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

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 aspec...

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Veröffentlicht in:PloS one 2020-07, Vol.15 (7), p.e0230992
Hauptverfasser: Olza, Ibone, Uvnas-Moberg, Kerstin, Ekström-Bergström, Anette, Leahy-Warren, Patricia, Karlsdottir, Sigfridur Inga, Nieuwenhuijze, Marianne, Villarmea, Stella, Hadjigeorgiou, Eleni, Kazmierczak, Maria, Spyridou, Andria, Buckley, Sarah
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container_title PloS one
container_volume 15
creator Olza, Ibone
Uvnas-Moberg, Kerstin
Ekström-Bergström, Anette
Leahy-Warren, Patricia
Karlsdottir, Sigfridur Inga
Nieuwenhuijze, Marianne
Villarmea, Stella
Hadjigeorgiou, Eleni
Kazmierczak, Maria
Spyridou, Andria
Buckley, Sarah
description 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. 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. 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. 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.
doi_str_mv 10.1371/journal.pone.0230992
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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. 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Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Olza, Ibone</au><au>Uvnas-Moberg, Kerstin</au><au>Ekström-Bergström, Anette</au><au>Leahy-Warren, Patricia</au><au>Karlsdottir, Sigfridur Inga</au><au>Nieuwenhuijze, Marianne</au><au>Villarmea, Stella</au><au>Hadjigeorgiou, Eleni</au><au>Kazmierczak, Maria</au><au>Spyridou, Andria</au><au>Buckley, Sarah</au><au>Portela, Anayda</au><aucorp>Sveriges lantbruksuniversitet</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Birth as a neuro-psycho-social event: An integrative model of maternal experiences and their relation to neurohormonal events during childbirth</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-07-28</date><risdate>2020</risdate><volume>15</volume><issue>7</issue><spage>e0230992</spage><pages>e0230992-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>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. 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. 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. 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.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32722725</pmid><doi>10.1371/journal.pone.0230992</doi><tpages>e0230992</tpages><orcidid>https://orcid.org/0000-0002-9614-9496</orcidid><orcidid>https://orcid.org/0000-0002-2261-0112</orcidid><orcidid>https://orcid.org/0000-0002-8991-5826</orcidid><orcidid>https://orcid.org/0000-0001-8575-1839</orcidid><oa>free_for_read</oa></addata></record>
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1932-6203
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subjects Allmän medicin
Babies
Biology and Life Sciences
Births
Brain research
Childbirth & labor
Collection Review
Delivery (Childbirth)
Family Medicine
Female
Gravitational physiology
Health care
Health sciences
Humans
Influence
Labor
Labor, Obstetric - physiology
Labor, Obstetric - psychology
Maternal Behavior
Maternal child nursing
Maternal Health Services
Medicine and Health Sciences
Methods
Midwifery
Models, Biological
Neurohormones
Nursing science
Obstetrical research
Oxytocin
Oxytocin - blood
Pain
Parturition - physiology
Parturition - psychology
Physiological aspects
Physiology
Plasma levels
Postpartum period
Postpartum Period - physiology
Postpartum Period - psychology
Pregnancy
Psychological aspects
Psychological factors
Public health
Quality management
Social aspects
Social interactions
Social Sciences
Social Support
Stress, Physiological
Uterus
Vårdvetenskap
Womens health
title 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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