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Neuroscience for the people at the cot side. Writing on regulation, trauma and lived experience, from Lottie King and the NICU Neuroscience faculty.

The workforce has a nervous system too allostatic load burnout moral distress neonatal care nervous system informed care patient safety staff wellbeing vicarious trauma Jul 23, 2026

What sustained stress does to midwifery and neonatal teams, and why we need to look at physiology before it becomes culture.

We have become fluent in the language of workforce pressure. We talk about...

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Frightening and violating. Sympathetic mobilisation and parasympathetic co-activation spike together, the blended freeze, and with no felt safety or co-regulator the system cannot settle or discharge.
Scaffolding the autonomic nervous system in maternity and neonatal care co-regulation maternity safety neonatal care nervous system informed care staff wellbeing trauma window of regulation Jul 07, 2026

A frightening event is not, on its own, a psychological injury. Whether it becomes one is decided by something else, and that something else is largely in our hands.

I have sat this last week or so w...

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All Categories allostatic load attunement bonding burnout co-regulation infant mental health interoception maternity safety matrescence moral distress neonatal care nervous system informed care neuroception neuroscience oxytocin parent experience patient safety predictive processing preterm birth repatriation staff wellbeing trauma vicarious trauma window of regulation

Lottie King

Founder of NICU Neuroscience and of Leo's Neonatal. Bereaved parent, and the person who wishes this training had existed when she was the one standing beside the cot.

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Occasional writing from Lottie on regulation, trauma and lived experience in neonatal and maternity care.