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Influence of Common Birth Interventions on Maternal Blood Pressure Patterns During Breastfeeding 2 Days After Birth
University of Skövde, School of Life Sciences. University of Skövde, The Systems Biology Research Centre. Department of Animal Environment and Health, Swedish University of Agriculture, Skara, Sweden.ORCID iD: 0000-0003-0987-8357
Department of Woman and Child Health, Karolinska Institute, Stockholm, Sweden.
Department of Woman and Child Health, Karolinska Institute, Stockholm, Sweden.
Department of Molecular Medicine, Endocrine and Diabetes Unit, Karolinska University Hospital/Karolinska Institute, Stockholm, Sweden.
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2012 (English)In: Breastfeeding Medicine, ISSN 1556-8253, E-ISSN 1556-8342, Vol. 7, no 2, p. 93-99Article in journal (Refereed) Published
Abstract [en]

Objective: This study investigated possible influences of medical interventions during labor on maternal blood pressure during a breastfeed 2 days postpartum.

Subjects and Methods: Sixty-six primiparae with normal deliveries were consecutively recruited. Blood pressure was measured at –5, 10, 30, and 60 minutes during a morning breastfeed 2 days postpartum. Five treatment groups were formed based on the medical interventions received during labor: Non-medicated mothers (Control group, n=21); mothers receiving epidural analgesia (EDA) with oxytocin (OT) stimulation (EDAOT group, n=14); mothers receiving EDA without OT stimulation (EDAnon-OT group, n=7); mothers receiving OT stimulation only (OT intravenously [iv] group, n=9); and mothers receiving 10 IU of OT intramuscularly (im) only (OT im group, n=15).

Results: Baseline diastolic, but not systolic, blood pressure differed between the groups as displayed by significantly lower diastolic blood pressure in the EDAnon-OT group compared with the Control group, the OT iv group, and the EDAOT group (p=0.045, p=0.041, and p=0.024, respectively). Both systolic and diastolic blood pressure fell significantly during the breastfeeding session in the Control group (p=0.001 and p=0.004, respectively), the OT im group (p=0.006 and p=0.001, respectively), and the EDAOT group (p=0.028 and p=0.002, respectively), and the fall in diastolic blood pressure tended to be significant in the OT iv group (p=0.050). The duration of skin-to-skin contact before breastfeeding correlated positively with the decrease in systolic blood pressure in the OT im group (Rs=0.540, p=0.046).

Conclusion: Administration of EDA during labor lowers baseline diastolic blood pressure and abolishes the fall in blood pressure in response to a breastfeed 2 days after birth.

Place, publisher, year, edition, pages
Mary Ann Liebert, 2012. Vol. 7, no 2, p. 93-99
National Category
Nursing Cardiac and Cardiovascular Systems
Research subject
Natural sciences
Identifiers
URN: urn:nbn:se:his:diva-5933DOI: 10.1089/bfm.2010.0099ISI: 000302777000005PubMedID: 22313391Scopus ID: 2-s2.0-84859569252OAI: oai:DiVA.org:his-5933DiVA, id: diva2:530967
Available from: 2012-06-05 Created: 2012-06-05 Last updated: 2023-09-07Bibliographically approved
In thesis
1. Human-Human and Human-Animal Interaction: Some Common Physiological and Psychological Effects
Open this publication in new window or tab >>Human-Human and Human-Animal Interaction: Some Common Physiological and Psychological Effects
2010 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim of the present thesis was to investigate hormonal and physiological effects in mothers during a breastfeeding session and in dogs and their owners in response to short-term interaction. In study one, sixty-six mothers receiving either exogenous oxytocin infusion and/or epidural analgesia (EDA) during labor or intramuscular oxytocin injection post partum were studied. Oxytocin, prolactin, adrenocorticotrophic hormone (ACTH) and cortisol levels, as well as blood pressure were measured during a breastfeeding session two days after birth. In response to breastfeeding two days after birth, the mothers displayed a pulsatile release of oxytocin and increasing prolactin levels. In addition, the activity in the HPA-axis was reduced and maternal blood pressure decreased. The results also show that EDA administration in combination with oxytocin during labor resulted insignificantly lower oxytocin levels and higher cortisol levels, as well as higher bloodpressure in response to breastfeeding two days after birth, compared to EDA administration alone. In addition, oxytocin infusions dose-dependently lowered the mothers’ endogenous oxytocin levels two days after birth. In study two, ten female dog owners and their male Labrador dogs participated, together with ten controls. Their levels of oxytocin, cortisol and insulin, as well as their heart rate, were measured. The connection between the quality of the dogowner relationship and hormone levels was also explored. Short-term interaction between dogs and their owners resulted in oxytocin release in both species and their cortisol levels and heart rate were also affected. Oxytocin levels and positive attitudes regarding the dog-owner relationship were positively correlated. In conclusion, both human-human and human-animal interactions induce oxytocin release and promote oxytocin mediated effects, such as decreasing cortisol levels and blood pressure. In addition, social interaction and oxytocin levels arepositively related.

Place, publisher, year, edition, pages
Swedish University of Agricultural Sciences, 2010. p. 88
Series
Acta Universitatis agriculturae Sueciae, ISSN 1652-6880 ; 2010:98
Keywords
oxytocin, cortisol, prolactin, ACTH, blood pressure, medical interventions, sensory stimulation, interaction
National Category
Clinical Science Behavioral Sciences Biology Animal and Dairy Science Other Veterinary Science Obstetrics, Gynecology and Reproductive Medicine
Research subject
Natural sciences
Identifiers
urn:nbn:se:his:diva-5212 (URN)978-91-576-7543-9 (ISBN)
Public defence
2011-01-14, Hernqvistaulan, Skara, 13:00 (English)
Opponent
Supervisors
Available from: 2011-07-05 Created: 2011-07-05 Last updated: 2021-09-06Bibliographically approved

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Handlin, LindaUvnäs-Moberg, KerstinNissen, Eva

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