The EPIIC hypothesis

Intrapartum effects on the neonatal epigenome and consequent health outcomes

H. G. Dahlen, H. P. Kennedy, C. M. Anderson, A. F. Bell, A. Clark, M. Foureur, J. E. Ohm, A. M. Shearman, Jacquelyn Taylor, M. L. Wright, S. Downe

Research output: Contribution to journalArticle

Abstract

There are many published studies about the epigenetic effects of the prenatal and infant periods on health outcomes. However, there is very little knowledge regarding the effects of the intrapartum period (labor and birth) on health and epigenetic remodeling. Although the intrapartum period is relatively short compared to the complete perinatal period, there is emerging evidence that this time frame may be a critical formative phase for the human genome. Given the debates from the National Institutes of Health and World Health Organization regarding routine childbirth procedures, it is essential to establish the state of the science concerning normal intrapartum epigenetic physiology. EPIIC (Epigenetic Impact of Childbirth) is an international, interdisciplinary research collaboration with expertise in the fields of genetics, physiology, developmental biology, epidemiology, medicine, midwifery, and nursing. We hypothesize that events during the intrapartum period - specifically the use of synthetic oxytocin, antibiotics, and cesarean section - affect the epigenetic remodeling processes and subsequent health of the mother and offspring. The rationale for this hypothesis is based on recent evidence and current best practice.

Original languageEnglish (US)
Pages (from-to)656-662
Number of pages7
JournalMedical Hypotheses
Volume80
Issue number5
DOIs
StatePublished - May 1 2013

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Epigenomics
Parturition
Health
Genetic Epigenesis
Developmental Biology
National Institutes of Health (U.S.)
Midwifery
Human Genome
Oxytocin
Practice Guidelines
Cesarean Section
Epidemiology
Nursing
Mothers
Medicine
Anti-Bacterial Agents
Research

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Dahlen, H. G., Kennedy, H. P., Anderson, C. M., Bell, A. F., Clark, A., Foureur, M., ... Downe, S. (2013). The EPIIC hypothesis: Intrapartum effects on the neonatal epigenome and consequent health outcomes. Medical Hypotheses, 80(5), 656-662. https://doi.org/10.1016/j.mehy.2013.01.017

The EPIIC hypothesis : Intrapartum effects on the neonatal epigenome and consequent health outcomes. / Dahlen, H. G.; Kennedy, H. P.; Anderson, C. M.; Bell, A. F.; Clark, A.; Foureur, M.; Ohm, J. E.; Shearman, A. M.; Taylor, Jacquelyn; Wright, M. L.; Downe, S.

In: Medical Hypotheses, Vol. 80, No. 5, 01.05.2013, p. 656-662.

Research output: Contribution to journalArticle

Dahlen, HG, Kennedy, HP, Anderson, CM, Bell, AF, Clark, A, Foureur, M, Ohm, JE, Shearman, AM, Taylor, J, Wright, ML & Downe, S 2013, 'The EPIIC hypothesis: Intrapartum effects on the neonatal epigenome and consequent health outcomes', Medical Hypotheses, vol. 80, no. 5, pp. 656-662. https://doi.org/10.1016/j.mehy.2013.01.017
Dahlen, H. G. ; Kennedy, H. P. ; Anderson, C. M. ; Bell, A. F. ; Clark, A. ; Foureur, M. ; Ohm, J. E. ; Shearman, A. M. ; Taylor, Jacquelyn ; Wright, M. L. ; Downe, S. / The EPIIC hypothesis : Intrapartum effects on the neonatal epigenome and consequent health outcomes. In: Medical Hypotheses. 2013 ; Vol. 80, No. 5. pp. 656-662.
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