#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Institutional neonatal care as a manifestation of modern biosocial cooperation


Authors: Tomáš Smrček
Authors‘ workplace: 1. lékařská fakulta UK v Praze
Published in: Čas. Lék. čes. 2026; 165: 193-197
Category: Review Article

Overview

We don’t see institutional neonatal care as a cold triumph of modern technocracy, but as the peak of an ancient human evolutionary strategy –⁠ biosocial cooperation and alloparenting. We trace care for vulnerable newborns from the evolutionary roots and selfless altruism seen in higher primates, through the deconstruction of myths about ancient eugenics with modern paleopathological findings in Greece, all the way to today’s neonatal intensive care units.

Using the example of kangaroo care and the neurobiological response of medical staff to newborn crying, we show that modern high-tech medicine basically revives evolutionarily natural mechanisms of empathy. Institutional neonatal care for babies with extremely low birth weight is thus an example that humanity isn’t about the survival of the strongest, but about the collective ability to protect the weakest.

Keywords:

Evolutionary biology – Neonatal care – biosocial cooperation – alloparenting – kangaroo mother care


Sources
  1. Hrdy SB. Mothers and Others: the evolutionary origins of mutual understanding. Harvard University Press, 2009.
  2. De Waal F. Mámino poslední objetí: Zvířecí emoce a co nám říkají o nás samých. Vyšehrad, Praha, 2020.
  3. Tomasello M. A natural history of human thinking. Harvard University Press, 2014.
  4. Boesch C, Bolé C, Eckhardt N et al. Altruism in wild chimpanzees with increased risk of predation. PLoS One 2010; 5: e8901.
  5. Sneed D. The disability history of ancient Greece: re-evaluating infanticide and social attitudes toward vulnerable neonates. Hesperia 2021; 90 : 711–741.
  6. Liston MA, Rotroff SI, Snyder LM. The Agora bone well: new light on infants and disabilities in classical Athens. American School of Classical Studies at Athens, 2018.
  7. Raffel D. The strange case of dr. Couney: how a mysterious stranger saved thousands of premature babies. Blue Rider Press, 2018.
  8. Klaus MH, Kennell JH. Maternal-infant Bonding: the impact of early separation or loss on family development. C. V. Mosby, 1976.
  9. Charpak N, Ruiz-Peláez JG, Figueroa de Calume Z et al. Kangaroo mother versus traditional care for newborn infants ≤2000 grams: a randomized, controlled trial. Pediatrics 1997; 100 : 682–688.
  10. Charpak N, Ruiz JG, Zupan J et al. Kangaroo mother care: 25 years after. Acta Paediatr 2005; 94 : 514–522.
  11. Conde-Agudelo A, Díaz-Rossello JL. Kangaroo mother care to reduce morbidity and mortality in low birthweight infants. Cochrane Database Syst Rev 2016; 8: CD002771.
  12. Mueller NT, Bakacs E, Combellick J et al. The infant microbiome development: mom matters. Trends Mol Med 2015; 21 : 109–117.
  13. Pascal A, Govaert P, Oostra A et al. Neurodevelopmental outcome in very preterm and very-low-birthweight infants born over the past decade: a meta-analytic review. Dev Med Child Neurol 2018; 60 : 342–355.
       
Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental Hygienist
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#