[Perinatal psychohygienics -- importance and chance of a primary preventive medicine by the gynaecologist (author's transl)].

Qualitative or quantitative deficiency of maternal "primary love" in the critical period of the first years of life very often leads in later years of life to severe psychosomatic disorders or psychopathologic states as depression, suicide, addiction, criminality, social disorders and psychosis. A Preventive Care Passport with a date program for the pregnant woman and young mother and a standardized program for the gynaecologist is proposed in connection with all necessary perinatal preventive methods and integration of psychohygienic investigation and treatment. Perinatal psychohygienics could be practiced by questionnaires to find out maternal pathogenic conflicts, by social workers in order to avoid unnecessary maternal work in the first years of her child's life and group discussions after a 16-mm-film or an information paper about the normal psychic development of a child. Further tasks are granting the presence of the father at childbirth "rooming-in" with "self-demand", early adoption within the first eight weeks of life, group discussions of parents about conflicts with their children, hospitalization of infants -- only in cases of vital indication -- together with their mother and psychological preparing for medical manipulations and social benefits for the young mother or parents. The recommendations of the WHO for the application of psychohygienics could be integrated in this program.