@misc{10481/87164,
year = {2019},
month = {1},
url = {https://hdl.handle.net/10481/87164},
abstract = {Background: Several factors can influence the production of human milk.
Purpose: To assess the influence of maternal psychological stress, maternal cortisol
levels, and neonatal hair cortisol levels on the production of human milk.
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 [PDQ], perceived stress [PSS]), was
evaluated during the third trimester and the postpartum period.
Results: Higher PDQ scores during the third trimester were associated with later human
milk production (P < 0.05). Higher PSS scores in the third trimester were associated
with later human milk production (P < 0.05). Higher postpartum maternal hair cortisol
levels were associated with a delayed secretory activation of human milk (P < 0.05).
Implications for Research: Future studies should study the influence of psychological
stress and cortisol levels on the variety of hormones involved in human milk
production.
Implications for Practice: Neonatal nurses and other health care providers are
encouraged to should be familiar with the level of maternal prenatal stress and how
much stress neonates were exposed to before birth.},
title = {Maternal and Neonatal Hair Cortisol Levels and Psychological Stress Are Associated With Onset of Secretory Activation of Human Milk Production},
doi = {10.1097/ANC.0000000000000660},
author = {Caparros González, Rafael Arcángel and Romero González, Borja and González Pérez, Raquel and Lara-Cinisomo, Sandraluz and Martín-Tortosa, Pablo L. and Oliver-Roig, Antonio and Peralta Ramírez, María Isabel},
}