The reduced scattering coefficient (μ
s′), measured using time-resolved near-infrared spectroscopy (TR-NIRS) has been linked to brain water diffusion assessed by diffusion tensor imaging, suggesting its potential as a bedside marker of cerebral microstructure. However, the physiological determinants of μ
s′
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The reduced scattering coefficient (μ
s′), measured using time-resolved near-infrared spectroscopy (TR-NIRS) has been linked to brain water diffusion assessed by diffusion tensor imaging, suggesting its potential as a bedside marker of cerebral microstructure. However, the physiological determinants of μ
s′ and its early postnatal changes remain unclear. This study examined clinical associations with cerebral μ
s′ in healthy term newborn infants during the first 2 postnatal days. Eighteen newborn infants underwent TR-NIRS at 6 and 36 h postnatally. Associations between μ
s′ and 14 clinical variables were analysed using generalised estimating equations. Median μ
s′ was 7.395 cm
−1 (IQR: 6.140–8.159) at 6 h and 7.112 cm
−1 (IQR: 6.473–7.410) at 36 h, with no significant difference (
p = 0.327). Male sex was associated with higher μ
s′ (regression coefficient = 0.895,
p = 0.007), whereas caesarean delivery (regression coefficient = −0.969,
p = 0.012) was associated with lower μ
s′. A significant interaction between caesarean delivery and postnatal age indicated that the negative effect diminished between 6 and 36 h after birth (difference = 0.057,
p = 0.016). These findings suggest delivery mode transiently influences brain scattering, whereas the effect of sex remains stable, supporting further investigation of TR-NIRS as an acute-phase cerebral marker.
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