Postpartum Females Research Articles

Enhanced responsiveness to selective serotonin reuptake inhibitors during lactation.

The physiology of mood regulation in the postpartum is poorly understood despite the fact that postpartum depression (PPD) is a common pathology. Serotonergic mechanisms and their dysfunction are widely presumed to be involved, which has led us to investigate whether lactation induces changes in central or peripheral serotonin (5-HT) systems and related affective behaviors. Brain sections from lactating (day 10 postpartum) and age-matched nulliparous (non-pregnant) C57BL/6J mice were processed for 5-HT immunohistochemistry. The total number of 5-HT immunostained cells and optical density were measured. Lactating mice exhibited lower immunoreactive 5-HT and intensity in the dorsal raphe nucleus when compared with nulliparous controls. Serum 5-HT was quantified from lactating and nulliparous mice using radioimmunoassay. Serum 5-HT concentrations were higher in lactating mice than in nulliparous controls. Affective behavior was assessed in lactating and non-lactating females ten days postpartum, as well as in nulliparous controls using the forced swim test (FST) and marble burying task (MBT). Animals were treated for the preceding five days with a selective serotonin reuptake inhibitor (SSRI, citalopram, 5mg/kg/day) or vehicle. Lactating mice exhibited a lower baseline immobility time during the FST and buried fewer marbles during the MBT as compared to nulliparous controls. Citalopram treatment changed these behaviors in lactating mice with further reductions in immobility during the FST and decreased marble burying. In contrast, the same regimen of citalopram treatment had no effect on these behaviors in either non-lactating postpartum or nulliparous females. Our findings demonstrate changes in both central and peripheral 5-HT systems associated with lactation, independent of pregnancy. They also demonstrate a significant interaction of lactation and responsiveness to SSRI treatment, which has important implications in the treatment of PPD. Although recent evidence has cast doubt on the effectiveness of SSRIs, these results support their therapeutic use in the treatment of PPD.

Effect of Pelvic Floor Muscle Exercises in comparison with Core Stability Exercises on Pain, Functional status and Abdominal Muscle Endurance in Post-Partum females with Chronic Low Back Pain

Pelvic floor muscle (PFM) exercises and Core stability exercises are the 2 exercise interventions used for the treatment of postpartum females with chronic low back pain (LBP). There is limited evidence for the comparison of the 2 interventions in the patients with chronic LBP. Purpose of the study was to compare the effects of PFM exercises and core stability exercises on pain, functional status and Dynamic Abdominal muscle endurance (DAME) in post-partum females with chronic LBP. It was experimental study design.30 female patients were randomly assigned to receive either pelvic floor muscle exercises or core stability exercises. Pain, functional status and DAME were measured using Numeric Pain Rating Scale, Oswestry Low Back Pain Disability Questionnaire and Dynamic Abdominal Muscle Endurance Test respectively, at baseline and at the end of treatment session in both the groups. Results showed that both PFM exercises and core stability exercises were found to be effective in reducing pain, disability and improving abdominal muscle endurance. However the subjects treated with core stability exercise showed more significant benefits in terms of reduction of pain, disability and improvement in abdominal muscle endurance in treatment of chronic low back pain in post partum females.

Psychiatric morbidities in postpartum females: a prospective follow-up during puerperium

Psychiatric morbidities in postpartum females: a prospective follow-up during puerperium

Modeling individual recovery after peripheral nerve injury in rats and the effects of parturition.

Recovery from pain after surgery exhibits large interindividual variability, with very slow recovery equated to chronic pain. Surgical injury in the postpartum period modestly increases initial recovery after major nerve injury. In this study, the authors use a nerve injury that recovers over 2 to 3 months and apply growth curve modeling to further understand the effect of the postpartum period on speed of recovery. Withdrawal threshold to mechanical stimulus on the hind paw was determined in 41 Sprague-Dawley rats before and for 10 weeks after partial spinal nerve ligation. Age-matched male and female rats and postpartum females with pups or those separated from pups at delivery were studied. Growth curve analyses were applied to model recovery after surgery despite varying timing of measurements across groups and missing data, and these results were compared with those of two-way repeated-measures ANOVA. The recovery time course was similar between males and females. In contrast, recovery was hastened in the postpartum groups, with nonoverlapping 95% CIs of modeled trajectories between days 6 and 66 after surgery. CIs were more precise at most time periods with growth curve analysis compared with ANOVA. The authors describe a method of analysis to quantify recovery from hypersensitivity after surgery in rats with several distinct advantages over traditionally used methods. Study results do not support a sex difference in trajectory of recovery but confirm and extend previous observations that injury at the time of obstetric delivery is associated with an abnormally rapid recovery.

Gestational stress induces persistent depressive-like behavior and structural modifications within the postpartum nucleus accumbens.

Postpartum depression (PPD) is a common complication following childbirth experienced by one in every five new mothers. Pregnancy stress enhances vulnerability to PPD and has also been shown to increase depressive-like behavior in postpartum rats. Thus, gestational stress may be an important translational risk factor that can be used to investigate the neurobiological mechanisms underlying PPD. Here we examined the effects of gestational stress on depressive-like behavior during the early/mid and late postpartum periods and evaluated whether this was accompanied by altered structural plasticity in the nucleus accumbens (NAc), a brain region that has been linked to PPD. We show that early/mid (postpartum day 8) postpartum female rats exhibited more depressive-like behavior in the forced swim test as compared with late postpartum females (postpartum day 22). However, 2 weeks of restraint stress during pregnancy increased depressive-like behavior regardless of postpartum timepoint. In addition, dendritic length, branching and spine density on medium spiny neurons in the NAc shell were diminished in postpartum rats that experienced gestational stress although stress-induced reductions in spine density were evident only in early/mid postpartum females. In the NAc core, structural plasticity was not affected by gestational stress but late postpartum females exhibited lower spine density and reduced dendritic length. Overall, these data not only demonstrate structural changes in the NAc across the postpartum period, they also show that postpartum depressive-like behavior following exposure to gestational stress is associated with compromised structural plasticity in the NAc and thus may provide insight into the neural changes that could contribute to PPD.

Glutamate, GABA, and glutamine are synchronously upregulated in the mouse lateral septum during the postpartum period

Dramatic structural and functional remodeling occurs in the postpartum brain for the establishment of maternal care, which is essential for the growth and development of young offspring. Glutamate and GABA signaling are critically important in modulating multiple behavioral performances. Large scale signaling changes occur in the postpartum brain, but it is still not clear to what extent the neurotransmitters glutamate and GABA change and whether the ratio of glutamate/GABA remains balanced. In this study, we examined the glutamate/GABA-glutamine cycle in the lateral septum (LS) of postpartum female mice. In postpartum females (relative to virgins), tissue levels of glutamate and GABA were elevated in LS and increased mRNA was found for the respective enzymes producing glutamate and GABA, glutaminase (Gls) and glutamate decarboxylase 1 and 2 (Gad1 and Gad2). The common precursor, glutamine, was elevated as was the enzyme that produces it, glutamate-ammonia ligase (Glul). Additionally, glutamate, GABA, and glutamine were positively correlated and the glutamate/GABA ratio was almost identical in the postpartum and virgin females. Collectively, these findings indicate that glutamate and GABA signaling are increased and that the ratio of glutamate/GABA is well balanced in the maternal LS. The postpartum brain may provide a useful model system for understanding how glutamate and GABA are linked despite large signaling changes. Given that some mental health disorders, including depression and schizophrenia display dysregulated glutamate/GABA ratio, and there is increased vulnerability to mental disorders in mothers, it is possible that these postpartum disorders emerge when glutamate and GABA changes are not properly coordinated.

The role of brain-derived neurotrophic factor in comorbid depression: possible linkage with steroid hormones, cytokines, and nutrition.

Increasing evidence demonstrates a connection between growth factor function (including brain-derived neurotrophic factor, BDNF), glucocorticoid levels (one of the steroid hormones), and the pathophysiology of depressive disorders. Because both BDNF and glucocorticoids regulate synaptic function in the central nervous system, their functional interaction is of major concern. Interestingly, alterations in levels of estrogen, another steroid hormone, may play a role in depressive-like behavior in postpartum females with fluctuations of BDNF-related molecules in the brain. BDNF and cytokines, which are protein regulators of inflammation, stimulate multiple intracellular signaling cascades involved in neuropsychiatric illness. Pro-inflammatory cytokines may increase vulnerability to depressive symptoms, such as the increased risk observed in patients with cancer and/or autoimmune diseases. In this review, we discuss the possible relationship between inflammation and depression, in addition to the cross-talk among cytokines, BDNF, and steroids. Further, since nutritional status has been shown to affect critical pathways involved in depression through both BDNF function and the monoamine system, we also review current evidence surrounding diet and supplementation (e.g., flavonoids) on BDNF-mediated brain functions.

Melanin-concentrating hormone in the medial preoptic area reduces active components of maternal behavior in rats

Melanin-concentrating hormone (MCH) is an inhibitory neuropeptide mainly synthesized in neurons of the lateral hypothalamus and incerto-hypothalamic area of mammals that has been implicated in behavioral functions related to motivation. During lactation, this neuropeptide is also expressed in the medial preoptic area (mPOA), a key region of the maternal behavior circuitry. Notably, whereas MCH expression in the mPOA progressively increases during lactation, maternal behavior naturally declines, suggesting that elevated MCHergic activity in the mPOA inhibit maternal behavior in the late postpartum period. To explore this idea, we assessed the maternal behavior of early postpartum females following bilateral microinfusions of either MCH (50 and 100ng/0.2μl/side) or the same volume of vehicle into the mPOA. As expected, females receiving 100ng MCH into the mPOA exhibited significant deficits in the active components of maternal behavior, including retrieving and nest building. In contrast, nursing, as well as other behaviors, including locomotor activity, exploration, and anxiety-like behavior, were not affected by intra-mPOA MCH infusion. The present results, together with previous findings showing elevated expression of this neuropeptide toward the end of the postpartum period, suggest that modulation of mPOA function by MCH may contribute to the weaning of maternal responsiveness characteristic of the late postpartum period.

A long-term study reveals multiple reproductive behavior strategies among territorial adult male Steller sea lions (Eumetopias jubatus)

We conducted a long-term study to assess how tenure and territorial behaviors influence reproductive success among male Steller sea lions (Eumetopias jubatus (Schreber, 1776)). Copulations by males (n = 44) that maintained territories on a rookery in the Gulf of Alaska from 2001 to 2009 were observed using a remote video system. Approximately half of postpartum females copulated with a male in a different territory from where they gave birth. Nearly two-thirds of territorial males with known tenure were unsuccessful in copulating during their first year. Number of copulations for territorial males increased from acquisition year to year 2 with no change in subsequent years. Cluster analysis of tenure and territorial tactic variables for 15 males with observed lifetime reproductive success was used to describe multiple reproductive strategies. Characteristics of the two most successful strategies were the following: (i) males typically copulated in their first year, retained the same territories for 3–5 years, and occupied centrally located coastal territories where the highest percentage of females gave birth and (ii) males did not copulate until at least their third year and occupied peripheral territories with fewer births for a longer tenure of 7–8 years. Results indicated that lifetime reproductive success was not achieved solely by time on the breeding area; rather, it was achieved from a combination of tenure and territorial tactics.

Risk factors associated with postpartum depression in the Saudi population

IntroductionPostpartum depression (PPD) is one of the major psychological disorders worldwide that affects both mother and child. The aim of this study was to correlate the risk of PPD with obstetric and demographic variables in Saudi females.Materials and methodsData were collected by interviewing females 8–12 weeks postpartum. PPD symptoms were defined as present when subjects had an Edinburgh Postnatal Depression Scale score of 10 or higher. Variables included in this study were age, education, occupation, parity, baby’s sex, pregnancy period, delivery type, hemoglobin level, anemia, and iron pills taken during pregnancy.ResultsOf the 352 postpartum females, the prevalence of PPD symptom risk was 117 (33.2%). Among the PPD symptomatic females, 66 (39.8%) had low hemoglobin levels, and 45 (40.5%) females were anemic during pregnancy (P≤0.05). These results suggest that early postpartum anemia, indicated by low hemoglobin level, is a significant risk factor for PPD (adjusted odds ratio 1.70, 95% confidence interval 1.05–2.74; P=0.03). Other variables, including age, parity, education, occupation, and delivery type, were not significantly correlated (P=0.15–0.95), but marginally indicative of the risk of depressive symptoms.ConclusionLow hemoglobin level and anemia during pregnancy were risk factors for PPD in Saudi females. Many other factors may be considered risk factors, such as age, occupation, and parity. Anemic women need more attention and to be checked regarding their PPD, and treated if necessary.

Endogenous CNS Expression of Neurotensin and Neurotensin Receptors Is Altered during the Postpartum Period in Outbred Mice

Neurotensin (NT) is a neuropeptide identical in mice and humans that is produced and released in many CNS regions associated with maternal behavior. NT has been linked to aspects of maternal care and previous studies have indirectly suggested that endogenous NT signaling is altered in the postpartum period. In the present study, we directly examine whether NT and its receptors exhibit altered gene expression in maternal relative to virgin outbred mice using real time quantitative PCR (qPCR) across multiple brain regions. We also examine NT protein levels using anti-NT antibodies and immunohistochemistry in specific brain regions. In the medial preoptic area (MPOA), which is critical for maternal behaviors, mRNA of NT and NT receptor 3 (Sort1) were significantly up-regulated in postpartum mice compared to virgins. NT mRNA was also elevated in postpartum females in the bed nucleus of the stria terminalis dorsal. However, in the lateral septum, NT mRNA was down-regulated in postpartum females. In the paraventricular nucleus of the hypothalamus (PVN), Ntsr1 expression was down-regulated in postpartum females. Neurotensin receptor 2 (Ntsr2) expression was not altered in any brain region tested. In terms of protein expression, NT immunohistochemistry results indicated that NT labeling was elevated in the postpartum brain in the MPOA, lateral hypothalamus, and two subregions of PVN. Together, these findings indicate that endogenous changes occur in NT and its receptors across multiple brain regions, and these likely support the emergence of some maternal behaviors.

Multiple paternity and sperm storage in the Cape Dwarf Chameleon (Bradypodion pumilum)

Although multiple paternity and sperm storage are common in squamates, neither has been conclusively demonstrated in the chameleons (Chamaeleonidae). To examine whether these traits are present in chameleons, the Cape Dwarf Chameleon (Bradypodion pumilum) was investigated. This viviparous species inhabits a temperate climate in southern Africa, has aseasonal breeding, and can produce multiple clutches annually. Given this reproductive schedule, we hypothesised that females may mate opportunistically and store sperm, and that single clutches may have multiple sires. To examine this, six females and their clutches were genotyped using microsatellite markers, and assessed for multiple paternity. In addition, 46 females were assessed for sperm storage structures and presence of sperm in the oviduct. Multiple paternity was found in all six clutches, based on the presence of multiple alleles at all loci that could not be assigned to the mother. No evidence of specialised sperm storage structures was found, but sperm was present in the lumen of the posterior oviduct in 74% of females. While sperm storage cannot be concluded with finality, it seems likely to occur, rather assuming that three out of four of the females in the sample had mated just prior to capture. Furthermore, two post-partum females retained sperm in the oviducts after the delivery of a clutch, but in the absence of additional copulation. Given that this species has aseasonal reproduction, if sperm is indeed stored long-term, this combination of traits would be advantageous given the lack of defined breeding season and presumably low rates of mate encounter.

Weight watching in burrows: variation in body condition in pygmy bluetongue lizards

The pygmy bluetongue lizard, Tiliqua adelaidensis, is an endangered scincid lizard that occurs in remnants of natural grasslands in the mid-north of South Australia. We assessed the factors affecting body condition of male and female lizards, using body size residuals as an index, over five sampling years. We included sex, phenotypic (patterned or plain morphs), temporal (sampling year and activity period within year), and climatic factors in our analyses. The results indicated that sampling year and activity period within the year were the two most important factors influencing variation in body condition of both male and female lizards over the period of the study. There were similar trends when we considered males and females separately. However, when prepartum and postpartum females were analysed separately, sampling year did not affect their body condition. None of the analyses showed any significant effect of phenotype on body condition. Winter–spring rainfall was positively correlated with body condition of females in the prepartum period, but showed no significant effect on mean body condition of any other grouping of adult lizards, nor a consistent direction of correlation among the different subsets of adult lizards that we considered. The substantial annual variations in the body condition of lizards, although of uncertain cause, provide important information for conservation managers who monitor persisting populations of this endangered species.

Controversial areas in cardiovascular pathology

<h3>Key points</h3> 1. Anomalous coronary arteries are a cause of sudden death, usually with distribution between the great vessels. Death with exertion is common. 2. Beware normal variants of origin or distribution of coronary arteries. 3. Bridging is only diagnosed if the left anterior coronary artery is 5 mm deep and 15-20 mm long within the myocardium. 4. High take off is only diagnosed 20 mm above the sinutubular junction with narrowing of the ostium. 5. Fibromuscular dysplasia is very rare. Can be genetic or acquired. Cocaine use must be considered 6. Coronary artery dissection occurs in young pregnant or postpartum females. 7. While coronary artery spasm is an established event angio-graphically, pathologists cannot diagnose it. When there is regional infarction with normal coronary arteries it must be considered. 8. Kounis syndrome (KS) or allergic angina/myocardial infarction. Allergic acute coronary syndrome (ACS) is still questioned. Two subtypes have been described: type I, which occurs in patients without predisposing factors for coronary artery disease and is caused by coronary artery spasm, and type II, which occurs in patients with angiographic evidence of coronary disease when the allergic events induce plaque erosion or rupture. Autopsy in the context of these abnormalities means meticulous examination of the coronary arteries.

Controversial areas in cardiovascular pathology

Key points 1. Anomalous coronary arteries are a cause of sudden death, usually with distribution between the great vessels. Death with exertion is common. 2. Beware normal variants of origin or distribution of coronary arteries. 3. Bridging is only diagnosed if the left anterior coronary artery is 5 mm deep and 15-20 mm long within the myocardium. 4. High take off is only diagnosed 20 mm above the sinutubular junction with narrowing of the ostium. 5. Fibromuscular dysplasia is very rare. Can be genetic or acquired. Cocaine use must be considered. 6. Coronary artery dissection occurs in young pregnant or postpartum females. 7. While coronary artery spasm is an established event angio-graphically, pathologists cannot diagnose it. When there is regional infarction with normal coronary arteries it must be considered. 8. Kounis syndrome (KS) or allergic angina/myocardial infarction. Allergic acute coronary syndrome (ACS) is still questioned. Two subtypes have been described: type I, which occurs in patients without predisposing factors for coronary artery disease and is caused by coronary artery spasm, and type II, which occurs in patients with angiographic evidence of coronary disease when the allergic events induce plaque erosion or rupture. Autopsy in the context of these abnormalities means meticulous examination of the coronary arteries.

Treatment of Vaginal Relaxation Syndrome with an Erbium:YAG Laser Using 90° and 360° Scanning Scopes: A Pilot Study & Short-term Results.

Vaginal relaxation syndrome (VRS) is both a physical and psychological problem for women and often their partners. Recently the 2940 nm Er:YAG laser has attracted attention for VRS treatment. The current study evaluated the clinical efficacy of this nonsurgical laser procedure. Thirty postpartum females with VRS or vaginal atrophy, ages from 33 - 56 yr (mean 41.7 yr) were divided randomly into two groups, Group A and Group B. Both groups were treated for 4 sessions at 1∼2-weekly intervals with a 2940 nm Er:YAG via 90° and 360° scanning scopes. In Group A the first 2 sessions were performed with the 360° scope and the final 2 with the 90° scope in multiple micropulse mode, 1.7 J delivered per shot, 3 multishots, 3 passes per session. Group B underwent multiple micropulse mode treatment with the 90° scope in all 4 sessions (same parameters as Group A) then during the final 2 sessions an additional 2 passes/session were delivered with the 360° scope, long-pulsed mode, 3.7 J delivered per shot. Perineometer assessments were performed at baseline and at 2 months post-treatment for vaginal tightness. Histological specimens were taken at baseline and at 2 months post-procedure. Subjective satisfaction with vaginal tightening was assessed together with improvement in sexual satisfaction. RESULTS were tested for statistical significance with the paired Student's t-test. All subjects successfully completed the study with no adverse events. Significant improvement in vaginal wall relaxation was seen in all subjects at 2 months post-procedure based on the perineometer values, on the partners' input for vaginal tightening (76.6%) and for sexual satisfaction as assessed by the subjects themselves (70.0%). The histological findings suggested better elasticity of the vaginal wall with tightening and firming. Both regimens of Er:YAG laser treatment for VRS produced significant improvement in vaginal relaxation. With multishots delivered in the multiple micropulse mode via scanning scopes, nonsurgical Er:YAG laser treatment was pain-free, safe, side effect free, easily tolerated and effective.

Are Periodontal Bacterial Profiles and Placental Inflammatory Infiltrate in Pregnancy Related to Birth Outcomes?

The aim of this study is to determine whether periodontal clinical parameters, periodontal bacterial profiles, and inflammatory infiltrate in placental chorionic villi are associated with adverse pregnancy results. The authors designed an observational case-control study in 244 postpartum females: mothers with preterm/low-birth weight newborns (n = 91 cases) and mothers with full-term, normal-weight infants (n = 153 controls). Sociodemographic, gynecologic, and periodontal variables were gathered for all participants. Data on placental inflammatory infiltrate in biopsies from 68 cases and 65 controls and the gingival bacterial profile in mothers with periodontitis were gathered, detecting associations with bivariate analyses and constructing a multiple logistic regression model with the number of positive inflammatory cells as the dependent variable. Periodontal values were significantly worse in cases versus controls. Numbers of leukocyte subsets per square millimeters in maternal and fetal vascular spaces were similar between cases and controls. CD45 in maternal placental space was related to the presence of periodontitis (P = 0.029) but not to case or control group (P = 0.264). The anaerobic and commensal bacterial profile in mothers with periodontitis was similar between the groups. Periodontal disease was more severe and a periodontitis diagnosis more frequent in mothers with preterm or low-birth weight versus normal delivery. No differences in anaerobic or commensal bacterial profile were found between mothers with periodontitis in the two groups. Local placental factors, such as the nature of the inflammatory infiltrate and slightly higher expression of cyclooxygenase-2 in the females with these adverse pregnancy outcomes, may be related to a subclinical proinflammatory status that could contribute to triggering premature labor.

Using Chronic Social Stress to Model Postpartum Depression in Lactating Rodents

Exposure to chronic stress is a reliable predictor of depressive disorders, and social stress is a common ethologically relevant stressor in both animals and humans. However, many animal models of depression were developed in males and are not applicable or effective in studies of postpartum females. Recent studies have reported significant effects of chronic social stress during lactation, an ethologically relevant and effective stressor, on maternal behavior, growth, and behavioral neuroendocrinology. This manuscript will describe this chronic social stress paradigm using repeated exposure of a lactating dam to a novel male intruder, and the assessment of the behavioral, physiological, and neuroendocrine effects of this model. Chronic social stress (CSS) is a valuable model for studying the effects of stress on the behavior and physiology of the dam as well as her offspring and future generations. The exposure of pups to CSS can also be used as an early life stress that has long term effects on behavior, physiology, and neuroendocrinology.

Using Chronic Social Stress to Model Postpartum Depression in Lactating Rodents

Exposure to chronic stress is a reliable predictor of depressive disorders, and social stress is a common ethologically relevant stressor in both animals and humans. However, many animal models of depression were developed in males and are not applicable or effective in studies of postpartum females. Recent studies have reported significant effects of chronic social stress during lactation, an ethologically relevant and effective stressor, on maternal behavior, growth, and behavioral neuroendocrinology. This manuscript will describe this chronic social stress paradigm using repeated exposure of a lactating dam to a novel male intruder, and the assessment of the behavioral, physiological, and neuroendocrine effects of this model. Chronic social stress (CSS) is a valuable model for studying the effects of stress on the behavior and physiology of the dam as well as her offspring and future generations. The exposure of pups to CSS can also be used as an early life stress that has long term effects on behavior, physiology, and neuroendocrinology.

Distal pup cues evoke dopamine responses in hormonally primed rats in the absence of pup experience or ongoing maternal behavior.

During the early postpartum period or following estrogen/progesterone administration, pups elicit maternal behavior accompanied by a robust dopamine (DA) response in the nucleus accumbens (NAC) of female rats (Afonso et al., 2009). To determine whether DA responds to ostensibly "salient" stimuli in the absence of consummatory behaviors, we examined NAC shell DA responses during restricted (stimuli placed in a perforated box), and unrestricted access to pup and food stimuli. Microdialysis samples were collected from female rats that were either cycling and postpartum (Experiment 1), or after ovariectomy and treated with empty and hormone-filled capsules (Experiment 2). Relative to nonprimed controls, hormonally primed females had suppressed basal DA concentrations and facilitated pup-evoked DA responses, regardless of stimulus access condition. In contrast, food-evoked DA responses were unchanged by hormonal priming and were greater when females consumed food compared with distal (restricted) exposure to food. During pup and food restriction conditions, the lack of any "appetitive" behavioral differences, even in pup experienced postpartum females, was surprising. In Experiment 3, we confirmed that postpartum dams allocated time equivalently to restricted pup and food stimuli, even after pup deprivation. This was in sharp contrast to the effects of deprivation during the unrestricted access phase. Together, our data demonstrated that, in hormonally primed females, distal pup cues could evoke DA responses without prior stimulus experience, ongoing maternal (behavioral) responses, or clear evidence of robust pup saliency. The results suggest that NAC DA response reflects a state of responsiveness related to basal DA suppression in the hormonally primed female rat.