ABSTRACTS of the 14th National Congress of the HSPPPM, the Hungarian Society of Prenatal and Perinatal Psychology and Medicine (2017)

TIME: February 24-25, 2017.
VENUE: Benczúr Hotel Budapest, Budapest 1068, Benczúr u. 35. Hungary. 
TITLE: Human life inception - the ways of conception, fertility, difficulties, assisted reproduction and their implications

2017.02.24. Friday

9:30: Opening: Dr. Péter BÖDECS, gynecologist and obstetrician, President of the HSPPPM

FRIDAY FIRST SESSION, Feb 24 Fri 09:30am-11:20am
Chair: Andrea ANDREK, psychologist

2017.02.24. Friday, 9:45 LECTURE 1:
Stress and infertility
Speaker: Dr. Peter BÖDECS obstetrician-gynecologist, President of the HSPPPM. St George's Health Centre Győr, Karolina Hospital Mosonmagyarovar, Margaret Hospital Csorna. 

ABSTRACT: Chronic stress and infertility are known to be coherent and are phenomena that mutually intensify one another. Psychosocial distress may cause infertility, and infertility may cause psychosocial distress. The reproduction techniques offer a fast and efficient method for infertility with a known cause and also for unexplained subfertility. These protocols have resulted in the decline of the psychotherapeutic approach within the field.
In this presentation, we seek the reasons why an interdisciplinary approach might be the right solution for treating infertility, and also take a look at the back draws of high efficiency, short-term, goal-oriented medical care.

2017.02.24. Friday, 10:05 LECTURE 2:
Infertility: the psychological background of difficult "biological creativity”
SPEAKER: Dr. Éva HADHÁZI psychologist, University Associate Professor, Institute of Psychology, Department of Developmental Psychology

2017.02.24. Friday, 10:25 LECTURE 3: 
Lust is necessary, isn't it? The role of the affective component in sexuality
SPEAKER: Dr. Katalin Varga, PhD, Head of the Affective Psychology Department at ELTE.

ABSTRACT: Modern obstetric practice, assisted reproduction and even bottle feeding are interventions that have become steps in the human reproduction, all leading away from the natural processes. During the presentation the audience is to be encouraged to consider the kind of price we pay when we ignore the affective-motivational factors inherent in the natural processes. In my view, the current trends must be urgently rectified, because the suppression of psycho-emotinal factors directly lead to a decline of baby lust in the next generation, and creates a downward spiral.

2017.02.24. Friday, 10:45 LECTURE 4:  
The Modern Hungarian Mystery of Infertility 
SPEAKER: dr. István Fülöp, gynecologist and obstetrician Károly Róbert Private Hospital

ABSTRACT: There is an increased rate of infertility problems in recent decades in Hungary like in developed societies. There are approximately 150-180.000 couples struggling with infertility in our homeland. In this lecture we will take a look at the leading causes behind infertility, as well as modern diagnostic and treatment options.


11:05-11:20 Discussion - questions, comments from the participants

11:20-11:50 coffee break


SECOND SESSION. Chair: Katalin Orosz

2017.02.24. Friday, 11:50 LECTURE 5:
From submission to surrender of self
SPEAKER: Judit Molnár, clinical psychologist

ABSTRACT: Childbearing is the ultimate form of lifelong commitment, practically the only one in our modern age. The topics of submission and fear of responsibility are recursive. The presentation will look at the unconscious bodily ways of evading conception, procreation, in accordance with unconscious underlying fears. Submission seems possible by will. Fulfilled sexuality is devotion on both sides of the masculine and the feminine. What helps inawakening desire to surrender? In order to promote a deeper understanding of the topic, we are going to look at two stories of therapy about women, one suffering from an abundance of somatic symptoms, and one without somatic symptoms, having gone through unsuccessful IVF procedures with no medical explanation found for the failure of procedure. 

2017.02.24. Friday, 12:10 LECTURE 6:


2017.02.24. Friday, 12.30  LECTURE 7:
Options for Caesarean-rate reduction
SPEAKER: dr. Róbert Póka, obstetrician-gynecologist

ABSTRACT: The increase in the frequency rate of Caesarean sections is a worldwide problem. The legal environment, the financial protocol, the hierarchy of the supply system and the social expectations all play a decisive role in the evolution of current trends. The key to change is not in the coercion of an anti-Caesarean atmosphere among specialists but in addressing the causes behind the phenomenon. The most important steps toward this goal are restoring the prestige of midwifery with a widened work-field of legal rights and responsibilities, restricting the medical work-field to pathological cases as well as raising the level of consumer responsibility to the level of consumer rights. Effective measures toward this goal include the regular auditing of Ceasarean indications, prepapartion for vaginal birth in the absence of absolute contradiction, a more accurate understanding of a high risk case, a more patient approach toward failure to progress, a conservative approach toward rupture of membranes, avoidance of inducing labor without a well-rounded medical reason and support of external cephalic version procedure.

2017.02.24. Friday, 12:50 LECTURE 8:
TITLE: Does "precious baby" equal Cesarian birth? No. Obstetrical challenges related to IVF
SPEAKER: Dr. Attila UJVÁRI, gynecologist and obstetrician


2017.02.24. Friday, 13:10–13:20 Discussion - questions, comments from the participants

13:20-14:30 LUNCH



2017.02.24. Friday, 14:30 LECTURE 9: 
Are IVF babies more prone to premature birth?
SPEAKER:  dr. Csaba Nádor, neonatolologist, Head of Perinatal Intensive Care of Honvéd

ABSTRACT: In recent decades, the use of assisted reproductive techniques (ART) has enabled many infertile couples to have children. It is a widely accepted fact that twin pregnancies often result in premature delivery. Unfortunately, this is also true for certain pregnancies conceived by IVF-ET. There is a significantly higher risk of preterm birth (OR1.95 to 1.98) and of low birth weight (LBW) (OR 1.6), below 2500 grams. With ART, there is a number of factors may lead to premature delivery. We have to take the long-term effects of the prescribed drugs involved, the manipulation of gametes and embryos, the harmful effects of ovarian stimulation and the endometrial capacity. Presumably extreme parental concerns also play a role, as the couples undergoing the procedure are usually of a higher socio-economic status and they consider their pregnancy as a privilege. This might explain the high rate of elective Cesarean among ART pregnancies.  
Among the babies conceived by IVF and / or ICSI technique there is a much higher rate of congenital abnormalities (RR 1.37), the biggest difference is observed between changes in the nervous system (RR 2.01). The Israeli PIC network database shows that 10% of premature infants with less than 1500 grams birth weight (VLBW), 60% of VLBW twins, 90% of triplets come from an ART pregnancy.


2017.02.24. Friday, 14:50. LECTURE 10:  
Impact of premature birth on the parents' psychological wellbeing
SpeakerDr. Zsuzsa TÖRÖK PhD, clinical psychologist, University of Debrecen 

ABSTRACT: Nowadays, more and more studies have shown that the premature birth is a serious negative life event for parents. The lecture highlights the negative psychological consequences in both of genders. It is very important to pay attention to the risk factors in development and maintain of mental disturbances. According to the literature we summarize the most common methods and the optimal times of screening. We underline the most effective preventive and therapeutic techniques. The lecture shows the method of the supporting group for mothers who underwent premature birth. In this way we try to give a possible guidance for perinatal intensive care’s workers, in this field still its infancy.

2017.02.24. Friday, 15:10. LECTURE 11: 
Beginning of life - the importance of the first two hours 
Speaker: Zsuzsanna Liptákné Horváth, perinatal consultant, Vice President of the HSPPPM 

ABSTRACT: The first hours right after birth are of high importance regarding the mother-newborn bonding processes. In my presentation I review some international recommendations regarding neonatal care, as skin-to-skin contact and breastfeeding has been promoted by the WHO recommendations in the past decades. Then I review some of the Hungarian obstetrics and neonatal care protocols to see how - and if - the international recommendations are present. Finally I cite some relevant research and findings regarding the Hungarian practice about what happens to the mother and the newborn right after birth. 

2017.02.24. Friday, 15:30. LECTURE 12:
How motivational factors of pregnancy influence obstetric outcome?  Szeverenyi Peter
Speakerdr. Szeverényi Péter, PhD, a specialist in obstetrics and gynecology, clinical psychologist, University of Debrecen

ABSTRACT: Emotions relating to the pregnancy and the fetus, even before conception takes place, influence family planning, pregnancy, parent-child relationship, the development of the child's personality and the whole system of family relationships. The motivational factors of pregnancy stem from multiple sources. The main components are: (1) baby lust (2) fear of the child, (3) pregnancy as stress. Some of the motivating factors are conscious, while some of them happen with little or no awareness. Each factor effects different individuals in a variety of ways, but they certainly have a significant impact on the decision-making process of family planning. If the woman, the couple cannot adequately assess the - sometimes contradictory – factors, and it leads to an inadequate decision, psychological and/or psychosomatic disturbances may occur. The authors review the motivational factors of pregnancy, different ways of viewing and examining motivational factors of pregnancy as well as present some of their own observations”

2017.02.24. Friday, 15:50–16:10 Discussion - questions, comments from the participants

2017.02.24. Friday, 16:10-16:45 Coffee break


FOURTH SESSION. Chair: Dr. Hadházi Éva

2017.02.24. Friday, 16:45. LECTURE 13:
Conception, Expectancy and Birth in Folktales
Speaker: Gabriella Ágnes NAGY, Ph.D University of Debrecen

ABSTRACT: From the 17th century onward European folktales were ideologically transformed in order to socially indoctrinate children (supposedly being in the state of natural innocence) and to teach morals. Therefore due the bourgeois view of social manners erotic or birth scenes were eliminated. However, folktales collected from the oral tradition do contain birth scenes that offer various birth models. Tom Thumb by Jakab is about a disturbed, assisted conception symbolically presented – the tragic end points out the consequences of a traumatized perinatal period. Viktor Busa’s peculiar and unique circular tale offers a detailed miraculous birth description in its opening and closing scene. Krisztina Tóth’s children’s book narrates the traumatic period of expectancy, the birth and abandonment of a baby. The return to the ‘field’ of origin and the beginning of speech (entering culture) is only possible by evoking the birth scene. These tales show us how culture "thinks" of the event of birth.

2017.02.24. Friday, 17:05 LECTURE 14:
TITLE: The embryio within us. Fundamentals of phenomenological embriology and dynamic morphology
SPEAKER: Andrea ANDREK psychologist, Vice President of the HSPPPM

2017.02.24. Friday, 17:25 LECTURE 15:
TITLE: Conception as a threat - belated effects of a traumatised perinatal period
SPEAKER: Katalin OROSZ clinical psychologist and transpersonal therapist

2017.02.24. Friday, 17:45 LECTURE 16: 

2017.02.24. Friday, 18:05–18:20 Discussion - questions, comments from the participants

2017.02.24. Friday, 18:30 HSPPPM Annual Meeting

2017.02.24. Friday, 19:30 RECEPTION - all participants are welcome. 


2017.02.25. Saturday 

SATURDAY FIRST SESSION, Feb 25 Sat 09:00-10:10am
Chair: Rita NOVÁKY midwife, perinatal counselor

2017.02.25. Saturday, 09:00 LECTURE 17: 
SPEAKER: Bernadett EIGNER, Dr.

2017.02.25. Saturday, 09:20 LECTURE 18: 

2017.02.25. Saturday, 09:40 LECTURE 19: 

SATURDAY SECOND SESSION, Feb 25 Sat 10:10-11:25am
Chair: Zsuzsa LIPTÁKNÉ HORVÁTH, perinatal counselor, Vice President of the HSPPPM

2017.02.25. Saturday, 10:10 LECTURE 20: 

Crisis as a stimulus to find and reactivate creativity.

Speaker: Smilja Janjatovic, psychologist, Co-director for Italy and Serbia of the International Whole-Self Institute

ABSTRACT: Creativity is an indispensable tool in the Individuation Process, and in the search for individual and collective meaning. The choices we make, especially the more important ones, are determined, even if we are not always aware of this, by profound and fundamental motivations, which have a distinct role in the construction of our individuality and in our search for meaning.  Jung defines individuation as “the story of self-realization of the unconscious”. In other words, Individuation is the process of the construction of an individuality whose beginnings, or roots, are in the non-conscious identification with ones parents. It is a maturing process of constant transformation. In fact, if this process is in any way prevented or if there is only a fear of its impediment, this will affect the life of the individual and a crisis, with all its possible implications, will set in. The process of individuation is articulated through two operations: differentiation and integration at the intra-psychic and at the inter-psychic level. Differentiation and integration at the intra-psychic level implies first differentiating the “Ego” from the unconscious psychic agencies, then, later, reintegrating the parts removed in order to increase the ego. Differentiation and integration at the inter-psychic level refers to the differentiation from an a-critical adherence of collective forms of existence and switching to a level of critical integration of new and more adequate cultural models. Both have their beginnings in our prenatal life and effect not only the life of the single individual involved, but even the future generations of his/her offspring in every domain of human expression.

2017.02.25. Saturday, 10:30am LECTURE 21

2017.02.25. Saturday, 11:00am LECTURE 22
LECTURE TITLE: Womb transplantation - is it the future or is it already the present?
SPEAKER: Dr. Attila UJVÁRI, gynecologist and obstetrician

2017.02.25. Saturday, 11:45-13:15: WORKSHOPS


Workshop 2. The Complexity of Prenatal & Perinatal Experience: Why Trauma and How to Heal?
Olga Gouni workshop (in English, translation)

ABSTRACT: The study of Pre/Perinatal human experience in the context of Modern Sciences/Theories (Complex Theory) allows us to perceive the ways our Cosmos has emerged and how human life appeared on Earth, always evolving. Such a study makes it possible for us to even better understand  how the same eternal, universal laws that can be seen at work in the cosmic creation are behind the dynamics of Primal Human Life and Beyond.
The Aim of this study is to show how ten most significant complexity principles can apply to our Pre/Perinatal experience and how we can take them into account when designing Health Advancement Processes.
The Methodology of Hermeneutics and Phenomenology was followed. Thus, the main complexity principles that explain Complex Adaptive Systems (CAS) and Complex Evolving Systems (CES) were studied and then applied in the context of Pre/Perinatal Psychology.
The Findings of this study have shown that complexity can cast light on understanding our Pre/Perinatal experience in depth and that the researcher scientist/professional today can use the work already done in Complex Theory to better understand human life in a multidimensional, interdisciplinary framework.
In conclusion, it makes it evident that 1. we need to change our focus of attention from a linear way of thinking to a “wholistic” one as explained in the Chaos Theory, 2. we need to develop a new sense of trust that allows the emergence of new forms as a result of spontaneous creation beyond any human control and 3. we need to come up with new practices and processes in Health Advancement and Human Wellbeing in alignment with cosmic laws. Further research is essential.



2017.02.25. Saturday, 13:20-14:00

Summary and closing of the conference
Katalin OROSZ, clinical psychologist and transpersonal therapist
Andrea ANDREK, psychologist, Vice President of the HSPPPM 
Zsuzsa LIPTÁKNÉ HORVÁTH, perinatal counselor, Vice President of the HSPPPM