Evidence map›Paper›PMID 30306269›Full record

Observational studyArchives of women's mental health2019

The effects of intrapartum synthetic oxytocin on maternal postpartum mood: findings from a prospective observational study.

Lea Takács, Jitka Mlíková Seidlerová, Zuzana Štěrbová, Pavel Čepický, Jan Havlíček

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Archives of women's mental health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Lea TakácsDepartment of Psychology, Faculty of Arts, Charles University, Celetná 20, 116 42, Prague, Czech Republic. lea.takacs@ff.cuni.cz.
Jitka Mlíková SeidlerováInternal Department II, Faculty of Medicine in Pilsen, Charles University, Prague, Czech Republic.
Zuzana ŠtěrbováDepartment of Zoology, Faculty of Science, Charles University, Viničná 7, 128 43, Prague, Czech Republic.
Pavel ČepickýDepartment of Obstetrics and Gynecology, Na Bulovce Hospital, The First Faculty of Medicine, Charles University, Budínova 67/2, 180 00, Prague, Czech Republic.
Jan HavlíčekDepartment of Zoology, Faculty of Science, Charles University, Viničná 7, 128 43, Prague, Czech Republic.
Charles University · CZFakultní nemocnice Bulovka · CZ

Funding

Czech Science Foundation 17-10464S
6 · The paper itself

Abstract

Postpartum depression (PPD) affects up to 19% of all mothers, with detrimental effects on both mother and child. The antidepressant and anxiolytic effects of plasma oxytocin are well-documented, but it is still disputable whether synthetic oxytocin (synOT) may protect women against postpartum mood alterations. The current study examined the association between synOT intrapartum and maternal mood postpartum using a prospective design. Two hundred sixty women were screened for depressive symptoms in the last trimester of pregnancy and then again 6 weeks and 9 months postpartum using the Edinburgh Postnatal Depression Scale. They also completed Maternity Blues Questionnaire in the first postpartum week. The data concerning the intrapartum interventions and health status of the newborn were extracted from the medical records. Cox proportional hazards regression adjusted for a history of depression, mode of delivery, and childbirth experience showed that synOT predicted a significantly lower risk of PPD (HR = 0.65, 95% CI 0.45-0.95, p = 0.025). The risk factors for PPD included a history of depression (HR = 3.20, 95% CI 2.33-4.40, p < 0.001) and negative childbirth experience (HR = 1.39, 95% CI 1.01-1.90, p = 0.040). Logistic regression adjusted for the same covariates found no significant effect of synOT on maternity blues (OR = 0.64, 95% CI 0.31-1.32, p = 0.23). While synOT administered intrapartum does not affect maternal mood immediately, it may come to effect some weeks after childbirth to protect mothers from developing PPD symptoms.

Indexed as

AdultDelivery, ObstetricDepression, PostpartumFemaleHumansLongitudinal StudiesMothersOxytocicsOxytocinPostpartum PeriodPregnancyProportional Hazards ModelsProspective StudiesPsychiatric Status Rating ScalesRisk FactorsOxytocicsOxytocinDepressionMaternity bluesPregnancy and postpartumSynthetic oxytocin

Identifiers

PMID30306269
PMCPMC6647378
OpenAlexW2896616858

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.