Related Experiment Video
Updated: Jun 17, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Assessment of maternal health and behavior during pregnancy in the HEALthy Brain and Child Development Study:
Kelly K Gurka1, Heather H Burris2, Lucia Ciciolla3
1University of Florida, PO Box 100231, Gainesville, FL 32610-0231, USA.
Insights
The Healthy Brain and Child Development (HBCD) Study tracks prenatal exposures and maternal health to understand their lifelong impact on child development. This research investigates how factors during pregnancy influence brain, cognitive, and emotional growth through early childhood.
Area of Science:
- Neuroscience
- Developmental Psychology
- Public Health
Background:
- Prenatal exposures, including substance use, significantly affect fetal development and long-term health.
- Understanding the intrauterine environment's impact on early development is crucial for lifelong well-being.
- The Healthy Brain and Child Development (HBCD) Study is a prospective, longitudinal cohort study examining development from prenatal stages through early childhood.
Purpose of the Study:
- To characterize maternal health and behavior during pregnancy and into childhood.
- To assess the impact of prenatal exposures and maternal factors on child development.
- To investigate the effects of the intrauterine environment on brain, cognitive, behavioral, social, and emotional development.
Main Methods:
- Utilized a multi-site, prospective, longitudinal cohort design.
- Assessed maternal physical and mental health, substance use, and pregnancy/birth outcomes.
- Employed measures including the Edinburgh Postpartum Depression Scale, DSM-5 Cross-Cutting Symptom Measures, National Stressful Events Survey, and a modified-ASSIST with timeline-followback for substance use.
Main Results:
- Detailed characterization of maternal health, behaviors, and substance use during pregnancy and postpartum.
- Collected data on pregnancy complications and birth outcomes.
- Established a comprehensive dataset linking prenatal factors to early developmental trajectories.
Conclusions:
- The HBCD Study provides critical insights into the impact of the intrauterine environment on early development.
- Findings will advance understanding of how prenatal exposures and maternal health influence child outcomes.
- This research lays the foundation for future interventions to support healthy child development.
Abstract:
The Healthy Brain and Child Development (HBCD) Study, a multi-site, prospective, longitudinal cohort study, will examine human brain, cognitive, behavioral, social, and emotional development beginning prenatally and planned through early childhood. Prenatal exposures, including substances of abuse, impact fetal development and have effects across the life course. During the development of the HBCD Study, the Pregnancy Exposures, Including Substances Workgroup (WG-PRG) was charged with characterizing maternal health and behavior during pregnancy into the childhood years. Maternal physical and mental health, including substance use, and pregnancy and birth complications and outcomes were prioritized. Pregnancy, chronic and acute health conditions, family mental health, and healthcare utilization were assessed using existing and novel measures. Maternal mental health was assessed with the Edinburgh Postpartum Depression Scale, select items in the DSM-5 Self-Rated Level-1 and -2 Cross-Cutting Symptom Measures, and the National Stressful Events Survey-PTSD Short Scale. Finally, participants reported lifetime, recent, and current use of substances using a modified-ASSIST during pregnancy and postpartum. Quantities and frequencies of reported substances were collected for select periods prior to and during pregnancy through an interview (or web application) using the timeline-followback method. HBCD will advance our understanding of the impact of the intrauterine environment on early development.
More Related Videos
Related Concept Videos
Regression Toward the Mean
Stress Prevention and Stress Management Techniques IV
Development of Human Microbiota
Development of the Oral Microbiota
Gut-Brain Axis

