ABOUT THE SPEAKER
Annie Murphy Paul - Science author
Annie Murphy Paul investigates how life in the womb shapes who we become.

Why you should listen

To what extent the conditions we encounter before birth influence our individual characteristics? It‘s the question at the center of fetal origins, a relatively new field of research that measures how the effects of influences outside the womb during pregnancy can shape the physical, mental and even emotional well-being of the developing baby for the rest of its life.

Science writer Annie Murphy Paul calls it a gray zone between nature and nurture in her book Origins, a history and study of this emerging field structured around a personal narrative -- Paul was pregnant with her second child at the time. What she finds suggests a far more dynamic nature between mother and fetus than typically acknowledged, and opens up the possibility that the time before birth is as crucial to human development as early childhood.

Read Annie Murphy Paul's essay on CNN.com>>

More profile about the speaker
Annie Murphy Paul | Speaker | TED.com
TEDGlobal 2011

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

Filmed:
2,517,731 views

Pop quiz: When does learning begin? Answer: Before we are born. Science writer Annie Murphy Paul talks through new research that shows how much we learn in the womb -- from the lilt of our native language to our soon-to-be-favorite foods.
- Science author
Annie Murphy Paul investigates how life in the womb shapes who we become. Full bio

Double-click the English transcript below to play the video.

00:15
My subject today is learning.
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And in that spirit, I want to spring on you all a pop quiz.
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Ready?
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When does learning begin?
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Now as you ponder that question,
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maybe you're thinking about the first day of preschool
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or kindergarten,
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the first time that kids are in a classroom with a teacher.
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Or maybe you've called to mind the toddler phase
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when children are learning how to walk and talk
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and use a fork.
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Maybe you've encountered the Zero-to-Three movement,
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which asserts that the most important years for learning
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are the earliest ones.
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And so your answer to my question would be:
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Learning begins at birth.
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Well today I want to present to you
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an idea that may be surprising
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and may even seem implausible,
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but which is supported by the latest evidence
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from psychology and biology.
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And that is that some of the most important learning we ever do
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happens before we're born,
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while we're still in the womb.
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Now I'm a science reporter.
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I write books and magazine articles.
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And I'm also a mother.
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And those two roles came together for me
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in a book that I wrote called "Origins."
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"Origins" is a report from the front lines
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of an exciting new field
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called fetal origins.
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Fetal origins is a scientific discipline
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that emerged just about two decades ago,
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and it's based on the theory
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that our health and well-being throughout our lives
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is crucially affected
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by the nine months we spend in the womb.
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Now this theory was of more than just intellectual interest to me.
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I was myself pregnant
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while I was doing the research for the book.
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And one of the most fascinating insights
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I took from this work
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is that we're all learning about the world
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even before we enter it.
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When we hold our babies for the first time,
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we might imagine that they're clean slates,
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unmarked by life,
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when in fact, they've already been shaped by us
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and by the particular world we live in.
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Today I want to share with you some of the amazing things
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that scientists are discovering
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about what fetuses learn
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while they're still in their mothers' bellies.
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First of all,
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they learn the sound of their mothers' voices.
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Because sounds from the outside world
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have to travel through the mother's abdominal tissue
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and through the amniotic fluid that surrounds the fetus,
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the voices fetuses hear,
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starting around the fourth month of gestation,
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are muted and muffled.
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One researcher says
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that they probably sound a lot like the the voice of Charlie Brown's teacher
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in the old "Peanuts" cartoon.
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But the pregnant woman's own voice
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reverberates through her body,
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reaching the fetus much more readily.
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And because the fetus is with her all the time,
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it hears her voice a lot.
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Once the baby's born, it recognizes her voice
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and it prefers listening to her voice
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over anyone else's.
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How can we know this?
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Newborn babies can't do much,
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but one thing they're really good at is sucking.
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Researchers take advantage of this fact
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by rigging up two rubber nipples,
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so that if a baby sucks on one,
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it hears a recording of its mother's voice
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on a pair of headphones,
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and if it sucks on the other nipple,
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it hears a recording of a female stranger's voice.
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Babies quickly show their preference
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by choosing the first one.
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Scientists also take advantage of the fact
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that babies will slow down their sucking
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when something interests them
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and resume their fast sucking
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when they get bored.
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This is how researchers discovered
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that, after women repeatedly read aloud
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a section of Dr. Seuss' "The Cat in the Hat" while they were pregnant,
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their newborn babies recognized that passage
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when they hear it outside the womb.
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My favorite experiment of this kind
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is the one that showed that the babies
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of women who watched a certain soap opera
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every day during pregnancy
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recognized the theme song of that show
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once they were born.
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So fetuses are even learning
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about the particular language that's spoken
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in the world that they'll be born into.
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A study published last year
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found that from birth, from the moment of birth,
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babies cry in the accent
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of their mother's native language.
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French babies cry on a rising note
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while German babies end on a falling note,
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imitating the melodic contours
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of those languages.
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Now why would this kind of fetal learning
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be useful?
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It may have evolved to aid the baby's survival.
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From the moment of birth,
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the baby responds most to the voice
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of the person who is most likely to care for it --
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its mother.
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It even makes its cries
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sound like the mother's language,
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which may further endear the baby to the mother,
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and which may give the baby a head start
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in the critical task
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of learning how to understand and speak
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its native language.
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But it's not just sounds
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that fetuses are learning about in utero.
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It's also tastes and smells.
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By seven months of gestation,
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the fetus' taste buds are fully developed,
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and its olfactory receptors, which allow it to smell,
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are functioning.
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The flavors of the food a pregnant woman eats
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find their way into the amniotic fluid,
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which is continuously swallowed
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by the fetus.
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Babies seem to remember and prefer these tastes
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once they're out in the world.
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In one experiment, a group of pregnant women
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was asked to drink a lot of carrot juice
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during their third trimester of pregnancy,
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while another group of pregnant women
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drank only water.
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Six months later, the women's infants
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were offered cereal mixed with carrot juice,
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and their facial expressions were observed while they ate it.
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The offspring of the carrot juice drinking women
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ate more carrot-flavored cereal,
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and from the looks of it,
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they seemed to enjoy it more.
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A sort of French version of this experiment
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was carried out in Dijon, France
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where researchers found
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that mothers who consumed food and drink
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flavored with licorice-flavored anise during pregnancy
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showed a preference for anise
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on their first day of life,
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and again, when they were tested later,
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on their fourth day of life.
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Babies whose mothers did not eat anise during pregnancy
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showed a reaction that translated roughly as "yuck."
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What this means
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is that fetuses are effectively being taught by their mothers
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about what is safe and good to eat.
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Fetuses are also being taught
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about the particular culture that they'll be joining
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through one of culture's most powerful expressions,
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which is food.
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They're being introduced to the characteristic flavors and spices
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of their culture's cuisine
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even before birth.
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Now it turns out that fetuses are learning even bigger lessons.
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But before I get to that,
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I want to address something that you may be wondering about.
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The notion of fetal learning
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may conjure up for you attempts to enrich the fetus --
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like playing Mozart through headphones
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placed on a pregnant belly.
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But actually, the nine-month-long process
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of molding and shaping that goes on in the womb
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is a lot more visceral and consequential than that.
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Much of what a pregnant woman encounters in her daily life --
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the air she breathes,
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the food and drink she consumes,
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the chemicals she's exposed to,
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even the emotions she feels --
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are shared in some fashion with her fetus.
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They make up a mix of influences
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as individual and idiosyncratic
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as the woman herself.
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The fetus incorporates these offerings
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into its own body,
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makes them part of its flesh and blood.
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And often it does something more.
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It treats these maternal contributions
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as information,
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as what I like to call biological postcards
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from the world outside.
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So what a fetus is learning about in utero
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is not Mozart's "Magic Flute"
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but answers to questions much more critical to its survival.
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Will it be born into a world of abundance
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or scarcity?
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Will it be safe and protected,
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or will it face constant dangers and threats?
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Will it live a long, fruitful life
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or a short, harried one?
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The pregnant woman's diet and stress level in particular
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provide important clues to prevailing conditions
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like a finger lifted to the wind.
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The resulting tuning and tweaking
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of a fetus' brain and other organs
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are part of what give us humans
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our enormous flexibility,
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our ability to thrive
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in a huge variety of environments,
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from the country to the city,
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from the tundra to the desert.
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To conclude, I want to tell you two stories
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about how mothers teach their children about the world
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even before they're born.
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In the autumn of 1944,
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the darkest days of World War II,
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German troops blockaded Western Holland,
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turning away all shipments of food.
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The opening of the Nazi's siege
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was followed by one of the harshest winters in decades --
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so cold the water in the canals froze solid.
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Soon food became scarce,
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with many Dutch surviving on just 500 calories a day --
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a quarter of what they consumed before the war.
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As weeks of deprivation stretched into months,
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some resorted to eating tulip bulbs.
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By the beginning of May,
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the nation's carefully rationed food reserve
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was completely exhausted.
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The specter of mass starvation loomed.
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And then on May 5th, 1945,
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the siege came to a sudden end
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when Holland was liberated
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by the Allies.
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The "Hunger Winter," as it came to be known,
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killed some 10,000 people
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and weakened thousands more.
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But there was another population that was affected --
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the 40,000 fetuses
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in utero during the siege.
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Some of the effects of malnutrition during pregnancy
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were immediately apparent
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in higher rates of stillbirths,
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birth defects, low birth weights
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and infant mortality.
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But others wouldn't be discovered for many years.
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Decades after the "Hunger Winter,"
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researchers documented
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that people whose mothers were pregnant during the siege
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have more obesity, more diabetes
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and more heart disease in later life
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than individuals who were gestated under normal conditions.
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These individuals' prenatal experience of starvation
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seems to have changed their bodies
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in myriad ways.
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They have higher blood pressure,
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poorer cholesterol profiles
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and reduced glucose tolerance --
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a precursor of diabetes.
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Why would undernutrition in the womb
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result in disease later?
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One explanation
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is that fetuses are making the best of a bad situation.
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When food is scarce,
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they divert nutrients towards the really critical organ, the brain,
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and away from other organs
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like the heart and liver.
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This keeps the fetus alive in the short-term,
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but the bill comes due later on in life
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when those other organs, deprived early on,
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become more susceptible to disease.
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But that may not be all that's going on.
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It seems that fetuses are taking cues
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from the intrauterine environment
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and tailoring their physiology accordingly.
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They're preparing themselves
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for the kind of world they will encounter
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on the other side of the womb.
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The fetus adjusts its metabolism
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and other physiological processes
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in anticipation of the environment that awaits it.
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And the basis of the fetus' prediction
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is what its mother eats.
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The meals a pregnant woman consumes
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constitute a kind of story,
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a fairy tale of abundance
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or a grim chronicle of deprivation.
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This story imparts information
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that the fetus uses
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to organize its body and its systems --
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an adaptation to prevailing circumstances
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that facilitates its future survival.
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Faced with severely limited resources,
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a smaller-sized child with reduced energy requirements
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will, in fact, have a better chance
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of living to adulthood.
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The real trouble comes
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when pregnant women are, in a sense, unreliable narrators,
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when fetuses are led
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to expect a world of scarcity
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and are born instead into a world of plenty.
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This is what happened to the children of the Dutch "Hunger Winter."
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And their higher rates of obesity,
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diabetes and heart disease
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are the result.
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Bodies that were built to hang onto every calorie
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found themselves swimming in the superfluous calories
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of the post-war Western diet.
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The world they had learned about while in utero
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was not the same
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as the world into which they were born.
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Here's another story.
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At 8:46 a.m. on September 11th, 2001,
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there were tens of thousands of people
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13:55
in the vicinity of the World Trade Center
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in New York --
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commuters spilling off trains,
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14:01
waitresses setting tables for the morning rush,
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14:04
brokers already working the phones on Wall Street.
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1,700 of these people were pregnant women.
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14:11
When the planes struck and the towers collapsed,
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many of these women experienced the same horrors
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inflicted on other survivors of the disaster --
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the overwhelming chaos and confusion,
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14:22
the rolling clouds
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14:24
of potentially toxic dust and debris,
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14:28
the heart-pounding fear for their lives.
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14:30
About a year after 9/11,
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researchers examined a group of women
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who were pregnant
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when they were exposed to the World Trade Center attack.
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14:39
In the babies of those women
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14:41
who developed post-traumatic stress syndrome, or PTSD,
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14:44
following their ordeal,
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researchers discovered a biological marker
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of susceptibility to PTSD --
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an effect that was most pronounced
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in infants whose mothers experienced the catastrophe
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in their third trimester.
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In other words,
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15:01
the mothers with post-traumatic stress syndrome
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had passed on a vulnerability to the condition
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15:07
to their children while they were still in utero.
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15:10
Now consider this:
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post-traumatic stress syndrome
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appears to be a reaction to stress gone very wrong,
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15:17
causing its victims tremendous unnecessary suffering.
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15:21
But there's another way of thinking about PTSD.
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What looks like pathology to us
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may actually be a useful adaptation
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15:29
in some circumstances.
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15:31
In a particularly dangerous environment,
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15:34
the characteristic manifestations of PTSD --
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15:37
a hyper-awareness of one's surroundings,
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15:40
a quick-trigger response to danger --
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could save someone's life.
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15:46
The notion that the prenatal transmission of PTSD risk is adaptive
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is still speculative,
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but I find it rather poignant.
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It would mean that, even before birth,
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mothers are warning their children
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15:59
that it's a wild world out there,
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16:01
telling them, "Be careful."
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Let me be clear.
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Fetal origins research is not about blaming women
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for what happens during pregnancy.
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It's about discovering how best to promote
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the health and well-being of the next generation.
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That important effort must include a focus
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on what fetuses learn
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during the nine months they spend in the womb.
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16:24
Learning is one of life's most essential activities,
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and it begins much earlier
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than we ever imagined.
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Thank you.
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(Applause)
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ABOUT THE SPEAKER
Annie Murphy Paul - Science author
Annie Murphy Paul investigates how life in the womb shapes who we become.

Why you should listen

To what extent the conditions we encounter before birth influence our individual characteristics? It‘s the question at the center of fetal origins, a relatively new field of research that measures how the effects of influences outside the womb during pregnancy can shape the physical, mental and even emotional well-being of the developing baby for the rest of its life.

Science writer Annie Murphy Paul calls it a gray zone between nature and nurture in her book Origins, a history and study of this emerging field structured around a personal narrative -- Paul was pregnant with her second child at the time. What she finds suggests a far more dynamic nature between mother and fetus than typically acknowledged, and opens up the possibility that the time before birth is as crucial to human development as early childhood.

Read Annie Murphy Paul's essay on CNN.com>>

More profile about the speaker
Annie Murphy Paul | Speaker | TED.com

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