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The oxytocinergic system in PTSD following traumatic childbirth: endogenous and exogenous oxytocin in the peripartum period
- Source :
- Archives of Women's Mental Health, Witteveen, A B, Stramrood, C A I, Henrichs, J, Flanagan, J C, van Pampus, M G & Olff, M 2020, ' The oxytocinergic system in PTSD following traumatic childbirth: endogenous and exogenous oxytocin in the peripartum period ', Archives of Women's Mental Health, vol. 23, no. 3, pp. 317-329 . https://doi.org/10.1007/s00737-019-00994-0
- Publication Year :
- 2019
- Publisher :
- Springer Vienna, 2019.
-
Abstract
- Birth experiences can be traumatic and may give rise to PTSD following childbirth (PTSD-FC). Peripartum neurobiological alterations in the oxytocinergic system are highly relevant for postpartum maternal behavioral and affective adaptions like bonding and lactation but are also implicated in the response to traumatic events. Animal models demonstrated that peripartum stress impairs beneficial maternal postpartum behavior. Early postpartum activation of the oxytocinergic system may, however, reverse these effects and thereby prevent adverse long-term consequences for both mother and infant. In this narrative review, we discuss the impact of trauma and PTSD-FC on normal endogenous oxytocinergic system fluctuations in the peripartum period. We also specifically focus on the potential of exogenous oxytocin (OT) to prevent and treat PTSD-FC. No trials of exogenous OT after traumatic childbirth and PTSD-FC were available. Evidence from non-obstetric PTSD samples and from postpartum healthy or depressed samples implies restorative functional neuroanatomic and psychological effects of exogenous OT such as improved PTSD symptoms and better mother-to-infant bonding, decreased limbic activation, and restored responsiveness in dopaminergic reward regions. Adverse effects of intranasal OT on mood and the increased fear processing and reduced top-down control over amygdala activation in women with acute trauma exposure or postpartum depression, however, warrant cautionary use of intranasal OT. Observational and experimental studies into the role of the endogenous and exogenous oxytocinergic system in PTSD-FC are needed and should explore individual and situational circumstances, including level of acute distress, intrapartum exogenous OT exposure, or history of childhood trauma.
- Subjects :
- Postpartum depression
Functional neuroanatomical
medicine.medical_specialty
Review Article
Oxytocin
Amygdala
Trauma
Depression, Postpartum
Stress Disorders, Post-Traumatic
03 medical and health sciences
Mice
0302 clinical medicine
Pregnancy
Oxytocics
mental disorders
medicine
Peripartum Period
Childbirth
Animals
Humans
Maternal Behavior
reproductive and urinary physiology
Obstetrics
business.industry
Dopaminergic
Postpartum Period
Parturition
Obstetrics and Gynecology
PTSD
medicine.disease
Delivery, Obstetric
030227 psychiatry
Rats
Psychiatry and Mental health
Distress
medicine.anatomical_structure
Mood
Psychological
Female
business
030217 neurology & neurosurgery
medicine.drug
Subjects
Details
- Language :
- English
- ISSN :
- 14351102 and 14341816
- Volume :
- 23
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Archives of Women's Mental Health
- Accession number :
- edsair.doi.dedup.....64ea3464725e52c504289e55722d73b2