Maternal and Neonatal Hair Cortisol Levels and Psychological Stress Are Associated With Onset of Secretory Activation of Human Milk Production.
Por:
Caparros-Gonzalez RA, Romero-Gonzalez B, Gonzalez-Perez R, Lara-Cinisomo S, Martin-Tortosa PL, Oliver-Roig A and Peralta-Ramirez MI
Publicada:
1 dic 2019
Resumen:
BACKGROUND: Several factors can influence the production of mothers' own milk. PURPOSE: To assess the influence of maternal psychological stress, maternal cortisol levels, and neonatal hair cortisol levels on timing of secretory activation. METHODS: A prospective study was conducted at 2 public health centers in Andalusia, Spain. Participants were 60 pregnant women and their 60 neonates. Hair cortisol levels and psychological stress (pregnancy-specific stress [Prenatal Distress Questionnaire, PDQ] and perceived stress [Perceived Stress Scale, PSS]) were evaluated during the third trimester and the postpartum period. This study was part of the GESTASTRESS cohort study on the effects of stress during pregnancy. RESULTS: Higher PDQ and PSS scores (P < .05) in the third trimester were associated with later onset of secretory activation. Higher postpartum maternal hair cortisol levels were associated with a delayed secretory activation of mother's own milk (P < .05). IMPLICATIONS FOR RESEARCH: Future studies should look at the influence of psychological stress and cortisol levels on hormones involved in mother's own milk production. IMPLICATIONS FOR PRACTICE: Neonatal nurses and other healthcare providers should be familiar with levels of neonates' exposure to maternal prenatal stress prior to birth.
Filiaciones:
Caparros-Gonzalez RA:
Department of Nursing, Faculty of Health Sciences, University of Jaen, Jaen, Spain (Dr Caparros-Gonzalez)
Mind, Brain, and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain (Drs Caparros-Gonzalez and Peralta-Ramirez and Mr Romero-Gonzalez)
Department of Pharmacology, CIBERehd, School of Pharmacy, Instituto de Investigación Biosanitaria ibs, University of Granada, Granada, Spain (Dr Gonzalez-Perez)
Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois, Urbana-Champaign (Dr Lara-Cinisomo)
Gynecology and Obstetrics Department, Hospital Antequera, Antequera, Malaga, Spain (Mr Martin-Tortosa)
and Department of Nursing, Faculty of Health Sciences, University of Alicante, Alicante, Spain (Dr Oliver-Roig)
Gonzalez-Perez R:
Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois, Urbana-Champaign (Dr Lara-Cinisomo)
:
and Department of Nursing, Faculty of Health Sciences, University of Alicante, Alicante, Spain (Dr Oliver-Roig)
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