Prenatal anesthetic exposure and offspring neurodevelopmental outcomes—A narrative review

While it is common for pregnant women to take anesthesia during surgery, the effects of prenatal anesthesia exposure (PAE) on the long-term neurodevelopment of the offspring remain to be clarified. Preclinical animal research has shown that in utero anesthetic exposure causes neurotoxicity in newbor...

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Main Authors: Nannan Zhou, Shuang Liang, Xinying Yue, Wangyuan Zou
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2023.1146569/full
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author Nannan Zhou
Shuang Liang
Xinying Yue
Wangyuan Zou
author_facet Nannan Zhou
Shuang Liang
Xinying Yue
Wangyuan Zou
author_sort Nannan Zhou
collection DOAJ
description While it is common for pregnant women to take anesthesia during surgery, the effects of prenatal anesthesia exposure (PAE) on the long-term neurodevelopment of the offspring remain to be clarified. Preclinical animal research has shown that in utero anesthetic exposure causes neurotoxicity in newborns, which is mainly characterized by histomorphological changes and altered learning and memory abilities. Regional birth cohort studies that are based on databases are currently the most convenient and popular types of clinical studies. Specialized questionnaires and scales are usually employed in these studies for the screening and diagnosis of neurodevelopmental disorders in the offspring. The time intervals between the intrauterine exposure and the onset of developmental outcomes often vary over several years and accommodate a large number of confounding factors, which have an even greater impact on the neurodevelopment of the offspring than prenatal anesthesia itself. This narrative review summarized the progress in prenatal anesthetic exposure and neurodevelopmental outcomes in the offspring from animal experimental research and clinical studies and provided a brief introduction to assess the neurodevelopment in children and potential confounding factors.
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spelling doaj.art-abc0fc7513c941f88df61bf42b3f264a2023-03-29T04:37:05ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-03-011410.3389/fneur.2023.11465691146569Prenatal anesthetic exposure and offspring neurodevelopmental outcomes—A narrative reviewNannan ZhouShuang LiangXinying YueWangyuan ZouWhile it is common for pregnant women to take anesthesia during surgery, the effects of prenatal anesthesia exposure (PAE) on the long-term neurodevelopment of the offspring remain to be clarified. Preclinical animal research has shown that in utero anesthetic exposure causes neurotoxicity in newborns, which is mainly characterized by histomorphological changes and altered learning and memory abilities. Regional birth cohort studies that are based on databases are currently the most convenient and popular types of clinical studies. Specialized questionnaires and scales are usually employed in these studies for the screening and diagnosis of neurodevelopmental disorders in the offspring. The time intervals between the intrauterine exposure and the onset of developmental outcomes often vary over several years and accommodate a large number of confounding factors, which have an even greater impact on the neurodevelopment of the offspring than prenatal anesthesia itself. This narrative review summarized the progress in prenatal anesthetic exposure and neurodevelopmental outcomes in the offspring from animal experimental research and clinical studies and provided a brief introduction to assess the neurodevelopment in children and potential confounding factors.https://www.frontiersin.org/articles/10.3389/fneur.2023.1146569/fullanesthesiapregnancymaternal exposurefetusneurotoxicityoffspring
spellingShingle Nannan Zhou
Shuang Liang
Xinying Yue
Wangyuan Zou
Prenatal anesthetic exposure and offspring neurodevelopmental outcomes—A narrative review
Frontiers in Neurology
anesthesia
pregnancy
maternal exposure
fetus
neurotoxicity
offspring
title Prenatal anesthetic exposure and offspring neurodevelopmental outcomes—A narrative review
title_full Prenatal anesthetic exposure and offspring neurodevelopmental outcomes—A narrative review
title_fullStr Prenatal anesthetic exposure and offspring neurodevelopmental outcomes—A narrative review
title_full_unstemmed Prenatal anesthetic exposure and offspring neurodevelopmental outcomes—A narrative review
title_short Prenatal anesthetic exposure and offspring neurodevelopmental outcomes—A narrative review
title_sort prenatal anesthetic exposure and offspring neurodevelopmental outcomes a narrative review
topic anesthesia
pregnancy
maternal exposure
fetus
neurotoxicity
offspring
url https://www.frontiersin.org/articles/10.3389/fneur.2023.1146569/full
work_keys_str_mv AT nannanzhou prenatalanestheticexposureandoffspringneurodevelopmentaloutcomesanarrativereview
AT shuangliang prenatalanestheticexposureandoffspringneurodevelopmentaloutcomesanarrativereview
AT xinyingyue prenatalanestheticexposureandoffspringneurodevelopmentaloutcomesanarrativereview
AT wangyuanzou prenatalanestheticexposureandoffspringneurodevelopmentaloutcomesanarrativereview