Behavioral pattern continuity from prenatal to postnatal life a study by four-dimensional (4D) ultrasonography

Kurjak, Asım; Stanojević, Milan; Andonotopo, Wiku; Salihagič-Kadić, Aida; Carrera, J. M.; Azumendi, Guillermo

doi:10.1515/jpm.2004.065

Cited by 162 publications

(132 citation statements)

References 27 publications

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“…1 Using fourdimensional (4D) ultrasonography for the assessment of fetal behavior, a continuity from fetal to neonatal behavior was shown, 2 especially in terms of isolated eye blinking movements, mouth and eyelid opening, yawning, tongue expulsion, smiling, scowling and hand movements directed to other parts of the face.…”

Section: Introductionmentioning

confidence: 99%

Twins’ temperament: early prenatal sonographic assessment and postnatal correlation

et al. 2009

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Objective: To study inter-twin differences in activity during early pregnancy and to examine their relationship to subsequent infant twins' temperament.Study Design: Measures of fetal motor activity (frequency, duration and number of movements) were collected from 26 twin pairs during ultrasound nuchal translucency scan at late first trimester and early second trimester (11 to 14 weeks gestation). In twenty-two patients, the twins were dizygotic (dichorionic); of them, 13 twin pairs were of different sexes, five were both females and four were both males. Of the four monozygotic twin pregnancies, two were dichorionic and two were monochorionic, three were both females.The more active fetus in each pair was noted according to the position and/or sex without reporting to parents. Reported maternal perception of the more active twin was documented at the mid-trimester anatomical scan.Maternally reported postnatal temperament data of the infants were collected at 3 and 6 months, using Rothbarts' Infant Behavior Questionnaire (IBQ).Results: After birth, maternal reports on infants' temperament and the more active twin in each pair were in good correlation with prenatal inter-twin differences in activity. The receiver operating characteristic (ROC) curves shows a better performance of ultrasound compared with maternal perception in prediction of the more active twin. Conclusions:The features of fetal neurobehavioral activity provide the basis for individual differences in twins' activity in infancy. Differences in activity in early pregnancy even before the emergence of fetal behavioral patterns were followed by temperamental differences postnatally. Keywords: twins; temperament; ultrasound; fetal movements; activity Introduction Fetal motor activity seems to predict temperament attributes related to regulatory behaviors in early childhood. 1 Using fourdimensional (4D) ultrasonography for the assessment of fetal behavior, a continuity from fetal to neonatal behavior was shown, 2 especially in terms of isolated eye blinking movements, mouth and eyelid opening, yawning, tongue expulsion, smiling, scowling and hand movements directed to other parts of the face.Physiological markers of individual differences in infant temperament are identifiable in the fetal period, and are possibly shaped by the prenatal environment. 3 Twins' gestations provide an opportunity to study the behavioral differences between pairs. Temperament variations were studied from the neonatal period to childhood. [4][5][6][7] Twin and adoption studies suggest that individual differences in infant and child temperament are genetically influenced. 8 Developmental aspects of behavioral organization were investigated in fetuses during the second and third trimester. Fetal behavioral states were defined according to the pattern and sequence of fetal motor activities throughout this period. [9][10][11] However, behavioral state variables before 36 weeks of gestation are not synchronized.Our objective was to study inter-twin differences in activity during e...

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Section: Introductionmentioning

confidence: 99%

Twins’ temperament: early prenatal sonographic assessment and postnatal correlation

et al. 2009

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“…57,61 Continuity was shown from fetal to neonatal behavior, especially in terms of isolated eye blinking movements, mouth and eyelid opening, yawning, tongue expulsion, smiling, scowling, and hand movements directed to other parts of the face 61 ( Figs 24 and 25). There were no movements observed in fetal life that were not present in neonatal life, while the Moro reflex was present only in neonates.…”

Section: Fetal To Neonatal Periodsmentioning

confidence: 98%

Four-dimensional Ultrasound Evaluation of Fetal Neurobehavioral Development

Hata¹,

Kanenishi²,

Tanaka³

et al. 2010

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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The introduction of four-dimensional (4D) ultrasound techniques would facilitate fetal behavioral assessment in three-dimensions in realtime during pregnancy. We describe the latest 4D sonographic studies on fetal behavior, especially fetal whole-body movements and facial expressions in all three trimesters of pregnancy and the continuation of behavior from the fetal to neonatal period. Moreover, we introduce a new scoring system (KANET, Kurjak Antenatal Neurological Test) for assessment of the fetal neurological status using 4D ultrasound. 4D ultrasound also facilitated the evaluation of inter-human contact in twin pregnancies in utero. This novel technique may assist in the evaluation of fetal behavior and inter-twin contact, and offer potential advantages relative to conventional two-dimensional ultrasound. 4D ultrasound should become an important modality in future research on fetal neurobehavioral development and the prenatal identification of severely brain-damaged infants. Further studies involving a larger sample size are needed to ascertain the role of 4D ultrasound in the evaluation of fetal neurobehavioral development.

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“…19 It has been also confirmed that the fetal movement patterns in the second half of pregnancy are about equal to those monitored after birth, while the list of movements in the newborn consists of some patterns that cannot be watched in the fetus, such as the Moro reflex. 27 As well, study of anencephalic fetuses have presented clear evidence for the influence of supraspinal structures on motor behavior at around the 20th gestational week. In these fetuses the number of movements was normal or even increased, but the complexity of the movement patterns distorted radically and movements were stereotyped and simplified.…”

Section: The Origin Of Fetal Behavior and Fetal Motor Development Assmentioning

confidence: 99%

Fetal Neurology—Lesson Learned and Future Challenges

Mišković¹,

Azumendi²,

Kurjak³

et al. 2007

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Neurological failure is the most apprehension complication of pregnancy, labor and the neonatal period. The origin and outcome correlation is frequently doubtful. The arrival of four-dimensional ultrasonography (4D US) and its function to study fetal behavior patterns have initiated to offer insight into the structural and functional fetal brain development. Although many fetal behavioral studies have been conducted, it is still questionable whether the assessment of continuity from fetal to neonatal behavior could improve our ability of early detection of brain pathology. Neurological assessment of fetus in utero is extremely difficult even having such sophisticated equipment like 4D ultrasound. As it is well known that quantity of GMs is not so informative and predictive for neurological impairment, their quality should be assessed. Gestalt perception of premature GMs we are dealing with in utero and several weeks postnatally are not as predictive for the detection of neurologically abnormal fetuses or newborns as fidgety GMs. Therefore some additional parameters should be added to the prenatal neurological examination in order to improve our ability to make the distinction between normal and abnormal fetuses.

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Behavioral pattern continuity from prenatal to postnatal life a study by four-dimensional (4D) ultrasonography

Cited by 162 publications

References 27 publications

Twins’ temperament: early prenatal sonographic assessment and postnatal correlation

Twins’ temperament: early prenatal sonographic assessment and postnatal correlation

Four-dimensional Ultrasound Evaluation of Fetal Neurobehavioral Development

Fetal Neurology—Lesson Learned and Future Challenges

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