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Updated: Dec 13, 2025

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Neurophysiological and cognitive changes in pregnancy.

David R Grattan1, Sharon R Ladyman1

  • 1Centre for Neuroendocrinology and Department of Anatomy, School of Biomedical Sciences, University of Otago, Dunedin, New Zealand.

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Summary
This summary is machine-generated.

Pregnancy hormones significantly alter maternal brain function, impacting everything from basic physiology and appetite to mood and cognition. These neurobiological shifts are crucial for supporting fetal development and maternal adaptation.

Keywords:
Energy homeostasisHypothalamusMaternal behaviorOxytocinProlactin

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Area of Science:

  • Neuroendocrinology
  • Reproductive Biology
  • Maternal-Fetal Medicine

Background:

  • Pregnancy involves profound hormonal shifts, including elevated sex steroids (estradiol, progesterone), glucocorticoids (cortisol), and pituitary hormones (prolactin, placental lactogen).
  • These hormones cross the blood-brain barrier, influencing neuronal activity and brain circuits.

Purpose of the Study:

  • To summarize hormonal changes during pregnancy.
  • To review the impact of these hormonal changes on maternal brain function.
  • To explore effects on autonomic, homeostatic, mood, and cognitive systems.

Main Methods:

  • Review of existing literature on hormonal changes in pregnancy.
  • Analysis of neurophysiological and behavioral adaptations in maternal brain.
  • Integration of findings from animal research and human pregnancy studies.

Main Results:

  • Hormonal fluctuations induce neurophysiological and behavioral changes.
  • Modifications observed in autonomic and homeostatic systems (appetite, glucose, thermoregulation).
  • Alterations in mood, behavior, and cognitive functions are noted.

Conclusions:

  • Pregnancy hormones critically reshape maternal brain function.
  • These adaptations optimize conditions for fetal development and maternal well-being.
  • Further research integrating animal and human data is essential.