Maternal cortisol in late pregnancy and hypothalamic-pituitary-adrenal reactivity to psychosocial stress postpartum in women

Meinlschmidt, Gunther and Martin, Cyrill and Neumann, Inga D. and Heinrichs, Markus (2010) Maternal cortisol in late pregnancy and hypothalamic-pituitary-adrenal reactivity to psychosocial stress postpartum in women. STRESS-THE INTERNATIONAL JOURNAL ON THE BIOLOGY OF STRESS, 13 (2). pp. 163-171. ISSN 1025-3890, 1607-8888

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Abstract

Hypothalamic-pituitary-adrenal (HPA) activity is altered postpartum and has been associated with several puerperal disorders. However, little is known about the association of maternal HPA activity during pregnancy with maternal HPA responsiveness to stress after parturition. Within a longitudinal study with an experimental component, we assessed in 22 women the salivary cortisol awakening response (CAR) at the 36th week of gestation and 6 weeks postpartum, as well as pituitary-adrenal and emotional responses to a psychosocial laboratory stressor at 8 weeks postpartum. CAR in late pregnancy negatively predicted maternal adrenocorticotropin (ACTH; ss = - 0.60; P = 0.003), plasma cortisol (ss = - 0.69, P < 0.001), and salivary cortisol (ss = - 0.66; P = 0.001) but not emotional stress reactivity (all P > 0.05) at 8 weeks postpartum, whereas CAR at 6 weeks postpartum failed to predict hormonal (ACTH: ss = 0.02; P = 0.933, plasma cortisol: ss = - 0.23; P = 0.407, salivary cortisol: ss = - 0.15; P = 0.597) or emotional (all P > 0.05) stress responses at 8 weeks postpartum. The activity of the HPA axis during pregnancy is associated with maternal HPA responsiveness to stress postpartum. Putative biological underpinnings warrant further attention. A better understanding of stress-related processes peripartum may pave the way for the prevention of associated puerperal disorders.</.

Item Type: Article
Uncontrolled Keywords: CORTICOTROPIN-RELEASING-HORMONE; UNDER-THE-CURVE; AWAKENING CORTISOL; LACTATING WOMEN; PRENATAL STRESS; AXIS RESPONSES; SECRETION; DELIVERY; SUPPRESSION; MECHANISMS; cortisol awakening response (CAR); hypothalamic-pituitary-adrenal (HPA) axis; pregnancy; postpartum blues; depression; stress
Subjects: 500 Science > 590 Zoological sciences
Divisions: Biology, Preclinical Medicine > Institut für Zoologie > Tierphysiologie/Neurobiologie (Prof. Dr. Inga Neumann)
Depositing User: Dr. Gernot Deinzer
Date Deposited: 06 Aug 2020 06:10
Last Modified: 06 Aug 2020 06:10
URI: https://pred.uni-regensburg.de/id/eprint/25134

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