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Oxytocin is a peptide hormone and neuropeptide normally produced in the hypothalamus and released by the posterior pituitary. [4] Present in animals since early stages of evolution, in humans it plays roles in behavior that include social bonding, love, reproduction, childbirth, and the period after childbirth.
Oxytocin is released when a mother cares for her child, making the interaction pleasurable. Mothers that report high levels of infant-mother bonding and demonstrate responsive and sensitive parenting generally show increased levels of OT and brain reward center activation during play sessions.
Many nonhuman studies can be used as both potential models for humans and to show the phylogenetic conservation of some endocrine signals. [1] Estrogen and progesterone released by ovaries during pregnancy make oxytocin receptors more sensitive in female rats [8] and is associated with the onset of maternal behaviors in other species as well.
A low level of estrogen can lead to a non-conception cycle, and a high level of estrogen when LH is at its peak, can lead to lower live birth rates and other complications. [13] During pregnancy, estrogen plays a role in supporting placentation through the modulation of angiogenic factor expression. [13]
By the 1970s, home birth rates fell to approximately 1%. [167] In the United States, the middle classes were especially receptive to the medicalisation of childbirth, which promised a safer and less painful labour. [166] Accompanied by the shift from home to hospital was the shift from midwife to physician.
Replacement fertility is the total fertility rate at which women give birth to enough babies to sustain population levels, assuming that mortality rates remain constant and net migration is zero. [10] If replacement level fertility is sustained over a sufficiently long period, each generation will exactly replace itself. [10]
Similar to oxytocin, analogues bind to oxytocin receptors found along the muscles of the uterus and act as an agonist. During pregnancy, the number of oxytocin receptors increase until reaching their peak near completion of the pregnancy. An important note is that not all analogs of oxytocin work as an receptor agonist or as a uterotonic.
Nasal administration: Oxytocin is effectively distributed to the brain when administered intranasally via a nasal spray, after which it reliably crosses the blood–brain barrier and exhibits psychoactive effects in humans. [39] [40] No serious adverse effects with short-term application of oxytocin with 18~40 IU (36–80 mcg) have been ...