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Effects of Sucking ...
Effects of Sucking and Skin-to-Skin Contact on Maternal ACTH and Cortisol Levels During the Second Day Postpartum - Influence of Epidural Analgesia and Oxytocin in the Perinatal Period
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- Handlin, Linda (author)
- Swedish University of Agricultural Sciences,Sveriges lantbruksuniversitet,Högskolan i Skövde,Forskningscentrum för Systembiologi,Institutionen för vård och natur,Department of Animal Environment and Health, Swedish University of Agriculture, Skara, Sweden,Institutionen för husdjurens miljö och hälsa (HMH)
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- Jonas, Wibke (author)
- Karolinska Institutet
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- Petersson, Maria (author)
- Karolinska Institutet
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- Ejdebäck, Mikael, 1969- (author)
- Högskolan i Skövde,Institutionen för vård och natur,Forskningscentrum för Systembiologi
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- Ransjö-Arvidsson, Anna-Berit (author)
- Karolinska Institutet
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- Nissen, Eva (author)
- Karolinska Institutet,Högskolan i Skövde,Institutionen för vård och natur,Department of Women and Child Health, Division of Reproductive and Perinatal Health Care, Karolinska Institute, Stockholm, Sweden
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- Uvnäs-Moberg, Kerstin (author)
- Swedish University of Agricultural Sciences,Sveriges lantbruksuniversitet,Högskolan i Skövde,Institutionen för vård och natur,Department of Animal Environment and Health, Swedish University of Agriculture, Skara, Sweden,Institutionen för husdjurens miljö och hälsa (HMH)
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(creator_code:org_t)
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- Mary Ann Liebert, 2009
- 2009
- English.
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In: Breastfeeding Medicine. - : Mary Ann Liebert. - 1556-8253 .- 1556-8342. ; 4:4, s. 207-220
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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https://res.slu.se/i...
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Abstract
Subject headings
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- Background and Aims: In this study we made a detailed analysis of the mothers' release pattern of adreno-corticotropic hormone (ACTH) and cortisol during a breastfeeding session during the second day postpartum and related these patterns to maternal oxytocin levels as well to the duration of sucking and the duration of skin-to-skin contact before sucking the breast. Furthermore, we investigated if epidural analgesia and oxytocin administration during and after labor influenced the release pattern of ACTH and cortisol.Methods: Sixty-three primiparae were included in the study. Fourteen received oxytocin intramuscularly postpartum, nine received oxytocin infusion, 14 received epidural analgesia combined with oxytocin infusion, and six received epidural analgesia alone. Twenty mothers did not receive any of these medical interventions. Blood samples were analyzed for ACTH and cortisol by enzyme-linked immunoassay.Results: Both ACTH and cortisol levels fell significantly during the breastfeeding session. A significant negative relationship was found between oxytocin and ACTH levels, but not between oxytocin and cortisol levels. A contact before onset of sucking was significantly and negatively associated with lower cortisol levels, but not with ACTH levels. Cortisol levels differed significantly between mothers having received epidural analgesia with and without oxytocin.Conclusions: Breastfeeding is associated with a decrease of ACTH and cortisol levels. Skin-to-skin contact contributes to this effect. ACTH correlated negatively with the duration of sucking and median oxytocin levels, whereas cortisol levels correlated inversely with the duration of skin-to-skin contact preceding sucking, suggesting a partial dissociation between the mechanisms regulating ACTH and cortisol release. In addition, medical interventions in connection with birth influence the activity of the hypothalamic-pituitary-adrenal axis 2 days after birth.
Subject headings
- 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 -- Geriatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Geriatrics (hsv//eng)
Keyword
- Natural sciences
- Naturvetenskap
Publication and Content Type
- ref (subject category)
- art (subject category)
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