Related Experiment Video
Updated: May 11, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Effects of perinatal testosterone on infant health, mother-infant interactions, and infant development
June Cho1, Diane Holditch-Davis
11School of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA.
Insights
Male infants, especially those born very low birth weight preterm, show vulnerabilities. Prenatal testosterone and maternal stress may impact infant development and mother-infant interactions, requiring targeted nursing interventions.
Area of Science:
- Perinatal biology
- Developmental psychology
- Maternal-infant health
Background:
- Male infants, particularly very low birth weight (VLBW) preterm infants, exhibit increased vulnerability in health, cognitive development, and mother-infant interactions.
- Existing research highlights these gender disparities, but underlying factors beyond sex remain unclear.
Purpose of the Study:
- To review existing literature on gender differences in infant health and development.
- To propose a conceptual framework integrating biological, stress-related, and developmental factors.
Main Methods:
- Literature review to synthesize current research on gender differences in VLBW preterm infants.
- Development of a psychobiosocial conceptual framework.
Main Results:
- Prenatal exposure to high testosterone levels may negatively influence infant cognitive, motor, and language development.
- A framework is proposed linking perinatal testosterone, maternal and infant cortisol, mother-infant interaction quality, and infant temperament.
Conclusions:
- A psychobiosocial perspective integrating biophysiological and socioenvironmental factors offers a comprehensive view of gender differences.
- Further research is needed to validate these associations and inform nursing interventions for mothers of VLBW preterm infants, especially males.
Objective:
Many researchers and health care providers have noticed male vulnerability in infant health, mother-infant interactions, and some infant cognitive development, especially among very low birth weight (VLBW) preterm infants. However, factors beyond gender that could explain these observed differences have not been clear. The purpose of this article is to review the literature on the subject and to introduce a conceptual framework relating these factors.
Discussion:
According to gender-difference theories, prenatal exposure to high levels of testosterone may influence infant health and mother-infant interactions by negatively affecting infant cognitive/motor/language development. We constructed a conceptual framework based on the associations among biological (perinatal testosterone), stress-related (perinatal and maternal cortisol), and developmental (infant cognitive/motor/language skills) factors. If research establishes these biological, environmental, and developmental associations in mother-VLBW preterm pairs, the results will highlight the importance of addressing gender differences in nursing research and encourage the development of nursing interventions designed to reduce stress among mothers of VLBW preterm infants, particularly male infants.
Conclusion:
From a psychobiosocial perspective, combining biophysiological factors such as perinatal testosterone and cortisol with socioenvironmental factors such as the quality of mother-infant interactions and infant temperament may provide a broader view of gender differences in infant health and development.
More Related Videos
Related Concept Videos
Testosterone: Functions and Regulation
Teratogenicity
Socioemotional Development during Infancy
Primary Temperament Types
Stella Chess...
Development of the Oral Microbiota
Gonadal and Placental Hormones
In males, testosterone is the primary gonadal androgen. It plays a central role in the maturation of male reproductive organs — the penis and testes. Additionally, testosterone is instrumental in the development of secondary sexual characteristics — a deep voice as well as facial and pubic hair growth — and...
Relationship with Parents: Attachment

