Atypical Fetal Response to the Mother's Voice in Diabetic Compared With Overweight Pregnancies

Kisilevsky, Barbara S.; Gilmour, Antonella; Stutzman, Sherri Schmidt; Hains, Sylvia M. J.; Brown, C. Ann

doi:10.1097/dbp.0b013e31823e791e

Cited by 7 publications

(5 citation statements)

References 57 publications

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“…For example, the absence of fetal breathing movements and rhythmic mouthing movements while in a quiescent state predicted compromised newborn outcomes (Nijhuis, 1986; Pillai & James, 1990, 1991; Pillai et al, 1992). Fetal neurobehavioral patterns distinguish high-risk fetuses, including fetuses with CNS deficits, intrauterine growth restriction, fetuses born preterm, and fetuses exposed to maternal medical conditions (e.g., diabetes and preeclampsia; Andonotopo & Kurjak, 2006; DiPietro, 2001; Kainer, Prechtl, Engele, & Einspieler, 1997; Kisilevsky, Gilmour, Stutzman, Hains, & Brown, 2012; Kiuchi, Nagata, Ikeno, & Terakawa, 2000; Lumbers, Yu, & Crawford, 2003; Pillai et al, 1992; Salisbury, Ponder, Padbury, & Lester, 2009).…”

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confidence: 99%

Impact of maternal prenatal smoking on fetal to infant neurobehavioral development

2018

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Despite recent emphasis on the profound importance of the fetal environment in "programming" postnatal development, measurement of offspring development typically begins after birth. Using a novel coding strategy combining direct fetal observation via ultrasound and actocardiography, we investigated the impact of maternal smoking during pregnancy (MSDP) on fetal neurobehavior; we also investigated links between fetal and infant neurobehavior. Participants were 90 pregnant mothers and their infants (52 MSDP-exposed; 51% minorities; ages 18-40). Fetal neurobehavior at baseline and in response to vibro-acoustic stimulus was assessed via ultrasound and actocardiography at M = 35 weeks gestation and coded via the Fetal Neurobehavioral Assessment System (FENS). After delivery, the NICU Network Neurobehavioral Scale was administered up to seven times over the first postnatal month. MSDP was associated with increased fetal activity and fetal limb movements. Fetal activity, complex body movements, and cardiac-somatic coupling were associated with infants' ability to attend to stimuli and to self-regulate over the first postnatal month. Furthermore, differential associations emerged by MSDP group between fetal activity, complex body movements, quality of movement, and coupling, and infant attention and self-regulation. The present study adds to a growing literature establishing the validity of fetal neurobehavioral measures in elucidating fetal programming pathways.

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confidence: 99%

Impact of maternal prenatal smoking on fetal to infant neurobehavioral development

2018

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“…Fetal response to the mother's or a female stranger's voice was examined. Differential fetal responding to sensory stimuli has been reported in previous studies of low risk, uneventful pregnancies compared to pregnancies complicated by conditions associated with nutritional/oxygen deprivation-for example, studies investigating mother's voice and preeclampsia , mother's voice and hypertension (Lee et al, 2007), vibroacoustic stimulus and hypertension (Warner et al, 2002), vibroacoustic stimulus and diabetes (Allen & Kisilevsky, 1999), mother's voice and diabetes (Kisilevsky et al, 2012), and mother's voice and smoking (Cowperthwaite et al, 2007)-which is the most common cause of growth restriction (Giles et al, 1985;Resnik, 2002;Trudinger et al, 1987).…”

Section: Study 1: Auditory-information Processing In Sga Fetusesmentioning

confidence: 87%

“…Researchers investigating animal models of placental insufficiency have demonstrated subtle deficits in neural conduction, which may have implications for auditory perception (Rees, Proske, & Harding, 1989;Rehn et al, 2002). In addition, differential fetal cardiac responses to auditory probes have been reported in comparisons of low-risk, uneventful, and high-risk pregnancies complicated by conditions associated with nutritional/oxygen deprivation, such as preeclampsia , hypertension (Lee, Brown, Hains, & Kisilevsky, 2007;Warner, Hains, & Kisilevsky, 2002), diabetes (Allen & Kisilevsky, 1999;Kisilevsky, Gilmour, Stutzman, Hains, & Brown, 2012), and smoking (Cowperthwaite, Hains, & Kisilevsky, 2007). Taken together, these findings indicate that fetal auditory-system development may influence subsequent language abilities.…”

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confidence: 99%

Auditory Processing in Growth-Restricted Fetuses and Newborns and Later Language Development

Kisilevsky

Chambers

Parker

et al. 2013

Clinical Psychological Science

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Growth-restricted fetuses and newborns are at increased risk for language deficits, and language impairments have been associated with increased risk for cognitive, social, emotional, and behavioral clinical disorders. Auditory-information processing was examined longitudinally in 167 fetuses in Study 1, 96 of whom were reexamined as newborns in Study 2. In Study 3, language was assessed at 15 months of age for 75 infants from Study 1. Compared with participants who were appropriately grown for gestational age, growth-restricted fetuses showed less sustained response to their mother's voice; growth-restricted newborns showed less recovery to a novel word after habituation and no preference for their mother's voice. At 15 months of age, those infants who had been born growth restricted showed expressivelanguage deficits on Mullen Scales of Early Learning and MacArthur-Bates Communicative Development Inventory subscales. Our results support the hypothesis that fetal growth restriction affects the development of auditory-system functioning and indicate that it may be possible to identify individual fetuses and newborns at risk for language deficits and to intervene early, when the foundation for language is being laid.

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“…In a complementary way it was also observed that the responses of human fetuses to maternal voice become atypical when pregnancy is threatened by health conditions like hypertension (Lee, Brown, Hains, & Kisilevsky, 2007), overweight (Kisilevsky, Gilmour, Stutzman, Hains, & Brown, 2012), fetal growth restriction (Kisilevsky, Chambers, Parker, & Davies, 2013) or if the pregnant woman keeps smoking during gestation and the fetus is less than 37 gestational weeks (Cowperthwaite, Hains, & Kisilewsky, 2007). In future research it would be interesting to investigate if some of these atypical responses could be linked with the psychological avoidance that pregnant women in obstetrical high risk experience relatively to the maternal investment that we expect to observe during pregnancy.…”

Section: Introductionmentioning

confidence: 99%

The scale about the motivation for pre-natal communication (SMPNC): a new psychometric instrument dedicated to the assessment of the fetus

Justo¹,

Graça²,

Martins³

2019

Revista INFAD de Psicología

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Psychological changes in pregnant women induce communications towards the fetus. Maternal vocal behavior induces fetal reactions. Prenatal communication takes fetuses and newborns to perform auditory discriminations. Fetuses in risk pregnancies present difficulties in these matters. To study possible changes in vocal activity during healthy and risk pregnancies, SMPNC was organized with 28 items related with maternal vocal communication. SMPNC was submitted to pregnant women waiting for sonograms at the third trimester. Adequate indexes (KMO = .888; BTS, χ 2 = 2792.795, df = 378, p = .000) allowed the performance of several factorial analysis. Analysis with Equamax rotation identified five factors: Verbal Communication With the Baby, Engaging the Partner in the Communication Towards the Baby, Contents Shared in the Communication Towards the Baby, Perception About the Baby's Auditory Competence and Availability for the Communication Towards the Baby. Together the items of these factors constitute a Total Scale. Subscales and Total Scale were correlated with sociodemographic and clinical variables. Some subscales of SMPNC present negative correlations with variables related with reproductive status. These results suggest that maternal motivation for prenatal communication is especially high during the first gestation and decreases as mothers must divide their maternal attention for several sons.

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Atypical Fetal Response to the Mother's Voice in Diabetic Compared With Overweight Pregnancies

Cited by 7 publications

References 57 publications

Impact of maternal prenatal smoking on fetal to infant neurobehavioral development

Impact of maternal prenatal smoking on fetal to infant neurobehavioral development

Auditory Processing in Growth-Restricted Fetuses and Newborns and Later Language Development

The scale about the motivation for pre-natal communication (SMPNC): a new psychometric instrument dedicated to the assessment of the fetus

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