Biological embedding - mechanisms underlying the effects of prenatal psychosocial stress

14 important questions on Biological embedding - mechanisms underlying the effects of prenatal psychosocial stress

When is the HPA axis activated

When the mother is exposed to stress > release of hormones
especially affected by cortisol; PFC, hippocampus and amygdala

How can heightened cortisol levels in the mother lead to heightened cortisol levels in the fetus

1. Directly transported across placenta

2. Increased maternal cortisol concentrations may lead to increased production of placental CRH, which is related to fetal growth and size at birth

Administration of exogenous dexamethasone or corticosterone to pregnant animal mother is related to ........................ Of the offspring

- diminished growth
- increased HPA axis reactivity
- glucose intolerance
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What does placenta 11-beta hydroxysteriod dehydrogenase type 2 do?

- Prevents maternal cortisol from crossing placenta by converting cortisol to the inactive cortisone. -> fetus protected from heightened maternal cortisol concentrations


- Animals: maternal prenatal stress can affect placental functioning, also of the 11beta-HSD2 enzyme expression and activity

What are the effects of heightened cortisol concentrations of fetuses

- later behavioral, immunological and brain development
- other placental functions

Where are higher levels of maternal adrenaline concentrations during late pregnancy associated with

Lower infant soothability, higher levels of maternal noradrenaline related to higher infant soothability and lower distress to novetly

Where is chronic stress related to

To less well-functioning immune system, higher susceptibility for infections, lower quality of physical health

What does cytokines and stress do together

- Elevated stress levels positively related with higher levels of pro-inflammatory cytokines IL-6 and low levels of IL-10.

- Negative impact of pro-inflammatory cytokines on development of human fetal brain


Maternal stress only plays a role if stress period covers end of gestation. Chronic or long-lasting maternal prenatal stress may produce immune alterations in offspring

During delivery mothers transfer microbiota to their infant, what does this provide

Provides them with non-optimal basis for intestinal colonization

Where are lower diversity and stability of infant mircobiota during first weeks related to

Excessive crying or colic

Lifestyle and health behaviors by psychological stress that lead to adverse child outcomes

- If psychological stress leads to substance use during pregnancy

- (emotional) eating: stress-induced unhealthy eating and changes in metabolism of nutrients during pregnancy can have effects on fetal development

- Sleep: disturbed sleep affects biological pathways

- Physical activity: moderate exercise increases functioning of placenta and birth weight, but only if its decreased in late pregnancy
o Opioid theory: exercise increases endorphin levels


o Exercise decreases cortisol, enhances serotonin production, leading to less sleep disturbances and reduced maternal depression       

Genetic transmissiong and epigenetics

- Gene-environment correlation: prenatal stress and anxiety may be indicative of genetic predispositions linked to behavioral outcomes in offspring

- Child outcomes can be attributed both to inherited genetic factors and to stress in prenatal environment

- Epigenetics: gene expressions

- Animals & humans: maternal prenatal stress influences activity and gene expression of the 11beta-HSD2 enzyme through epigenetic changes

What is the role of fetus

Indications that fetus can play active role by playing role in timing of birth to limit and extent to which maternal and placental compartments can directly program the fetus

2 possible explanations for maternal self-reports often weakly or unrelated to maternal cortisol markers

1. Validity of both self-report measures and cortisol markers can be questioned 2. Elevations in basal cortisol are not the only or the most important psychological manifestation of maternal stress during pregnancy

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