity. There is no universal strategy, how to decrease the effect of foetal programming. Physical activity and postnatal nutrition of mother and child may play a role.  Optimal nutrition of the infant may decrease the risk of obesity: exclusive and demand breastfeeding for about 6 months, starting complementary feeding at about 6 month of age with adequate amount and quality, while continuing breastfeeding for at least 1 year of age. The mode of complementary feeding should be based on the principles of responsive feeding, taking into consideration signs of hunger and satiety. 


2016-02-12 Friday at 14:45pm, LECTURE 8.  Andrek Hadhazi Kekecs

TITLE: Empirical study on the connection between how pregnant women experience their relationship with their partners and with their fetus

SPEAKERS: Éva HADHÁZI PhD, psychologist, University Associate Professor, Institute of Psychology, Department of Developmental Psychology; Andrea ANDREK psychologist; Zoltán KEKECS PhD, Baylor University, Department of Psychology and Neuroscience, Mind-Body Medicine Research Laboratory

ABSTRACT: "Recognizing the great potential in early prevention, more and more studies are focused on the effect of the „maternal environment” on the development of the fetus, and the importance of the mother-fetus connection. We will present a slice of our research addressing the factors promoting better synchrony between the fetus and their parents. Our empirical study aims to uncover the relationship between the mother’s attitude toward her partner-relationships and her connection to her fetus. We analyzed the data provided by 114 expecting women on self-report paper-and-pencil questionnaires (Intrauterine Connection Questionnaire, MFAS-HU, Intimacy, Demographics), using ROPstat and SPSS statistical software. In line with previous international results we found a substantial influence of certain socio-demographic and psychosocial factors on the mother-fetus connection. Specifically, our results show that intimacy in the current partner-relationship is significantly associated with the level of fetal attachment: perceived caring has a positive, while perceived control has a negative relationship with the level of mother-fetus connection. These findings indicate that the supporting presence of the partner, the father, influence the quality of the mother’s subjective experiences during pregnancy, and their connection with their fetus. Our results highlight the importance of the perception of partner-caring, and they have considerable practical relevance primarily in preventive work and in pair- and family therapy."


2016-02-12 Friday at 15:10pm LECTURE 9. HSPPPM Rita NOVAKY

TITLE: Perinatal care – new ways of attending delivery: Needs and Possibilities

SPEAKERS: Rita NOVÁKY, midwife, perinatal counselor; Szent István Hospital, Budapest, former President of the Hungarian Midwife Association

Ágnes RÁKÓCZINÉ KRÄMER, midwife, perinatal counselor; Szent István Hospital, Budapest

ABSTRACT: The role of a midwife, as is ours, is to provide perinatal care and assist delivery. We work in a close-knit team of professionals, especially obstetricians, and other experts, including dietitians, physical therapists, intimate gymnastics trainers, doulas. Our work has reached a new phase, in which space and attention is given to a new aspect: the personal needs of midwives: an important aspect of the work that we do. For many years midwives have worked side by side, with an identical approach, with the same doctors, but with different clients. This has meant an almost constant daily readiness, 24 hours a day, 365 days a year. With this kind of work our personal needs have often been surpassed by the needs of the client families, creating grounds for fatigue and burnout. From January 2015 the two of us have provided prenatal care as a team, with shared clients, shared client families. In our talk we will present the experience of the first year spent in this new work form: the design, operation, benefits and difficulties of the new system, and the practice of team work. 


2016-02-12 Friday at 15.35pm, LECTURE 10.   HSPPPM Eniko HOMPOTH

TITLE: New approach in the perinatal care in Hungary: the presentation of the depression screening

SPEAKER’s NAME: Emőke HOMPOTH, PhD student 

ORGANIZATION: SZTE-ÁOK University of Szeged, Obstetrics and Gynacolocy Clinic 

INTRODUCTION: Ms. Hompoth is a psychologist, studied at the University of Szeged, Clinical- and Health Psychology Major, and got her degree in 2015. Currently she is a PhD student at SZTE-ÁOK Obstetrics and Gynacolocy Clinic, where she takes part in the depression screenings among pregnant and postpartum women.

ABSTRACT: Our aim was to assess the extent of depressive symptoms among pregnant and postpartum women, who participated in the screening from April 2011 to September 2015. In all 3337 women participated. The screening was accomplished by antenatal nurses using EPDS three times during pregnancy and once after delivery. If pathological results obtained the woman was advised to consult an obstetric psychologist. We used repeated measures ANOVA and one-way ANOVA for statistical analysis.Based on the results, even the first trimester is a very sensitive phase for antepartum depression. In this phase are the mean scores the highest (3.716 points), and it differs significantly from the other trimesters (p<0.001). In this trimester were the most subjects above the cut-off value (11.4%). The screenings importance is to provide the opportunity for women with initial minor symptoms to consult a psychologist in order to have the chance to avoid the major symptoms at the later phase


2016-02-12 Friday at 16.45pm, LECTURE 11.  HSPPPM Bernadett EIGNER

TITLE: Study of the early mother-child relation disturbance-endangering: risk and protective factors

SPEAKER’s NAME: Bernadett EIGNER PhD, psychopedagogist

ORGANIZATION: Budapest Capital Pedagogical Services, and the MikkaMakka Foundation.

ABSTRACT: Relationships showing the signs of disturbance can be seen in motherly factors and early face-to-face interactions: the patterns of the motherly interactional style are completed with the child’s reactive strategy. Children having a chance for maladaptive development risks can be identified through the assessment of the mother-infant interactions. In my study I assessed interactions and motherly and child factors in fifty mother-child pairs. My main goal was to identify which risk and protective factors influence the forming of the early mother-child interactions (experience of giving birth, anxiety, depression, parental stress, how much the mother is attached to her baby, the mother’s playfulness, other psychosocial and biological factors). I worked out a system called The Early Diadic Interactional Code System. I found correlations between the motherly, child and relation factors. Assess the early mother-child interactions can be very important for early intervention.


2016-02-13 Saturday at 09.00am, LECTURE 13.  HSPPPM Katalin OROSZ

TITLE: Stress in the womb – ways of relieving stress during pregnancy 

SPEAKER: Katalin OROSZ, clinical psychologist

ORGANIZATION: Perinatus Foundation, Budapest

ABSTRACT: Our understanding of adulthood stress might have become satisfactory, but there is much less we know about perinatal stress: how tension in the mother affects the fetus remains a question. This presentation will give a review of stress-related risk factors during the time of pregnancy, childbirth, and the subsequent postpartum period. Scientific studies and our own therapeutic experience will be presented in terms of indirectly detectable fetal stress. Hypotheses on how perinatal fetal stress response has a lifelong influence will be discussed. The second part of the presentation will focus on ideal ways: What helps the mother during pregnancy releive the stress affecting the fetus? How can the mother prepare for childbirth in a way that it reduces risk to the fetus during labor? How can the family during postpartum reduce stress affecting the so called "Stone Age baby"? How can professionals support the family in all of this? I close the presentation with the brief presentation of a case: how a premature infant could in 5 months time get rid of a gallstone with the help of psychotherapy?


2016-02-13 Saturday at 09.25am, LECTURE 14.   HSPPPM Eva ZSAK

TITLE: Analysis of the currently applied practices of perinatal and intrauterine death and their effects on health care professionals

SPEAKER’s NAME: Éva ZSÁK, PhD student

ORGANIZATION: Semmelweis University

INTRODUCTION: Eva Zsak is a PhD student in applied linguistics and behavioural sciences. She started her research regarding perinatal loss and grief as a medical student at the Semmelweis University. Her research topic focuses on the effects of perinatal loss and grief on health care professionals. She has a good command of English and Italian besides her mother tongue.

ABSTRACT: One aim of the presentation is to give an overview of the presently applied practices in preselected institutions regarding perinatal loss. Moreover, a futher focus is on the effects of perinatal and intrauterine loss on the health care professionals. The research concentrates on the practices applied in the institutions, on the existing and required competencies, on the personal attitude and on the experienced difficulties. In these situations it is a truly demanding task to provide proper help, with few tools at hand to help the grieving families or to face their own feelings of grief. All these conditions present a higher risk for burnout for the professional helpers in question.



2016-02-13 Saturday at 9.50am, LECTURE 15  Juhasz Ibolya

TITLE: Birth pattern in normative changes, development and behavior - a Case Study

SPEAKER: Ibolya JUHÁSZ, perinatal consultant

ABSTRACT: The spatial, temporal and personal aspects of birth can have a strong influence on the later ways of how one experiences birth, birth giving, as it will become a repetitive pattern in normative changes and development in general. Therefore, natural birth for mother and baby is the optimal "start" of life. The development and the skill need the attention of the mother and of those working in perinatal care. Stress and fear, tools and procedures of intervention, use of drugs, analgesics, and substances accelerating delivery will all be written into the memory. The long-term effects of such interventions are also felt in clinical practice in the increasing number of children developing disharmoniously. It may cause further problems such as developmental disruptions, disturbances concerning perception, motor skills, and developmental disorders of speech or other functions. Behavioral disorders, psychological problems, or various repetitive activities may also be evidence of early trauma. Everything we experience will be written in the memory, starting from the earliest stages of embryonic development. Memory will retain the knowledge of relationships, of trauma, which is written into the personality. It affects our sense of ourselves, and the way we experience the world. It affects the attachment styles of early life. Therefore, the diagnostic process is essential, which is performed in a multidisciplinary team. Early prevention, intervention and therapies place the child and the family at the center. Parents are responsible for their children, and also, they are the experts of their children’s development. Just as conception is not possible without a mother-father, birth and life is not optional without the mother-child-father triad. Therapies, early intervention, and complex personal and family psychotherapy address the entire family; the goal is to tame trauma and assist spiritual birth in a protected environment. The case study presents the story of a child with behavioral disorders through early childhood, the story shows how birth experience becomes a repetitive pattern, and how the mother-child relationship and the functioning of the family changed for the better after it was recognized and acknowledged. 


2016-02-13 Saturday at 10.15am, LECTURE 16 Zentai Andrea

TITLE: Expecting - educating mothers to eat healthy

SPEAKER: Andrea ZENTAI, dietitian

ORGANIZATION: MensMentis Health Centre, Budapest.

ABSTRACT: The results of national and international surveys show that diet plays a key role in maintaining health and preventing disease. Domestic studies have shown that the nutritional risk factors of increased energy and fat intake, inadequate fatty acid composition, excessive consumption of simple carbohydrates, excessive salt intake and low vegetable / fruit consumption start in childhood. Therefore, the development of good eating habits of children should start in the womb of the mother. A healthy diet during pregnancy plays an important role in optimal fetal development and the preservation of the mother's health. A conscious way of life is essential in order to prepare the mother’s body for pregnancy and breastfeeding. Based on these facts we have developed a layered education system that helps us ensure the change of the lifestyle of the entire family.


2016-02-13 Saturday at 11:30am WORKSHOP    HSPPPM Ungvary and Malik

TITLE: What is normal about breastfeeding? Workshop for professionals working with mothers and their infants

SPEAKERS: Renáta W. UNGVÁRY, IBCLC lactation consultant, and Dr. Aniko MALIK, pediatrician

ORGANISATION: PAF (Positive Attitude Forming) Foundation - the Patient Advocate Foundation

INTRODUCTION: As members of the PAF Foundation, we hold skill and attitude-forming trainings and conferences along with doctors and other professionals who work with the "right attitude". The trainings are sensitization programs that use experience-based learning as a main tool for knowledge transfer. Some of the main themes are the following: managing cultural diversity (Roma patients), doctor-patient communication, lactation and stress-free preterm care, animal assisted therapies, palliative care (hospice), communicating bad news, attuning to the patient, human dignity. We work with whole institutions or individual hospital departments, we perform trainings that use comprehensive organizational and leadership development tools, and work with community building and personal development techniques. As a result, the staff of the institutions form a better community, the teams can make better use of their resources, the employee feel better at work, therefore work more effectively.

ABSTRACT: Breastfeeding has become a health care issue, therefore, some of its aspects have become overshadowed. There are some typical misunderstandings that dominate manifestations and expectations of lactation. These shape negative attitudes toward breastfeeding from childhood on, and influence the period after childbirth heavily. The workshop will give way to listing the typical visual and oral manifestations (dolls with pacifiers, baby bottles, food blacklist, advice on pumping, breastfeeding under the spell of numbers, breastfeeding-related word useage) and to analyzing where these factors fall on the normal-abnormal scale of the individual participants. There will be opportunity to discuss in what ways and to what extant these influence the mother-infant pair. Participants can test their communication practices of tolerance, and can fine-tune the normality of their breastfeeding scale. The attitude change of expert helpers is designed to strengthen parenting skills and boost normality.

Duration of the workshop: three hours with one intermission