Repeated pain during brain development can have long-term consequences in both humans and animals. We previously showed that maternal care provided to pups experiencing pain reduced adult pain sensitivity. This study tested whether sensory stimulation was responsible for this effect. Rat pups were either mother-reared controls (MR-CON) or artificially reared (AR) with minimal (AR-MIN) or maximal (AR-MAX) stimulation provided daily. In each rearing condition, pups were either uninjected or injected from postnatal day (PND) 4 to 14 with saline (0.9%) or formalin (0.2-0.4%). Pain behavior and paw inflammation were scored. Thermal sensitivity and responses to formalin were tested in adulthood (PND 70). AR neonates, irrespective of sensory stimulation received, exhibited a pain response (p Ͻ 0.001), even with a mild formalin dose. Maternal rearing reduced inflammation during the second week of life compared with AR pups (p Ͻ 0.05). Early pain exposure did not modify adult pain sensitivity. However, rearing altered adult pain sensitivity such that uninjected MR-CON rats had lower pain sensitivities than uninjected AR rats (p Ͻ 0.05). This suggests that the beneficial effects of maternal rearing can be obliterated if additional stimulation/stress occurs during the early neonatal period. In addition, this suggests that optimal level of maternal stimulation exists that determines adult pain sensitivity. (Pediatr Res 66: 272-277, 2009) M aternal care has numerous beneficial effects on attention, emotionality, and stress responsiveness in offspring (1,2). In particular, maternal presence can reduce pain sensitivity in neonatal rats (3) and have long-term consequences in adult offspring (4). In humans, skin-to-skin contact, or kangaroo care, between mother and infant, has been demonstrated to soothe preterm infants in neonatal intensive care units (NICU) during painful treatments (5,6). Thus, understanding the critical components of maternal care that are comforting is important for managing pain in preterm infants. In rats, maternal care occurs in a repertoire of behaviors including retrieving, licking, grooming, and crouching (7). Natural variations in the amount of licking and grooming provided to pups are a critical component of maternal care affecting development (8,9). In particular, we demonstrated that offspring from high licking and grooming mothers displayed lower thermal pain sensitivity compared with animals from low licking mothers, suggesting that tactile stimulation might be an important component mediating the maternal effect on adult pain sensitivity in rats (4). To examine the role of tactile stimulation on pup development, we used the artificial rearing (AR) paradigm, which allows control over different aspects of maternal stimulation and nest environment (10 -12). Dams lick the body and anogenital region of pups, serving thermoregulatory and excremental functions. In AR, this is mimicked with a paintbrush (11,13,14). Experiments manipulating the amount of tactile stimulation received by offspri...