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Maternal stress during the second trimester of pregnancy may influence the nervous system of the developing child, both before and after birth, and may have subtle effects on temperament, resulting in less smiling and engagement, as well as diminished ability to regulate emotions. Researchers looked at the stress levels of many low-to-middle-income women who were between 12 and 24 weeks pregnant. The researchers followed the women throughout pregnancy and after delivery, and conducted a test to compare their reported stress levels during pregnancy with objective levels of stress in their 6-month-old offspring.

In the test, the infants' cardiac function was monitored while the mothers were instructed to look at the infant's face but not interact with or touch them for two minutes following a brief play session. The mothers reported the number of stressful life events they had experienced during pregnancy, which included illness, relationship problems, housing difficulties and legal issues. The babies of mothers with the highest number of these stressful life events who completed the testing were 22 percent more reactive than the infants of mothers reporting the lowest number of stressful life events. They also recovered less quickly from the stressor, demonstrating lower resilience.

High reactivity, which is assessed by measuring the variability in the heart rate in conjunction with breathing, is indicative of a stronger decrease in parasympathetic nervous system activity in response to challenge, The parasympathetic nervous system enables the body to rest and digest food, by slowing the heart rate and increasing intestinal and glandular activity. Being highly reactive places children at risk for a range of psychopathological problems, particularly anxiety and depression, as well as externalizing problems, such as disruptive behavior, especially if they experience adverse family and school environments.

However, in an optimal environment with few adversities, children with higher stress reactivity don't have their stress response triggered too often and may exhibit better-than-average social skills and emotional and behavioral well-being, because greater reactivity can make them more sensitive to the benefits of positive relationships and experiences in their environments. Those who had higher levels of perceived stress in pregnancy and post-delivery, had babies with temperamental surgency levels that were 8 percent lower than those babies of mothers in the lower third, who reported less perceived stress in pregnancy and post-delivery.

Surgency includes traits such as willingness to approach and engage with the outside world, as well as laughter and smiles. These same babies born to the highly-stressed mothers were also found to have eight percent lower levels of self-regulation, the ability to manage emotions – such as soothing themselves in periods of high stress compared with the babies of mothers with less perceived stress during pregnancy and post-delivery. This combination of lower surgency and lower self-regulation can place individuals at added risk for depression, anxiety and difficulties with their social relationships.
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