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Author Spotlight: Implications of Non-Nutritive Sucking on Speech Emergence and Infant Development
Published on: April 19, 2024
Examining the association between prenatal maternal stress and infant non-nutritive suck
Emily Zimmerman1, Andréa Aguiar2,3, Max T Aung4
1Department of Communication Sciences and Disorders, Northeastern University, Boston, MA, USA. e.zimmerman@northeastern.edu.
Insights
Prenatal maternal stress (PREMS) was linked to infant non-nutritive suck (NNS) patterns in diverse populations. Higher stress correlated with fewer, longer NNS bursts, suggesting NNS as an early indicator for intervention.
Area of Science:
- Developmental Psychology
- Neuroscience
- Public Health
Background:
- Prenatal maternal stress (PREMS) is a significant factor influencing fetal development.
- Infant non-nutritive suck (NNS) is an early indicator of central nervous system (CNS) integrity.
- Understanding the link between PREMS and NNS can inform early detection of developmental issues.
Purpose of the Study:
- To examine the association between prenatal maternal stress and infant non-nutritive suck.
- To test the robustness of this association across two demographically diverse populations.
- To explore the potential of NNS as a biomarker for prenatal stress exposure.
Main Methods:
- Two prospective birth cohorts from the Environmental influences on Child Health Outcomes (ECHO) Program were utilized.
- Prenatal maternal stress (PREMS) was assessed using the Perceived Stress Scale (PSS-10) in late pregnancy.
- Non-nutritive suck (NNS) patterns were recorded in 1- to 8-week-old infants using a custom pacifier.
Main Results:
- A total of 237 mother-infant dyads completed the study.
- Despite demographic and PREMS level differences between cohorts, significant PREMS-NNS associations were observed.
- Higher PREMS scores were associated with fewer but longer NNS bursts per minute in infants.
Conclusions:
- A significant association exists between prenatal maternal stress and infant non-nutritive suck across diverse populations.
- This finding may facilitate earlier detection of exposure-related deficits and prompt timely interventions.
- Further research is warranted to elucidate the neurofunctional implications of NNS in relation to prenatal stress.
Background:
This study examined the relationship between prenatal maternal stress (PREMS) and non-nutritive suck (NNS) and tested its robustness across 2 demographically diverse populations.
Methods:
The study involved 2 prospective birth cohorts participating in the national Environmental influences on Child Health Outcomes (ECHO) Program: Illinois Kids Development Study (IKIDS) and ECHO Puerto Rico (ECHO-PROTECT). PREMS was measured during late pregnancy via the 10-item Perceived Stress Scale (PSS-10). NNS was sampled from 1- to 8-week-olds using a custom pacifier for ~5 min.
Results:
Overall, 237 mother-infant dyads completed this study. Despite several significant differences, including race/ethnicity, income, education, and PREMS levels, significant PREMS-NNS associations were found in the 2 cohorts. In adjusted linear regression models, higher PREMS, measured through PSS-10 total scores, related to fewer but longer NNS bursts per minute.
Conclusions:
A significant association was observed between PREMS and NNS across two diverse cohorts. This finding is important as it may enable the earlier detection of exposure-related deficits and, as a result, earlier intervention, which potentially can optimize outcomes. More research is needed to understand how NNS affects children's neurofunction and development.
Impact:
In this double-cohort study, we found that higher maternal perceived stress assessed in late pregnancy was significantly associated with fewer but longer sucking bursts in 1- to 8-week-old infants. This is the first study investigating the association between prenatal maternal stress (PREMS) and infant non-nutritive suck (NNS), an early indicator of central nervous system integrity. Non-nutritive suck is a potential marker of increased prenatal stress in diverse populations. Non-nutritive suck can potentially serve as an early indicator of exposure-related neuropsychological deficits allowing for earlier interventions and thus better prognoses.
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