Document Detail


Hormonal changes and somatopsychologic manifestations in the first trimester of pregnancy and post partum.
MedLine Citation:
PMID:  19185297     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate links between psychologic distress and levels of maternal hormones and cortisol during pregnancy and post partum. METHOD: The study population of 308 pregnant or recently delivered women was divided into 4 equal groups, 3 representing each pregnancy trimester and the fourth one representing the first week of the postpartum period. The women were screened for psychological distress and had blood drawn to measure serum levels of estradiol, progesterone, and total cortisol on the same day. RESULTS: The rates of anxiety and depression were higher in the first trimester and the postpartum groups. Depression was correlated with sharp changes in estradiol and progesterone levels; anxiety was correlated with total cortisol level; and there was a correlation between depression and anxiety. CONCLUSION: Sharp changes in maternal hormone levels were correlated with depression; depression was correlated with anxiety; and anxiety was correlated with elevated cortisol levels, which may adversely affect the health of mother and offspring. Measuring maternal hormones may be a diagnostic tool to evaluate psychologic stress and associated risks.
Authors:
Yuliang Zou; Fenling Fan; Aiqun Ma; Yafei Yue; Wenjun Mao; Xiancang Ma
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-01-29
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  105     ISSN:  1879-3479     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-03-24     Completed Date:  2009-06-12     Revised Date:  2009-12-21    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  46-9     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, The First Affiliated Hospital, School of Medicine of Xi'an Jiaotong University, Xi'an, China. happyling@mail.xjtu.edu.cn
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MeSH Terms
Descriptor/Qualifier:
Anxiety / blood,  complications*,  diagnosis
China / epidemiology
Depression / blood,  complications*,  diagnosis
Depression, Postpartum / blood,  diagnosis
Estradiol / blood
Female
Humans
Hydrocortisone / blood
Longitudinal Studies
Postpartum Period / blood*
Pregnancy
Pregnancy Trimester, First / blood
Progesterone / blood
Prospective Studies
Risk Factors
Stress, Psychological / blood,  complications*,  diagnosis
Chemical
Reg. No./Substance:
50-23-7/Hydrocortisone; 50-28-2/Estradiol; 57-83-0/Progesterone
Comments/Corrections
Erratum In:
Int J Gynaecol Obstet. 2009 Oct;107(1):87

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