Birth as a neuro-psycho-social event: an integrative model of maternal experiences and their relation to neurohormonal events during childbirth
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 physiolo...
| Autores: | , , , , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Fecha de publicación: | 2020 |
| País: | España |
| Institución: | Universidad Complutense de Madrid (UCM) |
| Repositorio: | Docta Complutense |
| Idioma: | inglés |
| OAI Identifier: | oai:docta.ucm.es:20.500.14352/89015 |
| Acceso en línea: | https://hdl.handle.net/20.500.14352/89015 |
| Access Level: | acceso abierto |
| Palabra clave: | 1 141.72 16 17:61 Psychology Epistemology Birth Obstetric violence Philosophy of birth Childbirth General medicine Violencia obstétrica Filosofía del nacimiento Filosofía Bioética (Filosofía) 72 Filosofía |
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Birth as a neuro-psycho-social event: an integrative model of maternal experiences and their relation to neurohormonal events during childbirthVillarmea Requejo, Stella GabrielaOlza, IboneUvnas-Moberg, KerstinEkström-Bergström, AnetteLeahy-Warren, PatriciaKarlsdottir, Sigfridur IngaNieuwenhuijze, MarianneHadjigeorgiou, EleniKazmierczak, MariaSpyridou, AndriaBuckley, Sarah1141.721617:61PsychologyEpistemologyBirthObstetric violencePhilosophy of birthChildbirthGeneral medicineViolencia obstétricaFilosofía del nacimientoFilosofíaBioética (Filosofía)72 FilosofíaBackground 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.Public Library of SciencePublic Library of ScienceUniversidad Complutense de Madrid20202020-07-0120202020-07-01journal articlehttp://purl.org/coar/resource_type/c_6501AMhttp://purl.org/coar/version/c_ab4af688f83e57aainfo:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/89015reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/890152026-06-02T12:44:21Z |
| dc.title.none.fl_str_mv |
Birth as a neuro-psycho-social event: an integrative model of maternal experiences and their relation to neurohormonal events during childbirth |
| title |
Birth as a neuro-psycho-social event: an integrative model of maternal experiences and their relation to neurohormonal events during childbirth |
| spellingShingle |
Birth as a neuro-psycho-social event: an integrative model of maternal experiences and their relation to neurohormonal events during childbirth Villarmea Requejo, Stella Gabriela 1 141.72 16 17:61 Psychology Epistemology Birth Obstetric violence Philosophy of birth Childbirth General medicine Violencia obstétrica Filosofía del nacimiento Filosofía Bioética (Filosofía) 72 Filosofía |
| title_short |
Birth as a neuro-psycho-social event: an integrative model of maternal experiences and their relation to neurohormonal events during childbirth |
| title_full |
Birth as a neuro-psycho-social event: an integrative model of maternal experiences and their relation to neurohormonal events during childbirth |
| title_fullStr |
Birth as a neuro-psycho-social event: an integrative model of maternal experiences and their relation to neurohormonal events during childbirth |
| title_full_unstemmed |
Birth as a neuro-psycho-social event: an integrative model of maternal experiences and their relation to neurohormonal events during childbirth |
| title_sort |
Birth as a neuro-psycho-social event: an integrative model of maternal experiences and their relation to neurohormonal events during childbirth |
| dc.creator.none.fl_str_mv |
Villarmea Requejo, Stella Gabriela Olza, Ibone Uvnas-Moberg, Kerstin Ekström-Bergström, Anette Leahy-Warren, Patricia Karlsdottir, Sigfridur Inga Nieuwenhuijze, Marianne Hadjigeorgiou, Eleni Kazmierczak, Maria Spyridou, Andria Buckley, Sarah |
| author |
Villarmea Requejo, Stella Gabriela |
| author_facet |
Villarmea Requejo, Stella Gabriela Olza, Ibone Uvnas-Moberg, Kerstin Ekström-Bergström, Anette Leahy-Warren, Patricia Karlsdottir, Sigfridur Inga Nieuwenhuijze, Marianne Hadjigeorgiou, Eleni Kazmierczak, Maria Spyridou, Andria Buckley, Sarah |
| author_role |
author |
| author2 |
Olza, Ibone Uvnas-Moberg, Kerstin Ekström-Bergström, Anette Leahy-Warren, Patricia Karlsdottir, Sigfridur Inga Nieuwenhuijze, Marianne Hadjigeorgiou, Eleni Kazmierczak, Maria Spyridou, Andria Buckley, Sarah |
| author2_role |
author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Public Library of Science Universidad Complutense de Madrid |
| dc.subject.none.fl_str_mv |
1 141.72 16 17:61 Psychology Epistemology Birth Obstetric violence Philosophy of birth Childbirth General medicine Violencia obstétrica Filosofía del nacimiento Filosofía Bioética (Filosofía) 72 Filosofía |
| topic |
1 141.72 16 17:61 Psychology Epistemology Birth Obstetric violence Philosophy of birth Childbirth General medicine Violencia obstétrica Filosofía del nacimiento Filosofía Bioética (Filosofía) 72 Filosofía |
| description |
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. |
| publishDate |
2020 |
| dc.date.none.fl_str_mv |
2020 2020-07-01 2020 2020-07-01 |
| dc.type.none.fl_str_mv |
journal article http://purl.org/coar/resource_type/c_6501 AM http://purl.org/coar/version/c_ab4af688f83e57aa |
| dc.type.openaire.fl_str_mv |
info:eu-repo/semantics/article |
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article |
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https://hdl.handle.net/20.500.14352/89015 |
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https://hdl.handle.net/20.500.14352/89015 |
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Inglés eng |
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Inglés |
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eng |
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open access http://purl.org/coar/access_right/c_abf2 Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
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info:eu-repo/semantics/openAccess |
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open access http://purl.org/coar/access_right/c_abf2 Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
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openAccess |
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application/pdf |
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Public Library of Science |
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Public Library of Science |
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reponame:Docta Complutense instname:Universidad Complutense de Madrid (UCM) |
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