Annie Murphy Paul: What we learn before we're born

My subject today is learning.

And in that spirit, I want to spring on you all a pop quiz.

Ready?

When does learning begin?

Now as you ponder that question,

maybe you're thinking about the first day of preschool

or kindergarten,

the first time that kids are in a classroom with a teacher.

Or maybe you've called to mind the toddler phase

when children are learning how to walk and talk

and use a fork.

Maybe you've encountered the Zero-to-Three movement,

which asserts that the most important years for learning

are the earliest ones.

And so your answer to my question would be:

Learning begins at birth.

Well today I want to present to you

an idea that may be surprising

and may even seem implausible,

but which is supported by the latest evidence

from psychology and biology.

And that is that some of the most important learning we ever do

happens before we're born,

while we're still in the womb.

Now I'm a science reporter.

I write books and magazine articles.

And I'm also a mother.

And those two roles came together for me

in a book that I wrote called "Origins."

"Origins" is a report from the front lines

of an exciting new field

called fetal origins.

Fetal origins is a scientific discipline

that emerged just about two decades ago,

and it's based on the theory

that our health and well-being throughout our lives

is crucially affected

by the nine months we spend in the womb.

Now this theory was of more than just intellectual interest to me.

I was myself pregnant

while I was doing the research for the book.

And one of the most fascinating insights

I took from this work

is that we're all learning about the world

even before we enter it.

When we hold our babies for the first time,

we might imagine that they're clean slates,

unmarked by life,

when in fact, they've already been shaped by us

and by the particular world we live in.

Today I want to share with you some of the amazing things

that scientists are discovering

about what fetuses learn

while they're still in their mothers' bellies.

First of all,

they learn the sound of their mothers' voices.

Because sounds from the outside world

have to travel through the mother's abdominal tissue

and through the amniotic fluid that surrounds the fetus,

the voices fetuses hear,

starting around the fourth month of gestation,

are muted and muffled.

One researcher says

that they probably sound a lot like the the voice of Charlie Brown's teacher

in the old "Peanuts" cartoon.

But the pregnant woman's own voice

reverberates through her body,

reaching the fetus much more readily.

And because the fetus is with her all the time,

it hears her voice a lot.

Once the baby's born, it recognizes her voice

and it prefers listening to her voice

over anyone else's.

How can we know this?

Newborn babies can't do much,

but one thing they're really good at is sucking.

Researchers take advantage of this fact

by rigging up two rubber nipples,

so that if a baby sucks on one,

it hears a recording of its mother's voice

on a pair of headphones,

and if it sucks on the other nipple,

it hears a recording of a female stranger's voice.

Babies quickly show their preference

by choosing the first one.

Scientists also take advantage of the fact

that babies will slow down their sucking

when something interests them

and resume their fast sucking

when they get bored.

This is how researchers discovered

that, after women repeatedly read aloud

a section of Dr. Seuss' "The Cat in the Hat" while they were pregnant,

their newborn babies recognized that passage

when they hear it outside the womb.

My favorite experiment of this kind

is the one that showed that the babies

of women who watched a certain soap opera

every day during pregnancy

recognized the theme song of that show

once they were born.

So fetuses are even learning

about the particular language that's spoken

in the world that they'll be born into.

A study published last year

found that from birth, from the moment of birth,

babies cry in the accent

of their mother's native language.

French babies cry on a rising note

while German babies end on a falling note,

imitating the melodic contours

of those languages.

Now why would this kind of fetal learning

be useful?

It may have evolved to aid the baby's survival.

From the moment of birth,

the baby responds most to the voice

of the person who is most likely to care for it --

its mother.

It even makes its cries

sound like the mother's language,

which may further endear the baby to the mother,

and which may give the baby a head start

in the critical task

of learning how to understand and speak

its native language.

But it's not just sounds

that fetuses are learning about in utero.

It's also tastes and smells.

By seven months of gestation,

the fetus' taste buds are fully developed,

and its olfactory receptors, which allow it to smell,

are functioning.

The flavors of the food a pregnant woman eats

find their way into the amniotic fluid,

which is continuously swallowed

by the fetus.

Babies seem to remember and prefer these tastes

once they're out in the world.

In one experiment, a group of pregnant women

was asked to drink a lot of carrot juice

during their third trimester of pregnancy,

while another group of pregnant women

drank only water.

Six months later, the women's infants

were offered cereal mixed with carrot juice,

and their facial expressions were observed while they ate it.

The offspring of the carrot juice drinking women

ate more carrot-flavored cereal,

and from the looks of it,

they seemed to enjoy it more.

A sort of French version of this experiment

was carried out in Dijon, France

where researchers found

that mothers who consumed food and drink

flavored with licorice-flavored anise during pregnancy

showed a preference for anise

on their first day of life,

and again, when they were tested later,

on their fourth day of life.

Babies whose mothers did not eat anise during pregnancy

showed a reaction that translated roughly as "yuck."

What this means

is that fetuses are effectively being taught by their mothers

about what is safe and good to eat.

Fetuses are also being taught

about the particular culture that they'll be joining

through one of culture's most powerful expressions,

which is food.

They're being introduced to the characteristic flavors and spices

of their culture's cuisine

even before birth.

Now it turns out that fetuses are learning even bigger lessons.

But before I get to that,

I want to address something that you may be wondering about.

The notion of fetal learning

may conjure up for you attempts to enrich the fetus --

like playing Mozart through headphones

placed on a pregnant belly.

But actually, the nine-month-long process

of molding and shaping that goes on in the womb

is a lot more visceral and consequential than that.

Much of what a pregnant woman encounters in her daily life --

the air she breathes,

the food and drink she consumes,

the chemicals she's exposed to,

even the emotions she feels --

are shared in some fashion with her fetus.

They make up a mix of influences

as individual and idiosyncratic

as the woman herself.

The fetus incorporates these offerings

into its own body,

makes them part of its flesh and blood.

And often it does something more.

It treats these maternal contributions

as information,

as what I like to call biological postcards

from the world outside.

So what a fetus is learning about in utero

is not Mozart's "Magic Flute"

but answers to questions much more critical to its survival.

Will it be born into a world of abundance

or scarcity?

Will it be safe and protected,

or will it face constant dangers and threats?

Will it live a long, fruitful life

or a short, harried one?

The pregnant woman's diet and stress level in particular

provide important clues to prevailing conditions

like a finger lifted to the wind.

The resulting tuning and tweaking

of a fetus' brain and other organs

are part of what give us humans

our enormous flexibility,

our ability to thrive

in a huge variety of environments,

from the country to the city,

from the tundra to the desert.

To conclude, I want to tell you two stories

about how mothers teach their children about the world

even before they're born.

In the autumn of 1944,

the darkest days of World War II,

German troops blockaded Western Holland,

turning away all shipments of food.

The opening of the Nazi's siege

was followed by one of the harshest winters in decades --

so cold the water in the canals froze solid.

Soon food became scarce,

with many Dutch surviving on just 500 calories a day --

a quarter of what they consumed before the war.

As weeks of deprivation stretched into months,

some resorted to eating tulip bulbs.

By the beginning of May,

the nation's carefully rationed food reserve

was completely exhausted.

The specter of mass starvation loomed.

And then on May 5th, 1945,

the siege came to a sudden end

when Holland was liberated

by the Allies.

The "Hunger Winter," as it came to be known,

killed some 10,000 people

and weakened thousands more.

But there was another population that was affected --

the 40,000 fetuses

in utero during the siege.

Some of the effects of malnutrition during pregnancy

were immediately apparent

in higher rates of stillbirths,

birth defects, low birth weights

and infant mortality.

But others wouldn't be discovered for many years.

Decades after the "Hunger Winter,"

researchers documented

that people whose mothers were pregnant during the siege

have more obesity, more diabetes

and more heart disease in later life

than individuals who were gestated under normal conditions.

These individuals' prenatal experience of starvation

seems to have changed their bodies

in myriad ways.

They have higher blood pressure,

poorer cholesterol profiles

and reduced glucose tolerance --

a precursor of diabetes.

Why would undernutrition in the womb

result in disease later?

One explanation

is that fetuses are making the best of a bad situation.

When food is scarce,

they divert nutrients towards the really critical organ, the brain,

and away from other organs

like the heart and liver.

This keeps the fetus alive in the short-term,

but the bill comes due later on in life

when those other organs, deprived early on,

become more susceptible to disease.

But that may not be all that's going on.

It seems that fetuses are taking cues

from the intrauterine environment

and tailoring their physiology accordingly.

They're preparing themselves

for the kind of world they will encounter

on the other side of the womb.

The fetus adjusts its metabolism

and other physiological processes

in anticipation of the environment that awaits it.

And the basis of the fetus' prediction

is what its mother eats.

The meals a pregnant woman consumes

constitute a kind of story,

a fairy tale of abundance

or a grim chronicle of deprivation.

This story imparts information

that the fetus uses

to organize its body and its systems --

an adaptation to prevailing circumstances

that facilitates its future survival.

Faced with severely limited resources,

a smaller-sized child with reduced energy requirements

will, in fact, have a better chance

of living to adulthood.

The real trouble comes

when pregnant women are, in a sense, unreliable narrators,

when fetuses are led

to expect a world of scarcity

and are born instead into a world of plenty.

This is what happened to the children of the Dutch "Hunger Winter."

And their higher rates of obesity,

diabetes and heart disease

are the result.

Bodies that were built to hang onto every calorie

found themselves swimming in the superfluous calories

of the post-war Western diet.

The world they had learned about while in utero

was not the same

as the world into which they were born.

Here's another story.

At 8:46 a.m. on September 11th, 2001,

there were tens of thousands of people

in the vicinity of the World Trade Center

in New York --

commuters spilling off trains,

waitresses setting tables for the morning rush,

brokers already working the phones on Wall Street.

1,700 of these people were pregnant women.

When the planes struck and the towers collapsed,

many of these women experienced the same horrors

inflicted on other survivors of the disaster --

the overwhelming chaos and confusion,

the rolling clouds

of potentially toxic dust and debris,

the heart-pounding fear for their lives.

About a year after 9/11,

researchers examined a group of women

who were pregnant

when they were exposed to the World Trade Center attack.

In the babies of those women

who developed post-traumatic stress syndrome, or PTSD,

following their ordeal,

researchers discovered a biological marker

of susceptibility to PTSD --

an effect that was most pronounced

in infants whose mothers experienced the catastrophe

in their third trimester.

In other words,

the mothers with post-traumatic stress syndrome

had passed on a vulnerability to the condition

to their children while they were still in utero.

Now consider this:

post-traumatic stress syndrome

appears to be a reaction to stress gone very wrong,

causing its victims tremendous unnecessary suffering.

But there's another way of thinking about PTSD.

What looks like pathology to us

may actually be a useful adaptation

in some circumstances.

In a particularly dangerous environment,

the characteristic manifestations of PTSD --

a hyper-awareness of one's surroundings,

a quick-trigger response to danger --

could save someone's life.

The notion that the prenatal transmission of PTSD risk is adaptive

is still speculative,

but I find it rather poignant.

It would mean that, even before birth,

mothers are warning their children

that it's a wild world out there,

telling them, "Be careful."

Let me be clear.

Fetal origins research is not about blaming women

for what happens during pregnancy.

It's about discovering how best to promote

the health and well-being of the next generation.

That important effort must include a focus

on what fetuses learn

during the nine months they spend in the womb.

Learning is one of life's most essential activities,

and it begins much earlier

than we ever imagined.

Thank you.

(Applause)