Maternal brain response to own baby-cry is affected by cesarean section delivery.
Maternal brain response to own baby-cry is affected by cesarean section delivery.
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DOI：
10.1111/j.1469-7610.2008.01963.x
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发表时间：
2008-10
期刊：
影响因子：
--
通讯作者：
Leckman JF
中科院分区：
文献类型：
--
作者：
Swain JE;Tasgin E;Mayes LC;Feldman R;Constable RT;Leckman JF
一系列围绕孩子出生的早期情况会影响围产期激素、父母行为和婴儿健康。其中一个可能导致产后抑郁的因素是分娩方式：阴道分娩（VD）或剖宫产分娩（CSD）。为了检验这一假设，即CSD的母亲将自己的婴儿哭刺激的反应比VD的母亲在产后期间，我们进行了功能磁共振成像，分娩后2-4周，6个母亲谁提供了阴道和6个谁有一个选择性CSD的大脑。VD母亲的大脑在上级和中颞回、上级额回、内侧梭状回、上级顶叶以及尾状核、丘脑、下丘脑、杏仁核和脑桥区域对自己的婴儿哭声的反应显著高于CSD母亲的大脑。此外，在VD大脑的优先活动区域内，所有12位母亲都与磁铁外变量相关。这些研究包括左右晶状体核中自己的婴儿哭声反应与父母的关注之间的相关性（分别为r = 0.64，p <0.05和r = 0.67，p <0.05），以及上级额叶皮层和贝克抑郁量表之间的相关性（r = 0.78，p <0.01）。首先，这表明VD母亲比CSD母亲在产后早期的感觉加工、共情、唤醒、动机、奖励和习惯调节回路中对自己的婴儿哭声更敏感。第二，独立于分娩方式，父母的担忧和情绪与特定的大脑激活有关，以响应自己的婴儿哭泣。
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.
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影响因子：
5.7
作者：
Genovese, CR;Lazar, NA;Nichols, T
通讯作者：
Nichols, T
DOI：
10.1053/beog.2000.0152
发表时间：
2001-02-01
影响因子：
5.5
作者：
Clement, S
通讯作者：
Clement, S
影响因子：
4.2
作者：
Johnstone, Tom;van Reekum, Carien M.;Davidson, Richard J.
通讯作者：
Davidson, Richard J.
影响因子：
12.7
作者：
Declercq, E;Menacker, F;MacDorman, M
通讯作者：
MacDorman, M
影响因子：
2.9
作者：
Decety, J;Grèzes, J
通讯作者：
Grèzes, J