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The Myth of Normal 116

intolerable pressures contemporary society places on the rearing milieu, the family, and on the developing young—and, as epigenetics teaches us, on the very activation of DNA itself. We need to consider to what extent our culture, including employment and the health care and insurance systems, supports or undermines women’s capacity to hold their unborn infants’ needs as a high social priority. How many women are asked during prenatal checkups about their mental and emotional states, what stresses at home or on the job they may be experiencing? How many future physicians are even taught to pose such questions? How many spouses are helped to understand their responsibility to protect their expectant partners from undue stress and travail? How many businesses make provisions for their pregnant employees’ relief? That last question has an especially dismal answer: women frequently report a pregnancy-hostile work milieu, especially in lower-paid jobs. But even in supportive workplaces, women are often burdened by the pressure they have absorbed and put on themselves to perform, advance, even excel in a competence-mad society. Work rarely “stays at work.” As Rae intuited, the baby feels the mother’s stress directly. “By listening intently to movements and heartbeats, researchers are finding that the fetuses of mothers who are stressed or depressed respond differently from those of emotionally healthy women,” the New York Times reported as far back as

  1. “After birth, studies indicate, these infants have a significantly increased risk of developing learning and behavioral problems and may themselves be more vulnerable to depression or anxiety as they age.” Essential neurotransmitters such as serotonin and dopamine that later play key roles in mood regulation, impulse control, attention, motivation, and the modulation of aggression—and are implicated in the very learning, behavioral, and mood difficulties the article mentions—are affected by prenatal stress on the mother. Babies of moms stressed in pregnancy have lower levels of these brain chemicals and higher levels of the stress hormone cortisol. Not surprisingly, the same study showed that these newborns also had less developed learning skills, they were less responsive to social stimulation, and they were less able to calm themselves when agitated.[4]

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