The study may already provide initial evidence of neurobiological mechanisms in the maternal brain that may underlie the intergenerational effects of early life stress experiences.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria: a) Planned cesarean section (primary cesarean) due to personal preference or minor complications, i.e., cesarean section in a previous pregnancy, breech presentation, uncomplicated placenta previa b) Age = 18 years c) Sufficient proficiency in the German language d) Singleton pregnancy e) Gestational age = 37 weeks at delivery
Exclusion criteria
Exclusion criteria: Exclusion criteria: a) Current medication that markedly dysregulates the production or function of the measured parameters (e.g., steroids, non-steroidal analgesics/NSAIDs, tocolytics, antidepressants) b) Current diagnosed depressive episode c) Alcohol and substance abuse d) Diagnosed fetal anomalies or severe illness of the newborn
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hypothesis: Early life stress experiences are associated with lower central (and peripheral) concentrations of oxytocin (OT) and higher concentrations of corticotropin-releasing hormone (CRH), interleukin-6 (IL-6), and interleukin-8 (IL-8). Primary outcome parameters: • Concentrations of endocrine and immunological parameters (CRH, OT, IL-6, IL-8) at the time of delivery. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome parameters: • Depressive symptoms at the time of study enrollment and three months postpartum, measured using the Edinburgh Postnatal Depression Scale (EPDS) (Cox et al., 2014). • Maternal bonding quality at the time of study enrollment and three months postpartum, assessed using the Maternal Antenatal Attachment Scale (MAAS) and the Maternal Postnatal Attachment Scale (MPAS) (Condon, 1993; Condon & Corkindale, 1998; Wittich et al., 2009, 2010). | — |
Countries
Germany
Contacts
Charité Universitätsmedizin Berlin Institut für Medizinische Psychologie