Abstract

Postpartum depression, which affects approximately 15% of new mothers, is associated with impaired mother-infant interactions and deficits in cognitive function. Exposure to stress during pregnancy is a major risk factor for postpartum depression. However, little is known about the neural consequences of gestational stress. The medial prefrontal cortex (mPFC) is a brain region that has been linked to stress, cognition, maternal care, and mood disorders including postpartum depression. Here we examined the effects of chronic gestational stress on mPFC function and whether these effects might be linked to structural modifications in the mPFC. We found that in postpartum rats, chronic gestational stress resulted in maternal care deficits, increased depressive-like behavior, and impaired performance on an attentional set shifting task that relies on the mPFC. Furthermore, exposure to chronic stress during pregnancy reduced dendritic spine density on mPFC pyramidal neurons and altered spine morphology. Taken together, these findings suggest that pregnancy stress may contribute to postpartum mental illness and its associated symptoms by compromising structural plasticity in the mPFC.

Highlights

  • Depression is the most common complication following childbirth experienced by an estimated 15–20% of women [1,2]

  • There was no effect of pregnancy stress on the length of pregnancy, which was approximately 22 d for both unstressed and stressed females (p.0.05)

  • Chronic pregnancy stress increased depressive-like behavior as demonstrated by a greater percentage of time spent immobile in the forced swim test (FST) (t14 = 1.96, p = 0.04; Fig. 2a)

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Summary

Introduction

Depression is the most common complication following childbirth experienced by an estimated 15–20% of women [1,2]. The symptoms of postpartum depression (PPD) mimic those of major depression and can include anhedonia, disrupted sleep and appetite, persistent feelings of sadness and hopelessness as well as cognitive impairment [3,4]. One of the strongest predictors for the emergence of PPD is exposure to chronic stress during pregnancy [1,9]. Animal studies have demonstrated that chronic stress during pregnancy can increase depressive-like behavior during the postpartum period and impair maternal care [10,11,12]. Little is known about the impact of pregnancy stress on the neural substrates regulating emotional behavior, maternal care, and cognitive function during the postpartum period

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