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Prenatal Antecedents of Newborn Neurological Maturation
Open accessAbstract
Fetal neurobehavioral development was modeled longitudinally using data collected at weekly intervals from 24 to 38 weeks gestation in a sample of 112 healthy pregnancies. Predictive associations between 3 measures of fetal neurobehavioral functioning and their developmental trajectories to neurological maturation in the first weeks after birth were examined. Prenatal measures included fetal heart rate (FHR) variability, fetal movement, and coupling between fetal motor activity and heart rate patterning; neonatal outcomes include a standard neurologic examination (n = 97) and brainstem auditory evoked potential (BAEP; n = 47). Optimality in newborn motor activity and reflexes was predicted by fetal motor activity, FHR variability, and somatic-cardiac coupling predicted BAEP parameters. Maternal pregnancy-specific psychological stress was associated with accelerated neurologic maturation.
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“found greater rates of maladaptive response to the non-stress test (a clinical index of fetal well-being)(96), including reduced heart rate variability, increased mouth and self-touch movements, and impaired recognition of maternal voice in fetuses of smokers compared with those of nonsmokers.”
From Developmental toxicity of nicotine: A transdisciplinary synthesis and implications for emerging tobacco products (2017) · cites this paper as [94]
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Metadata
- Authors
- DiPietro, J. A., Kivlighan, K. T., Costigan, K. A., Rubin, S. E., Shiffler, D. E., Henderson, J. L., & Pillion, J. P.
- Affiliations
- Johns Hopkins University (US)
- Corresponding author
- DiPietro, Janet A
- Venue
- Child Development
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-01-01
- Volume
- 81
- Issue
- 1
- Pages
- 115-130
- ISSN
- 0009-3920 (ISSN-L)
- 1467-8624
- PMC
- PMC2846092
- OpenAlex
- W2164756522
- Cited by
- 143
- References
- 95
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 6 · 2023: 2 · 2022: 9 · 2021: 14 · 2020: 7 · 2019: 8 · 2018: 9 · 2017: 10 · 2016: 14 · 2015: 16 · 2014: 9 · 2013: 10 · 2012: 9
- FWCI
- 8.62
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Child Development (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD027592)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Neonatal and fetal brain pathology
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
- Keywords
- neurological maturation, fetal heart rate variability, fetal movement, auditory brainstem response, neonatal reflexes, maternal stress, pregnancy, developmental trajectories
- MeSH terms
- Brain, Female, Fetal Movement, Fetus, Gestational Age, Heart Rate, Fetal, Humans, Infant, Newborn, Longitudinal Studies, Male, Motor Activity, Nervous System, Pregnancy, Psychomotor Performance, Evoked Potentials, Auditory, Brain Stem, Ultrasonography, Prenatal, Infant Behavior, Fetal Development
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