Skip to main content
Log in

An exploration of connections between a mother and her unborn in preterm labor

  • Special Feature
  • Published:
Journal of Perinatology Submit manuscript

Abstract

The purpose of this special feature is to elaborate on a unique physician–patient interaction between a neonatologist and a pediatrician established during the pediatrician's personal experience with the onset of labor between 22 and 23 weeks’ gestation. As the two are both versed in conventional aspects of neonatal care including prenatal counseling, the neonatologist thought that he had more to offer the expectant mother holistically. Thus, he decided against approaching her as an information source and contribute to the customary data-dumping format that can be both frightening and dehumanizing. Instead, he wanted to focus on her individual experience of pregnancy and the healing aspects of care. The most important lesson received from the interaction is the value of being present with another. This sense of ‘being with’ applied to the neonatologist and the mother from their initial phone conversation to their in person times, and to the mother with her unborn permitting interaction in a meaningful way. Fostering each of those connections in alternative ways was valuable in this prenatal experience.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Tucker J, McGuire W . Epidemiology of preterm birth. BMJ 2004; 329: 675–678.

    Article  Google Scholar 

  2. Goldenberg RL, Culhane JF, Iams JD, Romero R . Epidemiology and causes of preterm birth. Lancet 2008; 371: 75–84.

    Article  Google Scholar 

  3. Wisanskoonwong P, Fahy K, Hastie C . The effectiveness of medical interventions aimed at preventing preterm birth: a literature review. Women Birth 2011; 24: 141–147.

    Article  Google Scholar 

  4. Benson H . The Relaxation Response, Chapter in Mind Body Medicine. In Goleman D, Gurin J, (eds). Consumer Reports Books: New York, 1993, pp 233–257.

    Google Scholar 

  5. Back AL, Bauer-Wu SM, Rushton CH, Halifax J . Compassionate silence in the patient–clinician encounter: a contemplative approach. J Palliat Med 2009; 12: 1113–1117.

    Article  Google Scholar 

  6. Milstein JM . A paradigm of integrative care: healing with curing throughout life, being with and doing to. J Perinatol 2005; 9: 563–568.

    Article  Google Scholar 

  7. Milstein JM, Raingruber B . Choreographing the end of life in a neonate. Am J Hosp Palliat Med 2007; 24: 343–349.

    Article  Google Scholar 

  8. Loori JD . Finding the Still Point. Shambhala Publications, Inc: Boston, 2007.

    Google Scholar 

  9. Li JF . Sheng Zhen Wuji Yuan Gong: A Return to Oneness. Lotus Press: Twin Lakes, 2004.

    Google Scholar 

  10. Janke J . The effect of relaxation therapy on preterm labor outcomes. J Obstet Gynecol Neonatal Nurs 1999; 28: 255–263.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

We would like to acknowledge Debora Paterniti, PhD and Deborah Maciejewski for manuscript review and encouragement.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to J M Milstein.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Milstein, J., Jain, A. An exploration of connections between a mother and her unborn in preterm labor. J Perinatol 32, 325–327 (2012). https://doi.org/10.1038/jp.2011.183

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/jp.2011.183

  • Springer Nature America, Inc.

Keywords

Navigation