The David B. Cheek Inaugural Lecture

This lecture was established to honor David B. Cheek, noted and much-loved obstetrician who spent 40 years teaching hypnosis to physicians, counselors, and psychologists and writing 50 papers and books--most of which emphasized the importance of psychology in all aspects of reproduction and childbirth. David was a devoted member of APPPAH, spoke at many of our conferences from the beginning in 1983, and served on our Board of Directors for five years, prior to his death in June 1996 at the age of 84. We were honored to have as the first Cheek Memorial Lecturer, the pioneering physician, Marshall Klaus, who was a close friend and colleague of David Cheek. Dr. Klaus has had exceptional influence as researcher, professor of pediatrics in American medical schools, visiting professor in Chile and Australia, recipient of many awards, and author of books translated into Spanish, Italian, French, Portuguese, German, Danish, Swedish, and Japanese. With his long-time colleague, pediatrician John Kennell, Marshall has made "bonding" a household word. A pioneer in neonatology, Marshall did the original work in isolating and identifying the surfactant critical to early respiration, a breakthrough that led to life-saving clinical application in nurseries everywhere. He took the lead in opening the premature nursery to parents and has been a leader in the humane care of mothers and babies, including support for parents dealing with the death of a baby. Dr. Klaus has held a succession of key academic and clinical positions including: Director of Intensive Care Nurseries and the Clinical Research Center for Preterm Infants at Stanford University in California; Professor and Chair of Pediatrics at Michigan State University; East Lansing, MI; and Professor of Pediatrics at Case Western University, and Director of Premature and Newborn Nurseries in Cleveland, Ohio. During his long career he trained over 35 Fellows in Neonatology, many of whom are now leaders in research and directors of newborn units world wide. Marshall Klaus wrote the first text in Neonatology, now in its 5th edition, and for the past decade has been Editor of the Yearbook in Perinatal, Neonatal Medicine, a chronicle of leading research developments. His intense involvement with mothers and babies has flowered in an impressive series of research projects proving the importance--and urgency--of the early relationship of mothers with babies. In both highly technical and popular books, Dr. Klaus has guided a generation of professionals and parents. His recent books have emphasized the profound advantages of continuous social (doula) support during labor and birth. In his last three books, he has had the collaboration of psychotherapist Phyllis Klaus, APPPAH Board member, and spouse. Perhaps their most popular book to date is The Amazing Newborn (1985) published by Addison-Wesley, available in seven languages. Marshall is now affiliated with the Univ. of California, San Francisco, but don't look for him there. He is busy running up 65,000 air miles a Quarter in international travel lecturing, conducting research, and consulting with hospitals the world over.

Normal Perinatal Care for the 21st Century: Evidence for Change

Abstract

The fascinating question of how parental attachment progresses during the early postpartum period can be answered only by minutely examining what happens between parents and their newborns during this crucial time. When they are together in the first hours of life, multiple interactions simultaneously occur between mother and child. Each is intimately involved with the other on a number of levels, which lock the pair together. The mother and baby elicit behaviors in each other that are naturally rewarding. The renewed interest in this early period after birth has been stimulated by several provocative observations of both mothers and infants. Perhaps the most dramatic example of these observations is the ability of newborns, if left quietly on the mother's abdomen after birth to crawl from abdomen gradually up to her breast, find the nipple, and start to suckle. In addition, when the infant suckles from the breast, there is a large outpouring of twenty different gastrointestinal hormones in both the mother and the infant, including cholecystokinins which stimulate growth of the baby's and mother's intestines and increase the absorption of calories with each feeding. The stimuli for this release are the mother's apple and the inside of the infant's mouth. These responses were essential for survival thousands of years ago when periods of famine were more common before the development of modem agriculture. This presentation described these new findings and why all mothers should receive early contact with suckling in the first hour after birth and rooming-in (two components of the UNICEF Baby Friendly Initiative). New observations in the area of parent-to-infant bonding make it clear how traditional care of families in the perinatal period should be altered. Note: Order the audiotape of Dr. Klaus' lecture, "Normal Perinatal Care for the 21st Century: Evidence for Change" from Sounds True, Boulder, CO, 1-800-333-9185.