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Birth as a neuro-psycho-social event: An integrative model of maternal experiences and their relation to neurohormonal events during childbirth

Olza, Ibone and Uvnäs-Moberg, Kerstin and Ekström-Bergström, Anette and Leahy-Warren, Patricia and Karlsdottir, Sigfridur Inga and Nieuwenhuijze, Marianne and Hadjigeorgiou, Eleni and Villarmea, Stella and Kazmierczak, Maria and Spyridou, Andria and Buckley, Sarah (2020). Birth as a neuro-psycho-social event: An integrative model of maternal experiences and their relation to neurohormonal events during childbirth. PLoS ONE. 15 , e0230992
[Article Review/Survey]

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Abstract

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.

Authors/Creators:Olza, Ibone and Uvnäs-Moberg, Kerstin and Ekström-Bergström, Anette and Leahy-Warren, Patricia and Karlsdottir, Sigfridur Inga and Nieuwenhuijze, Marianne and Hadjigeorgiou, Eleni and Villarmea, Stella and Kazmierczak, Maria and Spyridou, Andria and Buckley, Sarah
Title:Birth as a neuro-psycho-social event: An integrative model of maternal experiences and their relation to neurohormonal events during childbirth
Year of publishing :2020
Volume:15
Article number:e0230992
Number of Pages:15
ISSN:1932-6203
Language:English
Publication Type:Article Review/Survey
Article category:Scientific peer reviewed
Version:Published version
Copyright:Creative Commons: Attribution 4.0
Full Text Status:Public
Subjects:(A) Swedish standard research categories 2011 > 3 Medical and Health Sciences > 302 Clinical Medicine > General Practice
URN:NBN:urn:nbn:se:slu:epsilon-p-107270
Permanent URL:
http://urn.kb.se/resolve?urn=urn:nbn:se:slu:epsilon-p-107270
Additional ID:
Type of IDID
DOI10.1371/journal.pone.0230992
Web of Science (WoS)000556916000004
ID Code:17749
Faculty:VH - Faculty of Veterinary Medicine and Animal Science
Department:(VH) > Dept. of Animal Environment and Health
Deposited By: SLUpub Connector
Deposited On:07 Oct 2020 12:43
Metadata Last Modified:07 Oct 2020 12:51

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