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  • 1.
    Jonas, Wibke
    et al.
    Karolinska Inst, Div Reprod & Perinatal Hlth Care, Dept Women & Child Hlth, S-17177 Stockholm, Sweden.
    Nissen, Eva
    University of Skövde, School of Life Sciences.
    Ransjö-Arvidson, A. B.
    Karolinska Inst, Div Reprod & Perinatal Hlth Care, Dept Women & Child Hlth, S-17177 Stockholm, Sweden.
    Matthiesen, A. S.
    Karolinska Inst, Div Reprod & Perinatal Hlth Care, Dept Women & Child Hlth, S-17177 Stockholm, Sweden.
    Uvnäs-Moberg, Kerstin
    Swedish Univ Agr, Dept Anim Environm & Hlth, Skara, Sweden.
    Influence of oxytocin or epidural analgesia on personality profile in breastfeeding women: a comparative study2008In: Archives of Women's Mental Health, ISSN 1434-1816, E-ISSN 1435-1102, Vol. 11, no 5-6, p. 335-345Article in journal (Refereed)
    Abstract [en]

    Women undergo physiological and psychological changes during pregnancy, labor and lactation. The psychological adaptations can be affective, cognitive and behavioral and can be measured by dimensional personality instruments. This study aims to compare (1) the personality profile in mothers after birth with a normative group of non-lactating women and to examine (2) whether the personality profile differs 2 days, 2 months and 6 months after birth between mothers who have been exposed to epidural anesthesia, oxytocin administration or neither. Sixty-nine primiparae were assigned to four groups: mothers having received oxytocin infusion during labor (OT iv group, n=9), mothers having received epidural analgesia with/without oxytocin infusion (EDA group, n=23), mothers having received 10 iU oxytocin intramuscularly after birth (OT im group, n=15) and mothers having received none of these treatments (unmedicated group, n=22). At 2 days and 2 and 6 months postpartum mothers completed the Karolinska Scales of Personality (KSP). The unmedicated, the OT iv- and OT im groups scored significantly lower on anxiety and aggression related scales and higher on the socialization subscale during the entire observation period when compared with a normative group. These differences were not observed in the EDA group 2 days postpartum. At´2 and 6 months postpartum, the scores of the EDA group had changed significantly and were almost similar to the KSP scores of the other groups. ANCOVA analysis revealed that OT infusion, over and above the effects of EDA, was associated with decreased levels of several anxiety and aggression subscales. We conclude that women who received exogenous oxytocin during labor show similar positive personality traits during breastfeeding such as reduction in anxiety and aggression and increasing socialization, including maternal behavior, that have previously been ascribed to endogenous oxytocin. More importantly, these effects were not seen at 2 days postpartum in women who received epidural anesthesia during labor.

  • 2.
    Seimyr, Louise
    et al.
    Department of Woman and Child Health, Karolinska Institutet, Stockholm, Sweden.
    Sjögren, Berit
    Department of Woman and Child Health, Karolinska Institutet, Stockholm, Sweden.
    Welles-Nyström, Barbara
    Department of Woman and Child Health, Karolinska Institutet, Stockholm, Sweden.
    Nissen, Eva
    University of Skövde, School of Life Sciences.
    Antenatal maternal depressive mood and parental-fetal attachment at the end of pregnancy2009In: Archives of Women's Mental Health, ISSN 1434-1816, E-ISSN 1435-1102, Vol. 12, no 5, p. 269-279Article in journal (Refereed)
    Abstract [en]

    The present study investigates if mothers and fathers have similar ways of thinking and feeling about their babies during late pregnancy and how aspects of parental-fetal attachment are related to maternal depressive mood. Two hundred and ninety-eight Swedish-speaking women at 30-32 weeks of gestation and partners (n=274) participated in the study. Socio-demographic background data were collected. Prenatal attachment was assessed with the maternal/paternal-fetal attachment scale (MFA/PFA), and depressive symptoms were assessed by the Edinburgh postnatal depression scale (EPDS). MFA and PFA scores mirrored each other. After factor analysis, five different factors loaded somewhat differently for men were revealed as significant. These factors were (I) concerns about the fetus and health behavior, (II) mental preparation to take care of the unborn child, (III) experiences of pregnancy, (IV) experiences of fetal movements, and (V) naming of the baby. Factors III and IV were related to depressive symptoms. Mothers with slight depressive symptoms were somewhat less positive about the pregnancy but showed more attention to the fetal movements. Midwives should conduct interviews on the women's psychosocial history and use validated instruments, which may help them to identify problems with the psychosocial health of the mother and her partner as they journey through pregnancy and transition to parenthood.

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