Badr Hanan A, Zauszniewski Jaclene A
Case Western Reserve University, Frances Payne Bolton School of Nursing, 10900 Euclid Avenue, Cleveland, OH 44106-4904, USA.
King Abdul Aziz University, School of Nursing, Jeddah, P.O. Box 80200, 21589, Saudi Arabia.
Int J Nurs Sci. 2017 Jan 5;4(2):179-183. doi: 10.1016/j.ijnss.2017.01.001. eCollection 2017 Apr 10.
Postpartum depression occurs in about 10-22% of women after birth and adversely affects their health and the health of their newborn. Kangaroo care is known to have many health-related benefits for both the mother and her newborn.
The aim of this review was to gather the evidence linking the effects of kangaroo care with postpartum depression, specifically focusing on the proposed underlying mechanism involving the release of oxytocin.
The literature review was conducted by targeting PubMed, CINAHL, and Google Scholar databases. The search terms used were postpartum depression, postnatal depression, oxytocin, oxytocin hormone, postpartum depression, kangaroo care, and skin-to-skin contact.
Kangaroo care was found to play an important role in decreasing the risk for postpartum depression. Skin-to-skin contact during kangaroo care was found to trigger the release of oxytocin, which is hypothesized to minimize the risk for depressive symptoms as well as decrease maternal stress. The oxytocinergic system regulates the release of oxytocin, which is an effect that is opposite that which occurs with the human stress response, in which the sympathetic nervous system is activated to release catecholamines in response to harmful or threatening stimuli. The oxytocinergic system regulates calmness, connection, and socialization processes. During kangaroo care, oxytocin blocks the stress response and decreases the circulation of catecholamines, yielding positive outcomes that include maternal stress reduction and prevention of postpartum depression.
Kangaroo care can be used as a non-pharmacological intervention to prevent or decrease the risk of postpartum depression.
产后抑郁症在产后约10 - 22%的女性中出现，对她们自身及其新生儿的健康产生不利影响。袋鼠式护理已知对母亲及其新生儿都有许多与健康相关的益处。
本综述的目的是收集将袋鼠式护理的效果与产后抑郁症联系起来的证据，特别关注所提出的涉及催产素释放的潜在机制。
通过检索PubMed、CINAHL和谷歌学术数据库进行文献综述。使用的检索词为产后抑郁症、产后抑郁、催产素、催产素激素、产后抑郁症、袋鼠式护理和皮肤接触。
发现袋鼠式护理在降低产后抑郁症风险方面发挥着重要作用。发现袋鼠式护理期间的皮肤接触会触发催产素的释放，据推测这可将抑郁症状的风险降至最低，并减轻母亲的压力。催产素能系统调节催产素的释放，这与人类应激反应相反，在人类应激反应中，交感神经系统被激活以响应有害或威胁性刺激而释放儿茶酚胺。催产素能系统调节平静、联系和社交过程。在袋鼠式护理期间，催产素阻断应激反应并减少儿茶酚胺的循环，产生包括减轻母亲压力和预防产后抑郁症在内的积极结果。
袋鼠式护理可作为一种非药物干预措施来预防或降低产后抑郁症的风险。
