ktokusb-d KTO Karatay Üniversitesi Sağlık Bilimleri Dergisi 2717-8501 KTO Karatay Üniversitesi 10.59244/ktokusbd.1564292 Obstetrics and Gynaecology Kadın Hastalıkları ve Doğum Doğum Sürecinin Hormon Fizyoloji ile İlişkisi ve Ebe Önderliğinde Bakım Relationship of the labour process with hormone physiology and midwife-led care https://orcid.org/0000-0003-1093-4635 Sülü Dursun Rukiye ÇUKUROVA ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, EBELİK BÖLÜMÜ, EBELİK ANABİLİM DALI https://orcid.org/0000-0002-1635-719X Turan Aslıhan KTO KARATAY ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ YÜKSEKOKULU, EBELİK BÖLÜMÜ https://orcid.org/0000-0002-9193-2182 Gözüyeşil Ebru ÇUKUROVA ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ, EBELİK BÖLÜMÜ, EBELİK PR. 12 28 2024 5 3 286 302 10 09 2024 11 05 2024 Copyright © 2020, KTO Karatay Üniversitesi Sağlık Bilimleri Dergisi 2020 KTO Karatay Üniversitesi Sağlık Bilimleri Dergisi

Doğumun süreci ve doğum sonu erken dönemde anne ve fetüsün/yenidoğanın iyilik hali, hormon fizyolojisiyle yakından ilişkilidir. Doğum sürecinde oksitosin, beta-endorfin, prolaktin ve stres hormonları etkili rol oynamaktadır. Buna ek olarak, melatoninin de doğumu etkileyen bir diğer hormon olduğu düşünülmektedir. Doğal doğum, hormonların birbirleriyle uyum içinde ve sinerjik salınımıyla mümkün olabilir. Bu nedenle, annenin stres ve korku yaşamasına neden olan faktörler hormon fizyolojisinin bozulmasına neden olarak annenin algıladığı ağrı seviyelerini artırabilir. Bu durum, doğumun ilerleyişini ve anne ile fetüs/yenidoğanın hem fiziksel hem de psikolojik sağlığını olumsuz etkileyebilir. Doğum süreci uygun bakım uygulamaları ve stratejileri ile yönetilirse, kadının stres hormonlarının salınımı azalır, beta-endorfin salınımı artar. Tolere edilen stres hormonları, doğumun doğal seyrinde ilerlemesini, oksitosin ve melatonin hormonlarının etkilerini ve birbirleriyle uyumunu olumlu etkiler. Bu uyum doğum ağrısıyla baş etmeye yardımcı olur. Böylece doğum süreci sekteye uğramaz ve doğumun ilerlemesi olumlu etkilenir. Bu pozitif döngüyü teşvik etmek, korumak ve desteklemek için ebe önderliğinde bakım uygulamaları oldukça önemlidir. Bu derlemede, doğum sürecinde etkili olan hormonlar, bu hormonların birbirleriyle ilişkisi ve ebe önderliğinde bakım uygulamaları için öneriler tartışılmıştır.

The labour process and the well-being of the mother and fetus/newborn in the early postpartum period are closely associated with hormone physiology. Oxytocin, beta-endorphin, prolactin and stress hormones play an effective role in the labour process. Besides, melatonin is considered to be another hormone that affects labour. Natural childbirth can be realized by the harmonious and synergistic release of hormones. Therefore, factors causing the mother to experience stress and fear can disrupt hormonal physiology, which potentially increases the mother’s perceived level of pain. This condition could negatively affect the progress of labour as well as the physical and psychological health of the mother and the fetus/newborn. If the labour process is managed using appropriate care practices and strategies, the woman's release of stress hormones decreases and beta-endorphin release increases. Tolerated stress hormones positively affect the natural progression of labour, the effects of oxytocin and melatonin, and their compatibility with each other. This harmony helps to cope with labour pain. In this way, the labour process is not interrupted and the labour progress is positively affected. Midwife-led care practices are highly important in terms of promoting, protecting, and supporting this positive cycle. This review discusses the hormones that are effective in the labour process, the relationship of these hormones with each other, and recommendations for midwife-led care practices.

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