Document Detail


Fetal state concordance predicts infant state regulation.
MedLine Citation:
PMID:  12191524     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fetal state organization reflects the development of the central nervous system but may also portend individual differences in postnatal state organization. The goal of the present study was to determine the extent to which fetal state regulation, defined as the percentage of an observation period in which fetal heart rate and movement concordance was displayed, is associated with neonatal state regulation. Neonatal state regulation was evaluated through a standard neurobehavioral assessment at 2 weeks postpartum. Biobehavioral concordance was measured in 52 normally developing fetuses at 24, 30 and 36 weeks gestation using an actocardiograph; the neonatal assessment was administered to 41 of these as infants. Intrafetal stability in biobehavioral concordance did not emerge prior to 36 weeks. Fetuses with higher concordance at 36 weeks were infants that displayed better state regulation during the exam, including more alertness and orientation (r(35)=0.29), less cost of maintaining attention (r=0.36), less irritability (r=-0.41), better regulatory capacity (r=0.47), a greater range of available states (r=0.34), and were significantly more likely to maintain control during the most aversive portions of the exam F(1,31)=4.63, p<0.05). These results support fetal state as a stable individual attribute that is conserved across the prenatal and neonatal periods.
Authors:
Janet A DiPietro; Kathleen A Costigan; Eva K Pressman
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Early human development     Volume:  68     ISSN:  0378-3782     ISO Abbreviation:  Early Hum. Dev.     Publication Date:  2002 Jun 
Date Detail:
Created Date:  2002-08-22     Completed Date:  2002-09-20     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  7708381     Medline TA:  Early Hum Dev     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  1-13     Citation Subset:  IM    
Affiliation:
Department of Population and Family Health Sciences, Johns Hopkins University, 624 N. Broadway, Room 280, Baltimore, MD 21205, USA. jdipietr@jhsph.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Arousal
Behavior
Breast Feeding
Female
Fetal Movement*
Gestational Age
Heart Rate, Fetal*
Homeostasis*
Humans
Infant Food
Infant, Newborn / physiology*
Nervous System / embryology,  growth & development*
Pregnancy
Grant Support
ID/Acronym/Agency:
R01 HD27592/HD/NICHD NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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