Cesarean delivery is associated with suppressed activities of the stress axes

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dc.authoridBülbül, Mehmet/0000-0001-5695-2586
dc.authoriducar, cihat/0000-0003-3278-7779
dc.authoridYildiz, Sedat/0000-0002-7872-790X
dc.authorwosidYILDIZ, SEDAT/AAB-6354-2021
dc.authorwosidBülbül, Mehmet/A-6588-2019
dc.contributor.authorUcar, Cihat
dc.contributor.authorBulbul, Mehmet
dc.contributor.authorYildiz, Sedat
dc.date.accessioned2024-08-04T20:50:56Z
dc.date.available2024-08-04T20:50:56Z
dc.date.issued2022
dc.departmentİnönü Üniversitesien_US
dc.description.abstractMaternal pre- and post-delivery stress levels might be different for vaginal or cesarean deliveries. This study aimed to investigate the effects of type of delivery (vaginal or cesarean) and time of delivery (pre- and post-delivery) on the stress axes of the body, namely the hypothalamic-pituitary adrenal axis (HPA) and autonomic nervous system (ANS). Ninety-one pregnant women were volunteered to participate this prospective study. In these women, pre- and post-delivery HPA and ANS activities were measured noninvasively by salivary cortisol and heart rate variability (HRV), respectively. HRV was measured by 5-min electrocardiogram recording and time- and frequency-domain parameters were computed. Salivary cortisol concentration and HRV parameters were higher in women having vaginal delivery than those having cesarean delivery (p < 0.05). Cortisol levels did not differ between pre- and post-delivery (p > 0.05) but the time-domain parameters of HRV decreased post-delivery (p < 0.05). No interactions were observed between the types and times of delivery (p > 0.05). HPA and ANS axes had different activity patterns throughout the delivery process and they were higher during vaginal delivery, suggesting that they are integral parts of normal birth process and that cesarean delivery perturbs the activity of both axes.en_US
dc.identifier.doi10.1080/10253890.2021.2015318
dc.identifier.endpage73en_US
dc.identifier.issn1025-3890
dc.identifier.issn1607-8888
dc.identifier.issue1en_US
dc.identifier.pmid34931594en_US
dc.identifier.scopus2-s2.0-85121753508en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage67en_US
dc.identifier.urihttps://doi.org/10.1080/10253890.2021.2015318
dc.identifier.urihttps://hdl.handle.net/11616/100378
dc.identifier.volume25en_US
dc.identifier.wosWOS:000732575500001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTaylor & Francis Ltden_US
dc.relation.ispartofStress-The International Journal on The Biology of Stressen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCortisolen_US
dc.subjectheart rate variabilityen_US
dc.subjectvaginal deliveryen_US
dc.subjectcesarean deliveryen_US
dc.subjectdelivery timeen_US
dc.subjectdelivery typeen_US
dc.titleCesarean delivery is associated with suppressed activities of the stress axesen_US
dc.typeArticleen_US

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