Boutet C, Vercueil L, Schelstraete C, Buffin A, Legros J J
Diététicienne et animatrice du Centre Ressource Documentaire pour l'Allaitement Maternel, Chambéry.
Ann Endocrinol (Paris). 2006 Jun;67(3):214-23. doi: 10.1016/s0003-4266(06)72589-6.
Oxytocin is required for lactation by promoting milk expulsion. Oxytocin has also been reported to exert a positive role in social attachment. The postpartum period has been shown to be crucial for maternal behavior initiation, and required self-trust reinforcement. However, this period is also remarkable for the high risk exposure of either psychic or physical stress. A negative impact on young mother is suspected, both in the short, medium or long term, which can even be deleterious for child-mother relationships. During lactation in female rats and sheep, oxytocin production has been proved to decrease stress-induced hormonal changes and later consequences. In human beings, only the first hour after breast-feeding seems to protect against physical or psychic stress. Oxytocin improves the stress-induced response by reducing the ACTH and cortisol secretion thus representing a potential therapeutic pathway in post-partum pathologies such as depression. Thus, this review of recent literature about oxytocin and stress during post-partum period, leads to the assumption that oxytocin, at the moment of installation of breastfeeding, acts not only on the physiological condition, but also on the psychic condition of the mother.
催产素通过促进乳汁排出对泌乳至关重要。据报道,催产素在社会依恋方面也发挥着积极作用。产后时期已被证明对母性行为的启动至关重要,且需要增强自我信任。然而,这一时期也是遭受精神或身体压力高风险暴露的时期。无论是短期、中期还是长期,都怀疑会对年轻母亲产生负面影响,甚至可能对母婴关系有害。在雌性大鼠和绵羊的哺乳期,已证明催产素的产生可减少应激诱导的激素变化及其后续影响。在人类中,似乎只有母乳喂养后的第一个小时能预防身体或精神压力。催产素通过减少促肾上腺皮质激素和皮质醇的分泌来改善应激反应,因此代表了产后抑郁症等产后疾病的一种潜在治疗途径。因此,对近期有关产后时期催产素与压力的文献综述得出这样的假设:在开始母乳喂养时,催产素不仅作用于母亲的生理状况,还作用于其心理状况。