Stres, Hormonlar ve Doğum Arasındaki İlişki

Yoksulluk, uzun süreli algılanan stres ve anksiyete, olumsuz sosyal yaşam deneyimi, eğitim eksikliği, sağlık çalışanlarının olumsuz tutumugibi stres yaratan durumlar preterm doğum görülme oranlarını arttırmaktadır. Stres doğumdaki sağlık davranışlarının da değişmesine nedenolabilir. Stres, kotrikotropin-relasing hormonun artışına neden olmakta bu da uterus kontraksiyonlarının artmasına neden olmaktadır. Stresaynı zamanda oksitosin, prostoglandin, hormonlarının salınımını arttırıp, beta-endorfin, progesteron gibi hormonların salınımını azaltır vebuna bağlı olarak da olumsuz doğum sonuçlarına yol açabilir. Bu makalede stresin doğum fizyolojisi ve patofizyolojisi ile ilişkisi, kronikstrese bağlı doğum meydana gelen durumlar ve bunlara yönelik hemşirelik uygulamaları tartışılacaktır.

Anahtar Kelimeler:

Doğum, Stres, Hormon

Relationship Between Stress, Hormons and and Labor

Chronic stressors—such as poverty, ongoing perceived stress and anxiety, negative social life experience, lack of Education, negative attitude of health workers—are associated with an increased of preterm birth. Stress may change health behaviors that lead to birth. Stress increases corticotrophin-releasing hormone and may ultimately result in increased uterine contractility. Stress also increases oxitocin, prostaglandin, and decreases beta-endorphin, progesterone hormones which dependently may lead to negative birth outcomes. This article discusses the concepts of stress, the physiology of labor initiation, and the path physiologic interactions that may contribute to the occurrence of chronic stress-related birth and the implications for nursing practice.

Keywords:

Labor, Stress, Hormone,

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Alehagen, S., Wijma, B., & Wijma, K. (2006). Fear of childbirth before, during and after childbirth. Acta Obstetrica et Gynecologica, 85 (1), 56-62.
Alehagen, S., Wijma, B., Lundberg, U., & Wijma, K. (2005). Fear, pain and stres hormons during childbirth. Journal of Psychosomathic Obstetric & Gynecoloy, 26 (3), 153-165.
Alehagen, S., Wijma, K., & Wijma B. (2001). Fear during labor, Acta Obstetrica et Gynecologica Scandinavica, 80, 315-320.
Bussche, E. V., Crombez, G., Eccleston, C. & Sullivan, M. J. L. (2007). Why women prefer epidural analgesia during childbirth: The role of beliefs about epidural analgesia and pain catastrophizing. European Journal of Pain, 11 (3), 275-282.
Calderon, T. C., Rawson R. A., Sakala, E. P., Sowers L. C., Boskovic, D. S., & Angeles D. M. (2008). Effect of mode of birth on purine and malondialdehyde in umblical arterial plasma in normal term newborns. Journal of Perinatology, 28 (7), 475-481.
Crowe, K., & Baeyer C. C. (1989). Predictors of a positive childbirth experience. Birth, 16 (2), 59-63.
Çivili, D. (2005). Kadınların doğum şekli tercihleri ve etkileyen faktörlerin incelenmesi. Hemşirelik Programı Yayınlanmamış Yüksek Lisans Tezi, Dokuz Eylül Üniversitesi Sağlık Bilimleri Enstitüsü. İzmir, Türkiye.
Darra, S. (2009). ‘Normal’, ‘natural’, ‘good’ or ‘good-enough’ birth: Examining the Concepts. Nursing Inquary, 16 (4), 297- 305.
Gibbins, J., Thomson, A. M. (2001). Women’s expectations and experiences of childbirth. Midwifery, 17 (4), 302-313.
Koehn, M.L. (2002). Childbirth education outcomes: An integrative review of the literature. The Journal of Perinatal Education, 11 (3), 10-19.
Latendresse G. (2009) The interaction between chronic stress and pregnancy: preterm birth from a biobehavioral perspective. J Midwifery Womens Health. 54(1), 8–17.
Laursen, M., Hedegaard, M., & Johansen, C. (2008). Fear of childbirth: predictors and temporal changec among nulliparous women in the Danish National Birth Cohort. BJOG An International Journal of Obstetrics and Gynaecology, 115, 354- 360.
Lucio, C. F., Silva, L. C. G., Rodrigues J. A., Veiga, G. A. L., & Vaaucchi, C. I. (2009). Peripartum haemodynamic status of bitches with normal birth or dystocia, Reproductive Domestic Animal, 44 (2), 133-136.
Melender, H. L. (2002). Experience of fear associated with and childbirth: A study of 329 pregnant women. BIRTH, 29 (2), 101-111.
Mongan, M. F. (2005). Hypnobirthing The Mongan Method. Communications, Inc. Deerfield Beach, Florida.
Nieminen, K., Stephansson, O., & Ryding, E. L. (2009 ). Women’s fear of childbirth and preferance for cesaryen section–A cross-sectional study at various of pregnancy in Sweeden. Acta Obstetrica et Gynecologica, 88, 807-813. Odent, M. ( 2001). The scientification of love. revised ed. London.
Okumuş, H., Mete, S., Yenal, K. Aytur, T., & Demir, N. (2002). Doğuma hazırlık sınıfının doğum sürecine etkisinin incelenmesi. Klinik Bilimler ve Doktor Dergisi, 8 (6), 771-775.
Romano, A. M., & Lothian J. A. (2007). Promoting, protecting and supporting normal birth: A look at the evidence. JOGNN, 37 (1), 94-105.
Silva, L. C. G., Lucio, C. F., Veiga, G. A. L., Rodrigues J. A., & Vaaucchi, C. I. (2009). Neonatal clinical evaluation, blood gas and radiographic assessment after normal birth, vaginal dystocia or caesarean section in dogs. Reproductive Domestic Animal, 44 (2), 160-163.
Spiby, H., Henderson, B., Salde, P., Escott, D., & Fraser, R. B. (1999). Strategies for coping with labour: Does perinatal education translate into practice? Journal of Advanced Nursing, 29 ( 2), 388-394.
Strurrock, W. A., & Johnson, J. A. (1990). The relationship between education classses and obstetric outcomes. Birth, 17 (2), 82-85.
Türkiye nüfus ve Sağlık Araştırması 2008 Ana Raporu, http://www.hips.hacettepe.edu.tr/tnsa2008/, Erişim 03.02.2011 Türk Dil Kurumu, http://www.tdk.gov.tr/TR/Genel/BelgeGoster.aspx?f6e10f8892 433cffaaf6aa849816b2ef07b4bdb15d6b60d5, Erişim 22.01.2011.
Waldenström, U. (2007). Normal childbirth and evidence based practice. Women and Birth, 20, 175-180.
Waldenström, U., Hildingsson, I., & Reyding, E. L. (2006). Antenatal fear of childbirth and its association with subsequet caesarean section and experience of childbirth. BJOG An International Journal of Obstetrics and Gynaecology, 113: 638- 646.
Zadoroznyj, M. (1999). Social class, social selves and social control in childbirth. Sociology of Health and Illness, 21, 267– 289