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Abstract
The effect of stress during labor on the plasma concentration of cortisol, unconjugated
estriol, and human chorionic somatomammotropin was studied in 15 healthy primiparous
women. According to the method of pain relief the parturients were divided into two
groups. One group was given continuous epidural analgesia and the other group received
pethidine, diazepam, and nitrous oxide/oxygen in response to pain. In the most stressed
nonepidural group there was a significant rise in the cortisol level during labor
and the estriol concentration fell significantly. In the epidural group no significant
changes were observed with respect to the concentration of either cortisol or estriol.
These results give further support to the hypothesis that severe maternal stress may
lead to a reduced concentration of estriol in maternal plasma.
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Reference
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Article info
Publication history
Accepted:
September 13,
1978
Received:
May 24,
1978
Identification
Copyright
© 1979 The C. V. Mosby Co. Published by Elsevier Inc. All rights reserved.