Stres, Hormonlar ve Doğum Arasındaki İlişki

Öz

Yoksulluk, uzun süreli algılanan stres ve anksiyete, olumsuz sosyal yaşam deneyimi, eğitim eksikliği, sağlık çalışanlarının olumsuz tutumugibi stres yaratan durumlar preterm doğum görülme oranlarını arttırmaktadır. Stres doğumdaki sağlık davranışlarının da değişmesine nedenolabilir. Stres, kotrikotropin-relasing hormonun artışına neden olmakta bu da uterus kontraksiyonlarının artmasına neden olmaktadır. Stresaynı zamanda oksitosin, prostoglandin, hormonlarının salınımını arttırıp, beta-endorfin, progesteron gibi hormonların salınımını azaltır vebuna bağlı olarak da olumsuz doğum sonuçlarına yol açabilir. Bu makalede stresin doğum fizyolojisi ve patofizyolojisi ile ilişkisi, kronikstrese bağlı doğum meydana gelen durumlar ve bunlara yönelik hemşirelik uygulamaları tartışılacaktır.

Anahtar Kelimeler

• Doğum, Stres, Hormon

Relationship Between Stress, Hormons and and Labor

Öz

Chronic stressors—such as poverty, ongoing perceived stress and anxiety, negative social life experience, lack of Education, negative attitude of health workers—are associated with an increased of preterm birth. Stress may change health behaviors that lead to birth. Stress increases corticotrophin-releasing hormone and may ultimately result in increased uterine contractility. Stress also increases oxitocin, prostaglandin, and decreases beta-endorphin, progesterone hormones which dependently may lead to negative birth outcomes. This article discusses the concepts of stress, the physiology of labor initiation, and the path physiologic interactions that may contribute to the occurrence of chronic stress-related birth and the implications for nursing practice.

Anahtar Kelimeler

• Labor, Stress, Hormone

Kaynakça

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