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.
Abstract

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