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The Awakening of the Newborn Human Infant and the Emergence of Consciousness.

Hugo Lagercrantz

Acta paediatrica (Oslo, Norway : 1992) May 1, 2025 DOI: 10.1111/apa.70031 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Review Peer reviewed
Keywords Birth Consciousness Foetal behaviour Neurodevelopment Preterm infants
Citations 8
Key findings Newborns are probably conscious at a low level, and fetuses show signs of consciousness after about 24 weeks of gestation.

Abstract

Consciousness develops gradually in the womb and after birth, rather than being an all or none phenomenon. A newborn infant is aroused and wakes up at birth, due to the enormous sensory stimulation and stress that it undergoes during the transition from an aquatic environment to air. Its first breaths activate the locus coeruleus, as indicated by the large pupils of the newborn. The infant seems to be aware of its body and can recognise its mother's facial expressions, voice and smell. A default mode network matures soon after birth which appears to keep the brain in a conscious state. Thus the newborn infant is probably conscious, albeit at a low level. The foetus also shows some signs of being conscious after about 24 weeks of gestation, although it is mainly asleep in the womb and less aware of its environment. Before that stage, the nerves from the primary somatosensory, visual and auditory areas are not yet connected with the site of consciousness in the cerebral cortex.