(covers information from several alternate timelines)
The elogium happened only once in a lifetime – usually between the ages of four and five years. An Ocampa female needed to conceive during this time if she was to have a child. In order to prepare the female for conception, a mitral sac – where the offspring would grow – started developing in the posterior part of the neck. Some side effects of this condition included high fever, hypertension, a dangerously elevated heartbeat, and delirium with elements of anxiety and paranoia. A significant increase in appetite for strange food sources also developed. Perspiration, changes in eye color, and discoloration of the skin surrounding the eyes may have also been evident.
An Ocampan ritual to prepare a woman before conceiving was the rolissisin, in which the feet were massaged until the tongue swelled. This task was usually performed by the woman's father. The rolissisin was performed soon after the appearance of the ipasaphor. This bonding ritual was a time during which parent and child moved into a new kind of relationship, for when the child had her own child, the parent acknowledged her true adulthood. After the ipasaphor appeared, there were only fifty hours to begin the mating process, which consisted of the female remaining bonded to her mate for six days to ensure conception.
In 2371, when the USS Voyager encountered a swarm of space-dwelling lifeforms, Kes' metabolic activities accelerated and she went through her elogium prematurely. In Kes' case, the rolissisin was performed by The Doctor because neither of her parents were present on Voyager. She wanted to mate with her partner, Neelix, who was initially somewhat unsure about becoming a father. However, when Voyager got out of the swarm, Kes' elogium stopped. The Doctor theorized that since it was brought on by an outside source, she would still be able to conceive at the proper age. (VOY: "Elogium")
In an alternate timeline in which Kes was transporting through time to various stages of her life, she entered the elogium at the proper time – conceiving a daughter, Linnis, with Tom Paris. (VOY: "Before and After")