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The association of preeclampsia with both high and low birth weight challenges the current belief that reduced uteroplacental perfusion is the unique pathophysiologic process in preeclampsia. Preeclampsia is thus presented from a new perspective, in the framework of maternal/fetal conflict. Interspecies comparisons encourage us to raise new questions concerning the potential for conflict among humans. The spectacular brain growth spurt during the second half of fetal life is a specifically human trait. A conflict between the demands expressed by the fetus and what the mother can do without depleting her body leads us to consider first the needs of the developing brain.
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Michel Odent, MD, Primal Health Research Centre, London, England
Editor's note: This essay is reprinted with the permission of Michel Odent, Director, Primal Health Research, published in North and South America by Birth Works, Ic., Medford, N.J. Free access to Primal Health Research Data Bank is provided at: www.Birthworks.org/primalhealth. Email address for Dr. Odent is: firstname.lastname@example.org