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母乳喂养期间母亲和新生儿的大脑同步。

Cerebral Synchronization Between Mothers and Their Newborns During Breastfeeding.

机构信息

Division of Neonatology and Neonatal Intensive Care Unit, Institute for Maternal and Child Health IRCCS "Burlo Garofolo," Trieste, Italy.

出版信息

Breastfeed Med. 2024 Sep;19(9):725-733. doi: 10.1089/bfm.2023.0307. Epub 2024 Jul 26.

DOI:10.1089/bfm.2023.0307
PMID:39058700
Abstract

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. 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 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. 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. 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.

摘要

母乳喂养是哺乳动物的基本生物学功能,使后代能够在生理上发育。母乳喂养期间母亲和后代之间的身体和情感对话被描述为依恋关系的一部分,并且可以假设母婴大脑之间存在同步性。本研究旨在评估从出生后第二天起,母乳喂养期间新生儿和产妇皮质区的激活是否具有功能同步性。

招募了 20 名母亲及其足月新生儿。通过多通道近红外光谱技术(可检测来自多个皮质区域的血红蛋白浓度变化)来识别母乳喂养期间的皮质激活。在母乳喂养的前 5 分钟内,同时在母亲和新生儿的额部和运动/初级体感皮质区进行功能活动(超扫描)检测。使用聚类分析和学生 t 检验来检测作为皮质激活估计的氧合血红蛋白增加。使用小波变换相干性(WTC)分析来确定产妇和新生儿激活的皮质区域之间是否存在同步性。

母亲表现出中央运动/初级体感皮质的激活,位于矢状裂上方。在新生儿中,双侧额皮质被激活。WTC 分析揭示了产妇和婴儿激活的皮质区域之间两种不同的周期性同步。

这种证据可能反映了非常早期的共同经验共享,可能与相互动态运动调整、激素核心调节、躯体刺激和感觉有关。在母乳喂养期间,观察到母亲和她的新生儿皮质之间的周期性神经同步,可能在促进她们的联系中发挥重要作用。

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