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Birth as a neuro-ps...
Birth as a neuro-psycho-social event : An integrative model of maternal experiences and their relation to neurohormonal events during childbirth
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- Olza, Ibone (författare)
- University of Alcalá, Faculty of Medicine, Henares, Spain (ESP)
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- Uvnäs-Moberg, Kerstin (författare)
- Swedish University of Agricultural Sciences,Sveriges lantbruksuniversitet,Institutionen för husdjurens miljö och hälsa (HMH),Department of Animal Environment and Health,Swedish University of Agricultural Sciences, Skara, Sweden
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- Ekström, Anette, 1958- (författare)
- Högskolan Väst,Avdelningen för omvårdnad - avancerad nivå,LOV
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- Leahy-Warren, Patricia (författare)
- University College, School of Nursing and Midwifery, Cork, Ireland (IRL)
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- Karlsdottir, Sigfridur Inga (författare)
- University of Akureyri, School of Health Sciences, Akureyri, Iceland (ISL)
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- Nieuwenhuijze, Marianne (författare)
- Zuyd University, Research Centre for Midwifery Science Maastricht, Heerlen, The Netherlands (NLD)
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- Villarmea, Stella (författare)
- University of Alcalá, Faculty of Philosophy, Henares, Spain (ESP); Faculty of Philosophy, University of Oxford, Oxford, United Kingdom (GBR)
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- Hadjigeorgiou, Eleni (författare)
- Cyprus University of Technology, Nursing Department, Faculty of Health Sciences, Limassol, Cyprus (CYP)
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- Kazmierczak, Maria (författare)
- Uniwersytet Gdanski, Institute of Psychology, Gdansk, Poland (POL)
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- Spyridou, Andria (författare)
- Cyprus University of Technology, Nursing Department, Faculty of Health Sciences, Limassol, Cyprus (CYP)
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- Buckley, Sarah (författare)
- The University of Queensland, School of Public Health, Herston, Qld, Australia (AUS)
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(creator_code:org_t)
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- 2020-07-28
- 2020
- Engelska.
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Ingår i: PLOS ONE. - San Francisco, California, USA : PLOS. - 1932-6203. ; 15:7, s. 1-15
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Abstract
Ämnesord
Stäng
- BACKGROUND: Psychological aspects of labor and birth have received little attention within maternity care service planning or clinical practice. The aim of this paper is to propose a model demonstrating how neurohormonal processes, in particular oxytocinergic mechanisms, not only control the physiological aspects of labor and birth, but also contribute to the subjective psychological experiences of birth. In addition, sensory information from the uterus as well as the external environment might influence these neurohormonal processes thereby influencing the progress of labor and the experience of birth.METHODOLOGY: In this new model of childbirth, we integrated the findings from two previous systematic reviews, one on maternal plasma levels of oxytocin during physiological childbirth and one meta-synthesis of women´s subjective experiences of physiological childbirth.FINDINGS: The neurobiological processes induced by the release of endogenous oxytocin during birth influence maternal behaviour and feelings in connection with birth in order to facilitate birth. The psychological experiences during birth may promote an optimal transition to motherhood. The spontaneous altered state of consciousness, that some women experience, may well be a hallmark of physiological childbirth in humans. The data also highlights the crucial role of one-to-one support during labor and birth. The physiological importance of social support to reduce labor stress and pain necessitates a reconsideration of many aspects of modern maternity care.CONCLUSION: By listening to women's experiences and by observing women during childbirth, factors that contribute to an optimized process of labor, such as the mothers' wellbeing and feelings of safety, may be identified. These observations support the integrative role of endogenous oxytocin in coordinating the neuroendocrine, psychological and physiological aspects of labor and birth, including oxytocin mediated. decrease of pain, fear and stress, support the need for midwifery one-to-one support in labour as well as the need for maternity care that optimizes the function of these neuroendocrine processes even when birth interventions are used. Women and their partners would benefit from understanding the crucial role that endogenous oxytocin plays in the psychological and neuroendocrinological process of labor.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Allmänmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- General Practice (hsv//eng)
Nyckelord
- Vårdvetenskap
- Nursing science
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Olza, Ibone
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Uvnäs-Moberg, Ke ...
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Ekström, Anette, ...
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Leahy-Warren, Pa ...
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Karlsdottir, Sig ...
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Nieuwenhuijze, M ...
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Villarmea, Stell ...
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Hadjigeorgiou, E ...
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Kazmierczak, Mar ...
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Spyridou, Andria
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Buckley, Sarah
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