Endocrinology of parenting has been the subject of considerable study with focus both on human females and males and on females and males of other mammalian species. Parenting as an adaptive problem in mammals involves specific endocrine signals that were naturally selected to respond to infant cues and environmental inputs. [1] [2] Infants across species produce a number of cues to inform caregivers of their needs. These include visual cues, like facial characteristics, or in some species smiling, auditory cues, such as vocalizations, olfactory cues, and tactile stimulation. [3] A commonly mentioned hormone in parenting is oxytocin, [1] however many other hormones relay key information that results in variations in behavior. These include estrogen, progesterone, prolactin, cortisol, and testosterone. While hormones are not necessary for the expression of maternal behavior, they may influence it. [4]
Based on cross species evidence, some aspects of these mechanisms have been phylogenetically conserved from rodents to humans, [5] meaning that these mechanisms are adaptive for mammalian parenting and that the environment of evolutionary adaptedness of some parenting mechanisms may have evolved when mammals first evolved. The importance of these mechanisms are to regulate parental investment and to inform offspring about their environment, primarily those involving responsiveness and sensitivity. These are commonly mentioned in humans as important parenting characteristics that inform their infants about their environments. [6] [7] [2]
Many nonhuman studies can be used as both potential models for humans and to show the phylogenetic conservation of some endocrine signals. [1] Estrogen and progesterone released by ovaries during pregnancy make oxytocin receptors more sensitive in female rats [8] and is associated with the onset of maternal behaviors in other species as well. [4] [9] [10] Maestripieri found a very similar relationship in which estrogen and progesterone are increased during pregnancy whereas oxytocin was increased postpartum. [11] The presence of estrogen, progesterone, and estradiol in pregnant mammals in some species appears to exhibit a correlation to maternal behavior in the mammals before and after the birth of their offspring as well as in interactions with other offspring [4]
However, an increase in hormones influences maternal behavior, but it is not always the cause of the onset of maternal behavior in females. Some studies on primates in which increased estrogen and progesterone have a negative or absent correlation with maternal responsivity are in black tufted-ear marmosets, [12] common marmosets, [13] lowland gorillas, [14] and baboons. [15] Alternatively, one experimental study showed that nulliparous rats, which tend to avoid pups, were transfused with postpartum rat blood that is high in estrogen and progesterone which resulted in responsiveness to the pups’ cues. [16] Due to this variation between species, the effects of the hormones listed does not give much weight to the phylogenetic conservation of these neuroendocrine mechanisms; although Saltzman points out that the social structure of some species may be significant. [4] In social species, previous exposure to infants relies less on these hormones to activate mechanisms and more on modulating maternal behavior, because parenting behaviors are not always dependent on hormones. [4]
On the other hand, in non-human primates, specifically lactating females of multiple species, there is an alarming correlation with increased estrogen, progesterone, and prolactin. [4] These species include black tufted-ear marmosets, [12] baboons, [15] rhesus macaques, [17] and gorillas. [14] Endogenous signals such as an increase in estrogen compared to a decrease in progesterone, causes an increase in the levels of prolactin, the “lactating hormone,” in the bloodstream. Furthermore, exogenous cues from infants such as suckling induces this mechanism. [18] The hormone oxytocin, similarly to prolactin, has been found to increase with an increase in estrogen and the presence of infant cues such as suckling. [19]
Oxytocin has been found in other non-human species to inhibit the rejection of offspring; [4] oxytocin is essential for responsive and sensitive caregiving. [20] [21] [4] [22] Some specific examples include Francis's study on female rats which linked high amount of oxytocin receptors to increased grooming, [23] and another study by Maestripieri which linked oxytocin levels in free-ranging macaques to increased nursing and grooming. [11]
However, experimental results are less conclusive. As aforementioned, nulliparous mice do not respond to pup calls, but when administered with oxytocin, they do. [24] A similar study conducted by Holman and Goy tested nulliparous rhesus females, where their behavior post injection did not elicit a drastic response to infants, however, the adults presented a change in their behavior with a notable increase in proximity and touching. [25] Oxytocin is more often described as a hormone that facilitates bonding and not one that directly increases care. [26] [25] [27] [11] Also, the mice were responding to pup calls and the rhesus macaque infants weren't necessarily providing cues that would induce maternal care and support. Saltzman proposes that this is due to primates living socially and having a slower developmental trajectory, in which learning is more important. [4]
The function of oxytocin may lead to an increase in maternal behavior by subsequently reducing anxiety as it has been found to regulate anxiety, social recognition, and coping with stress. [28] Early studies have found that oxytocin influenced maternal behavior of mother rats depending on the environment in which they were placed. Oxytocin seemed to have an opposing effect on anxiety so that when placed in a novel environment as opposed to a familiar one, mother rats were better able to cope with their higher levels of stress due to their increased oxytocin levels.[ citation needed ]
Like in many nonhuman animals, human mothers go through a period of high progesterone during pregnancy that is followed by a decrease in progesterone and a subsequent increase in estrogen, prolactin and oxytocin near parturition. During pregnancy and postpartum, a high estradiol to progesterone ratio is associated with mothers reporting higher feelings of attachment. [29] High levels of progesterone, which are associated with pregnancy, inhibits prolactin and therefore lactation. [30] Prolactin increases during the initial stages of lactation and can be stimulated by estrogen but not progesterone. [30] Research, however, focuses on the role of prolactin for breastfeeding and less on other behaviors. [30] Prolactin increases with infant suckling, but not other forms of infant contact. [31] Oxytocin on the other hand increases with both suckling, and physical contact in human females. [30]
Oxytocin levels in human females are associated with the degree of physical affection and bonding. Feldman (2010) found that mothers who displayed “high affectionate contact” had increased oxytocin levels post interaction, but not mothers who displayed “low affectionate contact. [22] ” Oxytocin is believed to provide a feedback loop, meaning that maternal-infant contact increases oxytocin and oxytocin increases maternal behavior and facilitates bonding. [32] In one study oxytocin also played a role on mother reported attachment to her fetus. [33] Studies have shown that plasma oxytocin in pregnant women is higher compared to non-pregnant women. [28]
Wynne-Edwards and Timonin recognize that paternal care is not primed in the same way as maternal care simply because males do not undergo pregnancy. Therefore, males do not go through the same hormonal changes as women. [34] The simplest way, through natural selection, for paternal care to evolve or be maintained is to use the same or similar pathways as females. [35] Wynne and Reburn (2001) suggest that fathers who are pair bonded and spend time with the soon to be mother may activate paternal pathways through various cues. [35]
Estradiol increases just before their offspring's birth in black-tufted-ear marmosets and dwarf hamsters and possibly activates certain pathways involved in paternal behavior. [36] [37] This is similar to estrogen and progesterone in pregnant females. However, the manipulation of estradiol does not increase or decrease paternal behaviors. [34] This may be similar to the finding that women who do not breastfeed or do not have vaginal births still responds to their infants. [20]
Like expecting and new mothers, fathers in multiple mammals have elevated prolactin levels compared to non-fathers. These species include California mice, [38] Mongolian gerbils, [39] dwarf hamsters, [40] meerkats, [41] marmosets, [42] and cotton-top tamarins. [43] However, the previously listed studies have different cues and are associated with different paternal behaviors, and this may be due to species specific mechanisms or simply different contexts. The above species are biparental and the elevated prolactin levels in males were not exclusive to fathers.[ citation needed ]
There are variable results in between the effects of oxytocin on paternal care between males of different species. Oxytocin levels are unchanged in California mice before and after becoming fathers, [44] but the amount of paternal exposure to rats is associated with an increase in oxytocin and increased care. [43] However, multiple studies on biparental species show an association between paternal care and oxytocin. [44] [45] [35] [46] Since the species in these studies are biparental, excluding rats, it is unclear as to why California mice do not have a change in oxytocin postpartum.
In human mothers, oxytocin is associated with high physical contact and affection. However, studies on fathers show that oxytocin is related to high stimulatory contact and exploratory play. [22] [47] This supports three hypotheses:
One study exhibited the proposed effects that oxytocin had on Tsimane men who had been hunting for varying periods of time. [48] Once the men returned home, it was found that oxytocin levels were higher in those men who had hunted for longer periods of time. As a result of the longer time period spent hunting, the increased levels of oxytocin were thought to be interconnected with familial social contact dating back to humans’ evolutionary past.[ citation needed ]
Across multiple species and in some cases across sexes, there is evidence for the phylogenetic conservation of parental hormones. These include the relationships between the hormones estrogen, progesterone, prolactin, and oxytocin. In males across species, including humans, increased prolactin levels are associated with fatherhood. [38] [39] [40] [41] [42] [43] [49] [50]
In both non-human primates and humans, the increase in estrogen and progesterone during pregnancy is often followed by a decrease in progesterone and an increase in prolactin, postpartum. [12] [15] [14] [25] [30] One study utilized Silastic implants containing estradiol and progesterone which were implanted in nulliparous rats that either maintained the function of their pituitary glands or underwent a hypophysectomy to determine the length of time for maternal care to ensue. [51] The rats with hypophysectomies exposed to these conditions for 5-6 days were not affected by the treatment and consequently did not induce any maternal behavior. However, it was found that those rats with functioning pituitary glands exhibited maternal behavior within about 3-4 days.
In some studies on females across species, estrogen and progesterone prepartum is also related to oxytocin. [8] [4] [9] [10] [11] Although, the relationships between these hormones is similar across species, there is variation in the degree to how oxytocin effects behavior. For example, in some species, like rats, an increase in oxytocin greatly increases interactions with infants, [24] but an increase in oxytocin in macaques only mildly increased interactions. [25] However, the importance here is that oxytocin increased interactions in all of the relevant cited studies for females, [8] [4] [9] [10] [25] as well as the majority of studies cited for males. [44] [45] [35] [46]
In fathers across species the effects of oxytocin are more variable, however in general oxytocin is associated with increased paternal care. [44] [45] [35] [46] In human fathers increased oxytocin is linked to increased involvement, however the type of involvement is different between fathers and mothers, where fathers focus more on stimulatory contact and exploratory play. [22] [47] In human mothers oxytocin is associated with general care and affection. [22]
One study examined the effects that intranasal oxytocin spray administration has in relation to individuals' childhood experiences of punishment by maternal love withdrawal. [52] It was found that oxytocin effects were absent in individuals who experienced high maternal love withdrawal indicating that the parental behavior associated with withdrawal causes alterations in the genetic expression of endogenous oxytocin levels which affects their children into adulthood.
Contrary to the positive effects of oxytocin on maternal behavior, heightened levels of cortisol postpartum has been linked to a decrease in maternal care in nonhuman species, including the western lowland gorilla, [53] baboons, [54] Japanese macaques, [55] and rhesus macaques. [11] However, there has been some evidence to support that the increase in cortisol levels during pregnancy results in an increased maternal care in two baboon species. [56] [15] This variation possibly shows an ontogenetic difference in the role of cortisol.
The functions of prolactin have been extensively studied on rats which has revealed its effects and profound role in maternal care. The role of prolactin has been found to induce the maternal behavior in nulliparous rats exposed to a hypophysectomized steroid treatment as noted in which prolactin secreting pituitary implants were placed under the kidney capsule which caused a shortened latency to participate in maternal behavior towards foster pups. [28] The functions of prolactin have been extensively studied on rats which has revealed its effects and profound role in maternal care. The role of prolactin has been found to induce the maternal behavior in nulliparous rats exposed to a hypophysectomized steroid treatment as noted in which prolactin secreting pituitary implants were placed under the kidney capsule which caused a shortened latency to participate in maternal behavior towards foster pups. A different study used non-hypophysectomized, steroid-treated nulliparous rats were exposed to a dopamine D2 agonist, called bromocriptine, used to decrease the release of prolactin. [28] Bromocriptine, in turn, consequently lowered the maternal behavioral tendency to foster the young pups. Conversely, when bromocriptine was used in conjunction with prolactin, the maternal behavior returned.
Another experiment also utilized bromocriptine to inhibit the release of prolactin in mother rats who were lactating to their pups during a 2-5-day period. [57] The inhibition of prolactin release appears to indicate a critical period of the development of prolactin mechanisms within the pups. One study demonstrated that a deficiency in prolactin during the postnatal period in rats has the potential to affect their maternal behavior. [57] In this study bromocriptine-treated juvenile rats exhibited hyperactivity and distractibility from the pups during the maternal behavior test suggesting the importance of prolactin to promote maternal behavior. Adult rats also treated with bromocriptine showed similar differences when exposed to pups as opposed to control rats that exhibited maternal tendencies towards the pups. It was determined that prolactin deficiency may lead to disruptions in maternal behavior in adulthood, affect the neural substrates that promote maternal behavior, and that behavioral deficits are not only caused by a developmental delay in the systems regulating maternal behavior. [57]
Cortisol in human mothers is elevated during pregnancy. [58] Human mothers with elevated cortisol during pregnancy more easily recognized, and were more attracted to, their own infant's odors postpartum, but this did not affect maternal attitudes toward their infants. [29] Behaviorally, mothers with higher levels of cortisol postpartum displayed higher levels of affectionate approach. [29] Women with higher cortisol levels were also more alert and sympathetic to infant crying. [59] Fleming and colleagues discovered that there was variation in how cortisol affected mothers with only one offspring and those with more than one offspring. [29] When cortisol levels were high, women with one offspring displayed more affectionate contact, and women with multiple offspring spent more time in caretaking activities. However, the authors did not report whether or not the two groups of women had significantly different levels of cortisol. If they were different, the specific levels of cortisol may be a contributing factor in the different behaviors.
Couvade syndrome, or sympathy pregnancy, is defined by Masoni and colleagues as fathers having two or more pregnancy symptoms. [60] Human fathers with couvade syndrome have higher levels of prolactin, and cortisol levels than fathers without. [49] Cross-culturally couvade syndrome is associated with how close the mother and father are just prior to birth; in the postpartum period, these fathers invested more in direct care. [61] Increased paternal care is likely associated with offspring survival.
A study on Canadian fathers found that, just before the birth of their infant, the fathers had significantly higher prolactin and cortisol levels. [49] The father's prolactin and cortisol levels correlated with the mothers, although her levels were significantly higher. This provides evidence for Wynne and Reburn's hypothesis that mothers may provide cues to the father to activate paternal care pathways. [35] In a separate study, fathers with higher prolactin compared to other fathers responded more positively to infant crying. [50] These levels also positively correlated with father experience. In the same study, cortisol levels in response to infant cries were negatively correlated with father experience. Higher cortisol levels was associated with higher father alertness and responsiveness to infant crying. Increased levels of cortisol in response to infant cries was greater in inexperienced fathers. [50]
The behaviors associated with elevated cortisol levels appears to be more related to whether or not the mother was pre or postpartum, however the behaviors varied across species. In multiple studies on nonhuman females across species, found that high levels of cortisol postpartum was linked to low levels of maternal care. [53] [15] [55] [11] However, when cortisol levels were high during pregnancy there was an increase in maternal care. [56] [15] This difference did not hold true for humans of females and first time fathers. Increased cortisol levels in general increased maternal care. [29] [59] Increased cortisol levels in first time human fathers correlated with an increase in responsiveness to their infant's crying, but not in fathers with more than one offspring. [50]
Studies have been conducted that show an interaction between brain circuits that respond to baby-stimuli, such as infant cries, and testosterone and oxytocin pathways. [62] It has been found that when acute amounts of testosterone and oxytocin are administered to nulliparous women exposed to infant cries, they cause decreased responses in the amygdala and increased insula and inferior frontal gyrus responses. The alterations in responses within those brain regions have been seen to induce maternal behaviors. As such, there is speculation that increasing the availability of testosterone and oxytocin alters the maternal brain to induce a non-aversive response to infant cries.
The most commonly associated hormone with males is testosterone. It is believed to be the “anti-parental hormone”; it inhibits the activation of paternal mechanisms. [1] In many cases testosterone levels decrease when fathers have or actively care for their infants in non-humans. [49] [63] [50] [34] However, testosterone can be converted into estradiol, which supports paternal behavior. [34] [64] Testosterone is converted into estradiol through the process of aromatization. [64]
Stated previously, with the repeated presence of pups to non-parental rats, caregiving mechanisms can inhibit other mechanism, like the avoidance mechanism; [16] similar inhibitions occur in male marmosets. [65] When male marmosets hold their infants, they did not have an increased testosterone response to novel females when they otherwise would. In other words, holding the infant inhibited the mating mechanisms. This could mean that caregiving supersedes mating in some situations. For example, it may be adaptive to continue to invest in your current offspring rather than potentially create another.
Multiple studies on fathers have shown that a reduction in testosterone results in increased responsiveness to infant cues [66] [67] [68] and that fathers in general have lower testosterone than non-fathers. [68] [69] [70] Testosterone in human males decreases with the number of offspring human males have. [68] However, human males with higher level testosterone had greater activation of neural mechanisms when interacting with their own infants, [71] [72] this may be due to the activation of a paternal protection mechanism. [73]
Between species variation in behaviors associated with testosterone in biparental species was not noted. Across species father experience was negatively correlated with testosterone [65] [68] and lower levels of testosterone was associate with an increase in care. [66] [49] [68] Testosterone is more commonly studied in males than females. However, one study on human females found that lower testosterone is associated with increased maternal care. [29]
Estrogen is a category of sex hormone responsible for the development and regulation of the female reproductive system and secondary sex characteristics. There are three major endogenous estrogens that have estrogenic hormonal activity: estrone (E1), estradiol (E2), and estriol (E3). Estradiol, an estrane, is the most potent and prevalent. Another estrogen called estetrol (E4) is produced only during pregnancy.
The hypothalamus is a small part of the brain that contains a number of nuclei with a variety of functions. One of the most important functions is to link the nervous system to the endocrine system via the pituitary gland. The hypothalamus is located below the thalamus and is part of the limbic system. It forms the ventral part of the diencephalon. All vertebrate brains contain a hypothalamus. In humans, it is the size of an almond.
The hypothalamic–pituitary–adrenal axis is a complex set of direct influences and feedback interactions among three components: the hypothalamus, the pituitary gland, and the adrenal glands. These organs and their interactions constitute the HPA axis.
Prolactin (PRL), also known as lactotropin and mammotropin, is a protein best known for its role in enabling mammals to produce milk. It is influential in over 300 separate processes in various vertebrates, including humans. Prolactin is secreted from the pituitary gland in response to eating, mating, estrogen treatment, ovulation and nursing. It is secreted heavily in pulses in between these events. Prolactin plays an essential role in metabolism, regulation of the immune system and pancreatic development.
Lactational amenorrhea, also called postpartum infertility, is the temporary postnatal infertility that occurs when a woman is amenorrheic and fully breastfeeding.
Human bonding is the process of development of a close interpersonal relationship between two or more people. It most commonly takes place between family members or friends, but can also develop among groups, such as sporting teams and whenever people spend time together. Bonding is a mutual, interactive process, and is different from simple liking. It is the process of nurturing social connection.
The preoptic area is a region of the hypothalamus. MeSH classifies it as part of the anterior hypothalamus. TA lists four nuclei in this region,.
Savaging is a term used in the study of ethology that refers to aggressive behaviour displayed by the mother towards the offspring. Aggressive behaviour includes being rough with, injuring, biting, attacking, crushing and killing of the offspring. While savaging behaviour has been seen in multiple species, it is predominantly demonstrated in domestic pigs. As the definition of savaging is so broad, research on the prevalence of savaging behaviour varies with reports of little savaging of offspring to savaging of offspring up to the 20th percentile. Prevalence of aggressive, non-fatal savaging is greater in gilts, or females who have not yet previously farrowed, as piglet-focused aggression is more frequent in young animals than sows, adult females who have previously given birth. Occurrence of savaging demonstrated by sows is greater if the sow has previously savaged her offspring either as a gilt or sow. Savaging behaviour usually occurs during the first two days after parturition. Prevalence of savaging is similar among first and second farrowing cycles. Savaging behaviour has a significant impact on both agricultural economy and animal welfare which is why it is currently a subject of interest in the pig industry.
Nesting behavior refers to an instinct in animals during reproduction to prepare a place with optimal conditions for offspring. The nesting place provides protection against predators and competitors that mean to exploit or kill offspring. It also provides protection against the physical environment.
Lactation describes the secretion of milk from the mammary glands and the period of time that a mother lactates to feed her young. The process naturally occurs with all sexually mature female mammals, although it may predate mammals. The process of feeding milk in all female creatures is called nursing, and in humans it is also called breastfeeding. Newborn infants often produce some milk from their own breast tissue, known colloquially as witch's milk.
Freezing behavior, also called the freeze response or being petrified, is a reaction to specific stimuli, most commonly observed in prey animals. When a prey animal has been caught and completely overcome by the predator, it may respond by "freezing up/petrification" or in other words by uncontrollably becoming rigid or limp. Studies typically assess a conditioned freezing behavior response to stimuli that typically or innately do not cause fear, such as a tone or shock. Freezing behavior is most easily characterized by changes in blood pressure and lengths of time in crouching position, but it also is known to cause changes such as shortness of breath, increased heart rate, sweating, or choking sensation. However, since it is difficult to measure these sympathetic responses to fear stimuli, studies are typically confined to simple crouching times. A response to stimuli typically is said to be a "fight or flight", but is more completely described as "fight, flight, or freeze". In addition, freezing is observed to occur before or after a fight or flight response.
Maternal physiological changes in pregnancy are the adaptations that take place during pregnancy that enable the accommodation of the developing embryo and fetus. These are normal physiological adaptations that cause changes in behavior, the functioning of the heart, blood vessels, and blood, metabolism including increases in blood sugar levels, kidney function, posture, and breathing. During pregnancy numerous hormones and proteins are secreted that also have a broad range of effects.
The challenge hypothesis outlines the dynamic relationship between testosterone and aggression in mating contexts. It proposes that testosterone promotes aggression when it would be beneficial for reproduction, such as mate guarding, or strategies designed to prevent the encroachment of intrasexual rivals. The positive correlation between reproductive aggression and testosterone levels is seen to be strongest during times of social instability. The challenge hypothesis predicts that seasonal patterns in testosterone levels are a function of mating system, paternal care, and male-male aggression in seasonal breeders.
Sexual motivation is influenced by hormones such as testosterone, estrogen, progesterone, oxytocin, and vasopressin. In most mammalian species, sex hormones control the ability and motivation to engage in sexual behaviours.
Parental experience, as well as changing hormone levels during pregnancy and postpartum, cause changes in the parental brain. Displaying maternal sensitivity towards infant cues, processing those cues and being motivated to engage socially with her infant and attend to the infant's needs in any context could be described as mothering behavior and is regulated by many systems in the maternal brain. Research has shown that hormones such as oxytocin, prolactin, estradiol and progesterone are essential for the onset and the maintenance of maternal behavior in rats, and other mammals as well. Mothering behavior has also been classified within the basic drives.
Social monogamy in mammals is defined as sexually mature adult organisms living in pairs. While there are many definitions of social monogamy, this social organization can be found in invertebrates, reptiles and amphibians, fish, birds, mammals, and humans.
Changing hormone levels during pregnancy and postpartum as well as parental experience cause changes in the parental brain. Both the father and mother undergo distinct biological changes as they transition to parents, but the changes that occur in the paternal brain are not as well studied. Similar to the changes that occur in the maternal brain, the same areas of the brain are activated in the father, and hormonal changes occur in the paternal brain to ensure display of parenting behavior. In only 5% of mammalian species, including humans, the father plays a significant role in caring for his young. Paternal caregiving has independently evolved multiple times in mammals, and can appear in some species under captivity.
Breastfeeding and mental health is the relationship between postpartum breastfeeding and the mother's and child's mental health. Research indicates breastfeeding may have positive effects on the mother's and child's mental health, though there have been conflicting studies that question the correlation and causation of breastfeeding and maternal mental health. Possible benefits include improved mood and stress levels in the mother, lower risk of postpartum depression, enhanced social emotional development in the child, stronger mother-child bonding and more. Given the benefits of breastfeeding, the World Health Organization (WHO), the European Commission for Public Health (ECPH) and the American Academy of Pediatrics (AAP) suggest exclusive breastfeeding for the first six months of life. Despite these suggestions, estimates indicate 70% of mothers breastfeed their child after birth and 13.5% of infants in the United States are exclusively breastfed. Breastfeeding promotion and support for mothers who are experiencing difficulties or early cessation in breastfeeding is considered a health priority.
Darby Saxbe is a clinical psychologist and professor of psychology at the University of Southern California, who researches stress within the context of relationships.
Delayed onset of lactation (DOL) describes the absence of copious milk secretion (onset of lactation) within the first 72 hours following childbirth. It affects around 20–40% of lactating women, the prevalence differs among distinct populations.