Aviv · Psychoneuroendocrinology 2023 · prospective observational cohort study · n=91 (32 in MRI sub-study)

Prenatal prolactin predicts postnatal parenting attitudes and brain structure remodeling in first-time fathers.

Cited 17 times in the scientific literature.

Level 3 - non-randomized controlled study

Prospective observational cohort study tracking hormonal, behavioral, and neuroimaging outcomes across time.

PubMed 37478587 · doi:10.1016/j.psyneuen.2023.106332 · record verified 2026-08-26

What was done

Prolactin was sampled in 91 first-time expectant fathers during a laboratory visit alongside their pregnant partners. The study assessed correlations between paternal and maternal prolactin, as well as associations with self-reported antenatal bonding to the unborn child. Parenting attitudes (parenting stress, enjoyment of the infant, and parenting style) were assessed at three months postpartum. Additionally, a subsample of 32 fathers completed brain MRI scans before and after their child's birth to evaluate longitudinal changes in grey matter volume.

What was found

The abstract reports directional findings without presenting exact numerical values, correlation coefficients, or confidence intervals. Paternal prolactin levels during pregnancy correlated with partner prolactin levels and were associated with higher self-reported antenatal bonding. Higher prenatal prolactin also predicted lower parenting stress, greater infant enjoyment, and a more attunement-oriented parenting style at three months postpartum. In the neuroimaging subset (n = 32), higher prenatal prolactin predicted greater reductions in grey matter volume in the left posterior cingulate, left insula, and left nucleus accumbens.

Why it matters

This study provides preliminary evidence that prolactin biology in expectant fathers relates to their psychological transition to parenthood and correlates with structural neural remodeling across the perinatal period.

Limits

The abstract omits all numerical values, test statistics, and effect sizes. The sample size is modest (n = 91) and the neuroimaging subset is small (n = 32), increasing the risk of imprecision. The observational design cannot establish whether prolactin directly drives neural remodeling or parenting adaptation, or merely reflects broader relational or behavioral dynamics.

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