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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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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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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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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