Abstract

Neuroimaging researchers commonly assume that the brain of a mother is comparable to that of a nulliparous woman. However, pregnancy leads to pronounced gray matter volume reductions in the mother’s brain, which have been associated with maternal attachment towards the baby. Beyond two years postpartum, no study has explored whether these brain changes are maintained or instead return to pre-pregnancy levels. The present study tested whether gray matter volume reductions detected in primiparous women are still present six years after parturition. Using data from a unique, prospective neuroimaging study, we compared the gray matter volume of 25 primiparous and 22 nulliparous women across three sessions: before conception (n = 25/22), during the first months of postpartum (n = 25/21), and at six years after parturition (n = 7/5). We found that most of the pregnancy-induced gray matter volume reductions persist six years after parturition (classifying women as having been pregnant or not with 91.67% of total accuracy). We also found that brain changes at six years postpartum are associated with measures of mother-to-infant attachment. These findings open the possibility that pregnancy-induced brain changes are permanent and encourage neuroimaging studies to routinely include pregnancy-related information as a relevant demographic variable.

Highlights

  • Motherhood is a life-changing event that affects the social, psychological, and biological spheres

  • To corroborate that brain changes detected were related to motherhood, we examined whether brain changes between the PRE and POST6y sessions predicted the measures of mother-to-infant attachment collected during the early postpartum

  • We performed a region of interest (ROI) analysis to focus on the specific areas known to be affected during pregnancy. These ROIs were obtained from the results reported in Hoekzema et al, 2017 [14], and correspond to regions where GM volume decreases more in the mothers than in nulliparous women (GM volume changes ((Nulliparous POSTPRE) − (Mothers POST-PRE)))

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Summary

Introduction

Motherhood is a life-changing event that affects the social, psychological, and biological spheres. Pregnancy entails dramatic adaptations in the function and structure of all physiological systems, including the brain. Studies in non-human animal models indicate that pregnancy and motherhood modify the so-called maternal circuit: a set of brain regions that includes reward and social processing areas [1,2,3]. Such modifications, triggered by pregnancy and peripartum hormonal fluctuations and by mother–pup interactions, play a critical role in the onset, maintenance, and adjustment of maternal care [4]

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