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the chair many things for the
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opportunity to present our notion of
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trial first of all I would like to ask
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you if you can see whatever this baby
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was born by the China delivery or by
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elective c-section
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I guess that's quite difficult but the
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point that it looks quite relaxed could
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give you a hint as I will explain you in
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my presentation so far there is not much
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known about the nociception just after
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birth
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one group and from Sweden has shown that
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babies born by the China delivery so
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much less facial expression after a
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painful procedure compared to babies
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born by elective c-section based on this
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background and we wanted to show to
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measure and to compare with an objective
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method if there is a difference in
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nociception between babies born and by
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elective c-section and babies on by
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Amber ginal delivery to achieve this
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objective measurement of a of the
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nociception and we recorded the
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Nietzsche's after birth during this EG
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recording we stimulated the babies with
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a so-called pinprick this pin prick is a
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needle that you just stimulate the baby
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and it actually doesn't hurt the baby
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but produces nociceptors evoked
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potential in the EEG as shown here on
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the right side the magnitude of this
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nociceptors evoked potential is actually
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the the real nociception of the baby so
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the aim of our study was to measure
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their and the magnitude of nociceptive
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evoked potential and to compete compare
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between babies on by like I've c-section
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and babies born by the channel delivery
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as you make an and imagine it was not so
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easy to convince parents to allows us to
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stimulate the baby just after birth but
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in the end we achieved our and
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calculated numbers of approximately 20 /
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groups if you now and have a look at the
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baseline characteristic you can see that
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we have to comparable groups
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the only difference are in points that
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we accept
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acted so for example station h and i
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would like to highlight that and in the
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code 15 value we measured code 15 in the
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umbilical cord blood as a stress marker
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and as you can see and there are much
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higher and values in the group of a
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child labor baby compared to the baby's
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born by elective c-section now I would
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you would like to present you our end
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Ichi results here you can see the
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average the deceptive about potential in
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green the one measured in babies born by
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our channel delivery in blue the one
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from the c-section group if you now
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compare these two magnitudes of the
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nociceptive evoked potential you can see
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that there is a significant difference
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in the magnitude of this no susceptible
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potential so we can say that there is a
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higher nociceptors sensitivity in the
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United borne by elective c-section
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compared to babies born by the child
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delivery
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furthermore as i mentioned before we
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miss it measures stress markers we
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measured on the one hand and umbilical
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cord and ph and as mentioned before the
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co-captain value also measured in the
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cord blood if you now correlate this to
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stress markets with the magnitude of the
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no susceptible potential in the Ichie
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you can see that there is a high
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correlation so the higher distress
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markers and are the the smaller the
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mackie two days so we can say that the
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nociceptive sensitivity is correlated
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with the coping and the arterial
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umbilical cord ph if we take all this
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results together we can say that the
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birth experience actually shapes the no
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septic sensitivity in newborn infants
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and so to come back to my first picture
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this was a big girl actually delivered
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by my channel delivery now i would like
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to thank the whole group that made this
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and try possible from different
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universities and you for your attention
00:04:14
thank you

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Conference program

Welcome Words
M. Roth-Kleiner, R. Arlettaz Mieth
10 Jan. 2017 · 9:33 a.m.
Short Reports Introduction
E. Giannoni, T. Karen, Resp. Lausanne, Zürich
10 Jan. 2017 · 9:38 a.m.
Association of Axonal Injury and Preeclampsia
Katrina Evers, Neonatology UKBB
10 Jan. 2017 · 9:39 a.m.
Q&A - Association of Axonal Injury and Preeclampsia
Katrina Evers, Neonatology UKBB
10 Jan. 2017 · 9:44 a.m.
Retinopathy of Prematurity
Roland Gerull, Bern
10 Jan. 2017 · 9:47 a.m.
Q&A - Retinopathy of Prematurity
Roland Gerull, Bern
10 Jan. 2017 · 9:54 a.m.
Parechovirus Infection: A Rare Cause of Neonatal Encephalitis (in French)
Dr Truant AS, Cheffe de clinique, Néonatologie, CHUV, Lausanne
10 Jan. 2017 · 9:59 a.m.
Q&A - Parechovirus Infection: A Rare Cause of Neonatal Encephalitis
Dr Truant AS, Cheffe de clinique, Néonatologie, CHUV, Lausanne
10 Jan. 2017 · 10:04 a.m.
Genetic Susceptibility to Neonatal Group B Streptococcal Disease
Alessandro Borghesi, Fellay lab, EPFL
10 Jan. 2017 · 10:17 a.m.
Q&A - Genetic Susceptibility to Neonatal Group B Streptococcal Disease
Alessandro Borghesi, Fellay lab, EPFL
10 Jan. 2017 · 10:25 a.m.
Psychomotor Development in Children Prenatally Exposed to Methadone
G. Grand-Guillaume-Perrenoud, Pediatrics, Children's University Hospital Geneva
10 Jan. 2017 · 10:27 a.m.
Q&A - Psychomotor Development in Children Prenatally Exposed to Methadone
G. Grand-Guillaume-Perrenoud, Pediatrics, Children's University Hospital Geneva
10 Jan. 2017 · 10:34 a.m.
Introduction to Christoph Berger's Presentation
C. Kind, R. Gerull, Resp. St.Gallen, Bern
10 Jan. 2017 · 10:37 a.m.
Vertical Infections: An Update
Christoph Berger, Zürich
10 Jan. 2017 · 10:40 a.m.
Q&A - Vertical Infections: An Update
Christoph Berger, Zürich
10 Jan. 2017 · 11:15 a.m.
Introduction to Eric Giannoni's Presentation
R. Pfister, S. Kämpfen, Resp. Geneva, Basel
10 Jan. 2017 · 11:44 a.m.
Sepsis, Antibiotics and Resistances: Where Are We?
Christoph Bührer, Berlin
10 Jan. 2017 · 2:21 p.m.
Use and Abuse of Antibiotics in Neonatology
Martin Stocker, Lucerne
10 Jan. 2017 · 2:50 p.m.
Panel Discussion : Controversies on Use of Antibiotics in Neonatology
Martin Stocker, Christoph Berger, Eric Giannoni, Christoph Bührer
10 Jan. 2017 · 3:10 p.m.
Introduction to Christoph Bührer's Presentation
Romaine Arlettaz Mieth , Neonatologist, Zürich, President of the Organizing Committee
10 Jan. 2017 · 3:47 p.m.
Evidence-Based Haemodynamic Management in Neonatal Sepsis
Christoph Bührer, Berlin
10 Jan. 2017 · 3:48 p.m.
Q&A - Evidence-Based Haemodynamic Management in Neonatal Sepsis
Christoph Bührer, Berlin
10 Jan. 2017 · 4:16 p.m.
SwissNeoDose Project
Marc Pfister, Ped Pharmacology, UKBB
10 Jan. 2017 · 4:20 p.m.

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