Stefano Bembich, Elena Castelpietra, Jenny Bua, Enrica Causin, Chiara Pavan, Francesca Marrazzo, Laura Travan
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Cortical activation during breastfeeding was identified by multichannel near-infrared spectroscopy, which detects changes in haemoglobin concentration from multiple cortical regions. Functional activity was simultaneously detected (hyperscanning) in mothers and newborns' frontal and motor/primary somatosensory cortical areas during the first 5 minutes of breastfeeding. Cluster analysis and Student's <i>t</i> test were used to detect oxygenated haemoglobin increase, as cortical activation estimate. Wavelet transform coherence (WTC) analysis was used to identify a possible synchronization between maternal and neonatal activated cortical regions. <b><i>Results:</i></b> Mothers showed an activation of the central motor/primary somatosensory cortex, above the sagittal fissure. In newborns, the bilateral frontal cortex was activated. WTC analysis revealed two different cyclical synchronizations between mothers and infants' activated cortical regions. <b><i>Conclusions:</i></b> Such evidence may reflect a very early common sharing of experiences, possibly associated with reciprocal dynamic motor adjustments, hormonal coregulation, and somatic stimulations and sensations. 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引用次数: 0
摘要
导言母乳喂养是哺乳动物的一项基本生理功能,可使后代获得生理发育。母乳喂养期间母婴之间的身体和情感对话被描述为依恋关系的一部分,可以假设母体和新生儿大脑之间存在同步性。本研究旨在评估母乳喂养期间激活的新生儿和母体大脑皮层区域是否从出生第二天起就在功能上同步。材料和方法:共招募了 20 位母亲及其足月新生儿。母乳喂养期间的皮质激活通过多通道近红外光谱进行识别,该光谱可检测多个皮质区域的血红蛋白浓度变化。在母乳喂养的最初 5 分钟内,同时检测母亲和新生儿额叶和运动/主要躯体感觉皮层区域的功能活动(超扫描)。聚类分析和学生 t 检验用于检测氧合血红蛋白的增加,作为皮层激活的估计值。小波变换相干性(WTC)分析用于确定母体和新生儿激活的皮层区域之间可能存在的同步性。结果显示母亲矢状裂上方的中央运动/初级躯体感觉皮层被激活。新生儿的双侧额叶皮层被激活。WTC 分析显示,母亲和婴儿激活的皮层区域之间存在两种不同的周期性同步。结论:这些证据可能反映了一种非常早期的共同现象:这些证据可能反映了早期的共同经验分享,可能与互惠的动态运动调整、荷尔蒙核心调节以及躯体刺激和感觉有关。在母乳喂养期间观察到的母亲和新生儿大脑皮层之间的周期性神经同步,可能在促进他们的亲子关系方面起着重要作用。
Cerebral Synchronization Between Mothers and Their Newborns During Breastfeeding.
Introduction: Breastfeeding is a fundamental biological function in mammals, allowing the progeny to develop in a physiological way. A physical and emotional dialog between mothers and offspring during breastfeeding has been described as part of the attachment relationship, and a synchronicity between maternal and neonatal brains can be hypothesized. This study aimed to assess if neonatal and maternal cortical areas activated during breastfeeding are functionally synchronized since the second day of life. Materials and Methods: Twenty mothers and their term newborns were enrolled. Cortical activation during breastfeeding was identified by multichannel near-infrared spectroscopy, which detects changes in haemoglobin concentration from multiple cortical regions. Functional activity was simultaneously detected (hyperscanning) in mothers and newborns' frontal and motor/primary somatosensory cortical areas during the first 5 minutes of breastfeeding. Cluster analysis and Student's t test were used to detect oxygenated haemoglobin increase, as cortical activation estimate. Wavelet transform coherence (WTC) analysis was used to identify a possible synchronization between maternal and neonatal activated cortical regions. Results: Mothers showed an activation of the central motor/primary somatosensory cortex, above the sagittal fissure. In newborns, the bilateral frontal cortex was activated. WTC analysis revealed two different cyclical synchronizations between mothers and infants' activated cortical regions. Conclusions: Such evidence may reflect a very early common sharing of experiences, possibly associated with reciprocal dynamic motor adjustments, hormonal coregulation, and somatic stimulations and sensations. The observed cyclical neural synchronization, between the mother and her newborn's cortex during breastfeeding, may play an important role in promoting their bonding.
期刊介绍:
Breastfeeding Medicine provides unparalleled peer-reviewed research, protocols, and clinical applications to ensure optimal care for mother and infant. The Journal answers the growing demand for evidence-based research and explores the immediate and long-term outcomes of breastfeeding, including its epidemiologic, physiologic, and psychological benefits. It is the exclusive source of the Academy of Breastfeeding Medicine protocols.
Breastfeeding Medicine coverage includes:
Breastfeeding recommendations and protocols
Health consequences of artificial feeding
Physiology of lactation and biochemistry of breast milk
Optimal nutrition for the breastfeeding mother
Breastfeeding indications and contraindications
Managing breastfeeding discomfort, pain, and other complications
Breastfeeding the premature or sick infant
Breastfeeding in the chronically ill mother
Management of the breastfeeding mother on medication
Infectious disease transmission through breast milk and breastfeeding
The collection and storage of human milk and human milk banking
Measuring the impact of being a “baby-friendly” hospital
Cultural competence and cultural sensitivity
International public health issues including social and economic issues.