Evidence map›Paper›PMID 33627086›Full record

Trial reportBMC pregnancy and childbirth2021

Changes in the cortisol and oxytocin levels of first-time pregnant women during interaction with an infant: a randomized controlled trial.

Nozomi Sonoda, Kaori Takahata, Wataru Tarumi, Kazuyuki Shinohara, Shigeko Horiuchi

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
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 4 institutions in 1 country.

Nozomi SonodaJapanese Red Cross Kyushu International College of Nursing, 1-1 Asty Munakata, Fukuoka, 811-4157, Japan. 15dn010@slcn.ac.jp.ORCID http://orcid.org/0000-0002-7013-4085
Kaori TakahataShonan Kamakura University of Medical Science, 1195-3 Yamasaki, Kamakura-shi, 247-0066, Japan.
Wataru TarumiDepartment of Neurobiology and Behavior, Graduate School of Biomedical Science, Nagasaki University, 1-12-4 Sakamotomachi, Nagasaki, 852-8523, Japan.
Kazuyuki ShinoharaDepartment of Neurobiology and Behavior, Graduate School of Biomedical Science, Nagasaki University, 1-12-4 Sakamotomachi, Nagasaki, 852-8523, Japan.
Shigeko HoriuchiGraduate School of Nursing Science, St. Luke's International University, 10-1 Akashi-cho, Chuo-ku, Tokyo, 104-0044, Japan.
Nagasaki University · JPJapanese Red Cross Kyushu International College of Nursing · JPShonan Kamakura General Hospital · JPSt. Luke's International University · JP

Funding

Japan Society for the Promotion of Science 17H01613Japan Society for the Promotion of Science (JP) 16K15939Japan Society for the Promotion of Science (JP) 19K19698
6 · The paper itself

Abstract

backgroundDuring pregnancy, physiological, psychological, and social changes affect pregnant women's childcare anxiety and childrearing behavior. However, there are scarce reports on hormonal evaluation related to such anxiety and behavior. Herein, we evaluated changes in salivary cortisol (primary outcome) and oxytocin (secondary outcome) levels of first-time pregnant women when interacting with an infant and discussed the relation of these changes to the women's stress level.

methodsThis was a two-arm randomized controlled trial. Participants were randomly assigned using a web-based randomization system. The experimental group involved interaction with an infant for 30 min. The control group involved watching a DVD movie of an infant for 30 min. Saliva samples were collected at preintervention and postintervention. Saliva samples were assayed, and all data were compared between and within the groups using independent t-test and paired t-test with a two-sided 5% significance level. This study was approved by the Research Ethics Committee of St. Luke's International University.

resultsA total of 102 women were randomly assigned to the experimental (n = 51) and control (n = 51) groups. Finally, 38 women in the experimental group and 42 women in the control group were analyzed. The salivary cortisol level significantly decreased after the interventions in both groups (t = 4.57, p = 0.00; t = 5.01, p = 0.00). However, there were no significant differences in the salivary cortisol (t = 0.349, p = 0.73) and oxytocin (t = - 1.945, p = 0.58) levels between the two groups.

conclusionsThe salivary cortisol level of first-time pregnant women significantly decreased in the experimental and control groups postintervention, although no significant difference was found between the two groups. Such decrease indicates stress reduction and release among these women. The absence of a significant increase in salivary oxytocin level in both groups may be related to the limitations of an insufficient number of samples that could be analyzed owing to the small saliva volume in some samples and the lack of adequate tactile stimulation of the intervention protocol. These results and procedural limitations provide useful insights into approaching subsequent studies aiming at continuously optimizing detection procedures.

trial registrationUMIN000028471 (Clinical Trials Registry of University Hospital Information Network. July 31, 2017- Retrospectively registered.

Indexed as

Interpersonal RelationsPregnant PeopleAdultFemaleHumansHydrocortisoneInfantOxytocinPregnancySalivaHydrocortisoneOxytocinCortisolInfantInteractionOxytocinPregnancyPrimiparaRandomized controlled trial (8/10)Single nucleotide polymorphism

Identifiers

PMID33627086
PMCPMC7903931
OpenAlexW3129862598

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.