scholarly journals Association of Prenatal Maternal Psychological Distress With Fetal Brain Growth, Metabolism, and Cortical Maturation

2020 ◽  
Vol 3 (1) ◽  
pp. e1919940 ◽  
Author(s):  
Yao Wu ◽  
Yuan-Chiao Lu ◽  
Marni Jacobs ◽  
Subechhya Pradhan ◽  
Kushal Kapse ◽  
...  
Author(s):  
Rachel L. Leon ◽  
Imran N. Mir ◽  
Christina L. Herrera ◽  
Kavita Sharma ◽  
Catherine Y. Spong ◽  
...  

Abstract Children with congenital heart disease (CHD) are living longer due to effective medical and surgical management. However, the majority have neurodevelopmental delays or disorders. The role of the placenta in fetal brain development is unclear and is the focus of an emerging field known as neuroplacentology. In this review, we summarize neurodevelopmental outcomes in CHD and their brain imaging correlates both in utero and postnatally. We review differences in the structure and function of the placenta in pregnancies complicated by fetal CHD and introduce the concept of a placental inefficiency phenotype that occurs in severe forms of fetal CHD, characterized by a myriad of pathologies. We propose that in CHD placental dysfunction contributes to decreased fetal cerebral oxygen delivery resulting in poor brain growth, brain abnormalities, and impaired neurodevelopment. We conclude the review with key areas for future research in neuroplacentology in the fetal CHD population, including (1) differences in structure and function of the CHD placenta, (2) modifiable and nonmodifiable factors that impact the hemodynamic balance between placental and cerebral circulations, (3) interventions to improve placental function and protect brain development in utero, and (4) the role of genetic and epigenetic influences on the placenta–heart–brain connection. Impact Neuroplacentology seeks to understand placental connections to fetal brain development. In fetuses with CHD, brain growth abnormalities begin in utero. Placental microstructure as well as perfusion and function are abnormal in fetal CHD.


2017 ◽  
Vol 218 ◽  
pp. 35-40 ◽  
Author(s):  
Eirini Flouri ◽  
Sofia Ioakeimidi ◽  
Emily Midouhas ◽  
George B. Ploubidis

Placenta ◽  
2021 ◽  
Vol 112 ◽  
pp. e13
Author(s):  
Hager M. Kowash ◽  
Harry G. Potter ◽  
Nick Ashton ◽  
Reinmar Hager ◽  
Joanna C. Neill ◽  
...  

2019 ◽  
Vol 3 (6) ◽  
Author(s):  
Korede K Yusuf ◽  
Hamisu M Salihu ◽  
Roneé Wilson ◽  
Alfred Mbah ◽  
William Sappenfield ◽  
...  

Thorax ◽  
2020 ◽  
Vol 75 (12) ◽  
pp. 1074-1081
Author(s):  
Evelien R van Meel ◽  
Gautam Saharan ◽  
Vincent WV Jaddoe ◽  
Johan C de Jongste ◽  
Irwin KM Reiss ◽  
...  

BackgroundAlthough maternal psychological distress during pregnancy is associated with increased risks of respiratory morbidity in preschool children, it is unknown whether this association persists into later childhood.ObjectiveTo examine the association between parental psychological distress during pregnancy and lung function and asthma in children of school age.MethodsThis study of 4231 children was embedded in a population-based prospective cohort. Parental psychological distress was assessed by the Brief Symptom Inventory during and 3 years after pregnancy, and in mothers also at 2 and 6 months after pregnancy. At age 10 years, lung function was obtained by spirometry and asthma by questionnaire.ResultsThe prevalence of asthma was 5.9%. Maternal overall psychological distress during pregnancy was associated with a lower forced vital capacity (FVC) (z-score difference −0.10 (95% CI −0.20 to –0.01) per 1-unit increase), maternal depressive symptoms during pregnancy with a lower forced expiratory volume in the first second (FEV1) and FVC (−0.13 (95% CI −0.24 to –0.01) and −0.13 (95% CI −0.24 to –0.02) when using clinical cut-offs) in their children. All maternal psychological distress measures during pregnancy were associated with an increased risk of asthma (range OR: 1.46 (95% CI 1.12 to 1.90) to 1.91 (95% CI 1.26 to 2.91)). Additional adjustment for paternal psychological distress during pregnancy and parental psychological distress after pregnancy did not materially change the associations. Paternal psychological distress during pregnancy was not associated with childhood respiratory morbidity.ConclusionMaternal, but not paternal, psychological distress during pregnancy is associated with an increased risk of asthma and partly lower lung function in children. This suggests intrauterine programming for the risk of later-life respiratory disease.


2020 ◽  
Vol 50 (2) ◽  
pp. 178-188
Author(s):  
Liane J. Kang ◽  
Khanh N. Vu ◽  
Petya T. Koleva ◽  
Catherine J. Field ◽  
Angela Chow ◽  
...  

2019 ◽  
Vol 208 ◽  
pp. 229-235.e1 ◽  
Author(s):  
Laura S. Korhonen ◽  
Linnea Karlsson ◽  
Noora M. Scheinin ◽  
Riikka Korja ◽  
Mimmi Tolvanen ◽  
...  

2006 ◽  
Vol 68 (5) ◽  
pp. 747-753 ◽  
Author(s):  
Miguel A. Diego ◽  
Nancy A. Jones ◽  
Tiffany Field ◽  
Maria Hernandez-Reif ◽  
Saul Schanberg ◽  
...  

2012 ◽  
Vol 55 (5) ◽  
pp. 562-566 ◽  
Author(s):  
Tone Lise Åvitsland ◽  
Anne Faugli ◽  
Are Hugo Pripp ◽  
Ulrik Fredrik Malt ◽  
Kristin Bjørnland ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document