Document Detail

Maternal brain response to own baby-cry is affected by cesarean section delivery.
MedLine Citation:
PMID:  18771508     Owner:  NLM     Status:  MEDLINE    
A range of early circumstances surrounding the birth of a child affects peripartum hormones, parental behavior and infant wellbeing. One of these factors, which may lead to postpartum depression, is the mode of delivery: vaginal delivery (VD) or cesarean section delivery (CSD). To test the hypothesis that CSD mothers would be less responsive to own baby-cry stimuli than VD mothers in the immediate postpartum period, we conducted functional magnetic resonance imaging, 2-4 weeks after delivery, of the brains of six mothers who delivered vaginally and six who had an elective CSD. VD mothers' brains were significantly more responsive than CSD mothers' brains to their own baby-cry in the superior and middle temporal gyri, superior frontal gyrus, medial fusiform gyrus, superior parietal lobe, as well as regions of the caudate, thalamus, hypothalamus, amygdala and pons. Also, within preferentially active regions of VD brains, there were correlations across all 12 mothers with out-of-magnet variables. These include correlations between own baby-cry responses in the left and right lenticular nuclei and parental preoccupations (r = .64, p < .05 and .67, p < .05 respectively), as well as in the superior frontal cortex and Beck depression inventory (r = .78, p < .01). First this suggests that VD mothers are more sensitive to own baby-cry than CSD mothers in the early postpartum in sensory processing, empathy, arousal, motivation, reward and habit-regulation circuits. Second, independent of mode of delivery, parental worries and mood are related to specific brain activations in response to own baby-cry.
James E Swain; Esra Tasgin; Linda C Mayes; Ruth Feldman; R Todd Constable; James F Leckman
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Publication Detail:
Type:  Comparative Study; Controlled Clinical Trial; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2008-09-03
Journal Detail:
Title:  Journal of child psychology and psychiatry, and allied disciplines     Volume:  49     ISSN:  1469-7610     ISO Abbreviation:  J Child Psychol Psychiatry     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-11-21     Completed Date:  2009-03-05     Revised Date:  2014-09-05    
Medline Journal Info:
Nlm Unique ID:  0375361     Medline TA:  J Child Psychol Psychiatry     Country:  England    
Other Details:
Languages:  eng     Pagination:  1042-52     Citation Subset:  IM    
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MeSH Terms
Brain / physiology*
Cesarean Section / psychology*
Echo-Planar Imaging
Infant, Newborn
Linear Models
Maternal Behavior*
Middle Aged
Postpartum Period
Grant Support
K05 DA020091/DA/NIDA NIH HHS; K05 DA020091-01/DA/NIDA NIH HHS; K05 MH076273/MH/NIMH NIH HHS; K05 MH076273-01/MH/NIMH NIH HHS; K05DA020091/DA/NIDA NIH HHS; K05MH076273/MH/NIMH NIH HHS

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