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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Maternal prenatal distress exposure negatively associates with the stability of neonatal frontoparietal network
Jetro J Tuulari1,2,3,4,5, Olli Rajasilta1,6, Joana Cabral7,8,9
1FinnBrain Birth Cohort Study, Turku Brain and Mind Center, Department of Clinical Medicine, University of Turku, Turku, Finland.
Insights
Maternal prenatal distress negatively impacts neonatal brain function, specifically reducing the stability of frontoparietal networks. This suggests early interventions for pregnant mothers may support healthy brain development in infants.
Area of Science:
- Neuroscience
- Developmental Psychology
- Medical Imaging
Background:
- Maternal prenatal distress (PD) or prenatal stress exposure (PSE) affects fetal brain development.
- Previous studies linked PSE to brain structure alterations but effects on functional networks are unclear.
- Neonatal brain activity research often uses seed-based connectivity, limiting understanding of distributed networks.
Purpose of the Study:
- To investigate the impact of maternal PD on the spatial and temporal properties of neonatal functional brain networks.
- To explore how PD influences the stability and dynamics of brain networks in healthy term-born neonates.
Main Methods:
- Functional MRI data from 20 healthy, sleeping neonates were analyzed.
- Group level independent component analysis (GICA) assessed spatial network associations with PD.
- Leading eigenvector dynamics analysis (LEiDA) evaluated the temporal stability of networks in relation to PD.
Main Results:
- No significant associations were found between maternal PD and the spatial distribution of GICA-derived networks.
- LEiDA revealed a negative association between maternal PD and the stability of a frontoparietal network over time.
- This indicates maternal PD may destabilize frontoparietal connections in the developing neonatal brain.
Conclusions:
- Maternal prenatal distress negatively influences the dynamic stability of frontoparietal functional networks in neonates.
- Frontal brain regions appear particularly sensitive to prenatal stress exposure.
- Early preventive interventions for pregnant mothers are recommended to support optimal neonatal brain development.
Abstract:
Maternal prenatal distress (PD), frequently defined as in utero prenatal stress exposure (PSE) to the developing fetus, influences the developing brain and numerous associations between PSE and brain structure have been described both in neonates and in older children. Previous studies addressing PSE-linked alterations in neonates' brain activity have focused on connectivity analyses from predefined seed regions, but the effects of PSE at the level of distributed functional networks remains unclear. In this study, we investigated the impact of prenatal distress on the spatial and temporal properties of functional networks detected in functional MRI data from 20 naturally sleeping, term-born (age 25.85 ± 7.72 days, 11 males), healthy neonates. First, we performed group level independent component analysis (GICA) to evaluate an association between PD and the identified functional networks. Second, we searched for an association with PD at the level of the stability of functional networks over time using leading eigenvector dynamics analysis (LEiDA). No statistically significant associations were detected at the spatial level for the GICA-derived networks. However, at the dynamic level, LEiDA revealed that maternal PD negatively associated with the stability of a frontoparietal network. These results imply that maternal PD may influence the stability of frontoparietal connections in neonatal brain network dynamics and adds to the cumulating evidence that frontal areas are especially sensitive to PSE. We advocate for early preventive intervention strategies regarding pregnant mothers. Nevertheless, future research venues are required to assess optimal intervention timing and methods for maximum benefit.
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