Skip to main content Accessibility help
×
Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-14T09:00:33.717Z Has data issue: false hasContentIssue false

Chapter 3 - The Role of Oxytocin in Pregnancy

from Section I - Hormones in the Physiology and Pharmacology of Pregnancy

Published online by Cambridge University Press:  09 November 2022

Felice Petraglia
Affiliation:
Università degli Studi, Florence
Mariarosaria Di Tommaso
Affiliation:
Università degli Studi, Florence
Federico Mecacci
Affiliation:
Università degli Studi, Florence
Get access

Summary

The small peptide hormone oxytocin is produced as part of a larger precursor protein in the magnocellular neurones of the hypothalamus, whence it is transported down axons to the posterior pituitary to be released in a pulsatile manner upon nervous stimulation. Pituitary oxytocin is involved in contractility of the male and female tracts during intercourse and the transport of gametes to the site of fertilization. In early pregnancy, oxytocin action on myometrial smooth muscle is suppressed until pre-term, when increasing pulsatility, together with increased uterine oxytocin receptor expression, as well as declining suppressive factors, lead to a positive feedback situation and expulsion of the fetus at term. Postpartum, oxytocin is responsible for the milk let-down reflex enabling breast-feeding and ensures the birth of the placenta and subsequent anti-hemorrhagic involution of the uterus. Within the brain, oxytocin induces positive mood and maternal behavior, and may be involved with feeding and satiety. Pharmacologically, oxytocin is used to promote labor; and specific antagonists may delay pre-term contractions or facilitate embryo implantation.

Type
Chapter
Information
Hormones and Pregnancy
Basic Science and Clinical Implications
, pp. 20 - 32
Publisher: Cambridge University Press
Print publication year: 2022

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ivell, R, Ludwig, M, Tribe, RM, et al. Oxytocin. In Skinner, M. K. (Ed.), Encyclopedia of Reproduction. vol. 2, 2018; 597606. Academic Press: Elsevier.CrossRefGoogle Scholar
Arrowsmith, S, and Wray, S. Oxytocin: Its mechanism of action and receptor signalling in the myometrium. J Neuroendocrinol. 2014, 26: 356369.Google Scholar
Borrow, AP, and Cameron, NM. The role of oxytocin in mating and pregnancy. Horm Behav. 2012, 61 :266276.CrossRefGoogle ScholarPubMed
Giraldi, A, Marson, L, Nappi, R, et al. Physiology of female sexual function: Animal models. J Sexual Med. 2004, 1: 237253.CrossRefGoogle ScholarPubMed
Nishimori, K, Young, LJ, Guo, Q et al. Oxytocin is required for nursing but is not essential for parturition or reproductive behavior. Proc Natl Acad Sci USA. 1996, 93: 1169911704.Google Scholar
Salonia, A, Nappi, RE, Pontillo, M, et al. Menstrual cycle-related changes in plasma oxytocin are relevant to normal sexual function in healthy women. Horm Behav. 2005, 47: 164169.CrossRefGoogle ScholarPubMed
Veening, JG, de Jong, TR, Waldinger, MD, et al. The role of oxytocin in male and female reproductive behavior. Eur J Pharmacol. 2015, 753: 209228.CrossRefGoogle ScholarPubMed
Carmichael, MS, Warburton, VL, Dixen, J, et al. Relationships among cardiovascular, muscular, and oxytocin responses during human sexual activity. Arch Sexual Behav. 1994, 23: 5979.Google Scholar
Einspanier, A, Ivell, R, and Hodges, JK. Oxytocin: A follicular luteinisation factor in the marmoset monkey. Adv Exp Med Biol. 1995, 395: 517522.Google Scholar
Furuya, K, Mizumoto, Y, Makimura, N, et al. A novel biological aspect of ovarian oxytocin: Gene expression of oxytocin and oxytocin receptor in cumulus/luteal cells and the effect of oxytocin on embryogenesis in fertilized oocytes. Adv Exp Med Biol. 1995, 395: 523528.Google Scholar
Fuchs, AR, Romero, R, Keefe, D, et al. Oxytocin secretion and human parturition: pulse frequency and duration increase during spontaneous labor in women. Am J Obstet Gynecol. 1991, 165: 15151523.Google Scholar
Wathes, DC, Borwick, SC, Timmons, PM, et al. Oxytocin receptor expression in human term and preterm gestational tissues prior to and following the onset of labour. J Endocrinol. 1999, 161: 143151.Google Scholar
Kimura, T, Takemura, M, Nomura, S, et al. Expression of oxytocin receptor in human pregnant myometrium. Endocrinology. 1996, 137: 780785.Google Scholar
Soloff, MS, Alexandrova, M, and Fernstrom, MJ. Oxytocin receptors: Triggers for parturition and lactation? Science. 1979, 204: 13131315.Google Scholar
Fuchs, AR, Fuchs, F, Husslein, P, et al. Oxytocin receptors in the human uterus during pregnancy and parturition. Am J Obstet Gynecol. 1984, 150: 734741.Google Scholar
Pieber, D, Allport, VC, Hills, F, et al. Interactions between progesterone receptor isoforms in myometrial cells in human labour. Mol Hum Reprod 2001, 7: 875879.Google Scholar
Mesiano, S, Chan, EC, Fitter, JT, et al. Progesterone withdrawal and estrogen activation in human parturition are coordinated by progesterone receptor A expression in the myometrium. J Clin Endocrinol Metab. 2002, 87: 29242930.Google Scholar
McNeilly, AS, Robinson, IC, Houston, MJ, et al. Release of oxytocin and prolactin in response to suckling. Br Med J. 1983, 286: 257259.Google Scholar
Uvnäs-Moberg, K, Widström, AM, Werner, S, et al. Oxytocin and prolactin levels in breast-feeding women. Correlation with milk yield and duration of breast-feeding. Acta Obstet Gynecol Scand. 1990, 69: 301306.Google Scholar
Fuchs, AR, Ivell, R, Ganz, N, et al. Secretion of oxytocin in pregnant and parturient cows: Corpus luteum may contribute to plasma oxytocin at term. Biol. Reprod. 2001, 65: 11351141.Google Scholar
Christensson, K, Nilsson, BA, Stock, S, et al. Effect of nipple stimulation on uterine activity and on plasma levels of oxytocin in full term, healthy, pregnant women. Acta Obstet Gynecol Scand. 1989, 68: 205210.Google Scholar
Jonas, W, Johansson, LM, Nissen, E, et al. Effects of intrapartum oxytocin administration and epidural analgesia on the concentration of plasma oxytocin and prolactin, in response to suckling during the second day postpartum. Breastfeeding Med. 2009, 4: 7182.Google Scholar
Nissen, E, Uvnäs-Moberg, K, Svensson, K, et al. Different patterns of oxytocin, prolactin but not cortisol release during breastfeeding in women delivered by caesarean section or by the vaginal route. Early Hum Devel. 1996, 45: 103118.Google Scholar
Yokoyama, Y, Ueda, T, Irahara, M, et al. Releases of oxytocin and prolactin during breast massage and suckling in puerperal women. Eur J Obstet Gynecol Reprod Biol. 1994, 53: 1720.Google Scholar
Uvnas Moberg, K, Ekstrom-Bergstrom, A, Buckley, S, et al. Maternal plasma levels of oxytocin during breastfeeding – A systematic review. PLoS ONE 2020, 15: e0235806.Google Scholar
Bell, AF, Erickson, EN, and Carter, CS: Beyond labor: The role of natural and synthetic oxytocin in the transition to motherhood. J Midwifery Womens Health. 2014, 59: 3542.Google Scholar
Odent, MR. Synthetic oxytocin and breastfeeding: Reasons for testing an hypothesis. Med Hypotheses. 2013, 81: 889891.Google Scholar
Williams, GL, Gazal, OS, Leshin, LS, et al. Physiological regulation of maternal behavior in heifers: roles of genital stimulation, intracerebral oxytocin release, and ovarian steroids. Biol Reprod. 2001, 65: 295300.Google Scholar
Carter, CS, Altemus, M, and Chrousos, GP. Neuroendocrine and emotional changes in the post-partum period. Prog Brain Res. 2001, 133: 241249.Google Scholar
Boccia, ML, Goursaud, AP, Bachevalier, J, et al. Peripherally administered non-peptide oxytocin antagonist, L368,899, accumulates in limbic brain areas: a new pharmacological tool for the study of social motivation in non-human primates. Horm Behav. 2007, 52: 344351.Google Scholar
Gordon, I, Zagoory-Sharon, O, Leckman, JF, et al. Oxytocin and the development of parenting in humans. Biol Psychiatry. 2010, 68: 377382.Google Scholar
Budden, A, Chen, LJ, and Henry, A. High-dose versus low-dose oxytocin infusion regimens for induction of labour at term. Cochrane Database Syst Rev. 2014, Cd009701.Google Scholar
Saccone, G, Ciardulli, A, Baxter, JK, et al. Discontinuing oxytocin infusion in the active phase of labor: A systematic review and meta-analysis. Obstet Gynec. 2017, 130: 10901096.Google Scholar
Tribe, RM, Crawshaw, SE, Seed, P, et al. Pulsatile versus continuous administration of oxytocin for induction and augmentation of labor: Two randomized controlled trials. Am J Obstet Gynecol. 2012, 206(230):e231–238.CrossRefGoogle ScholarPubMed
ACOG Practice Bulletin No. 107: Induction of labor. Obstet Gynecol. 2009, 114: 386397.Google Scholar
Smyth, RM, Markham, C, and Dowswell, T. Amniotomy for shortening spontaneous labour. Cochrane Database Syst Rev. 2013, Cd006167.Google Scholar
Grobman, WA, Rice, MM, Reddy, UM, et al. Labor induction versus expectant management in low-risk nulliparous women. N Engl J Med. 2018, 379: 513523.Google Scholar
Winterfeld, U, Meyer, Y, Panchaud, A, et al. Management of deficient lactation in Switzerland and Canada: A survey of midwives’ current practices. Breastfeeding Med. 2012, 7: 317318.Google Scholar
Cazorla-Ortiz, G, Obregón-Guitérrez, N, Rozas-Garcia, MR, et al. Methods and success factors of induced lactation: A scoping review. J Hum Lact. 2020, 36: 739749.Google Scholar
Mangesi, L, and Zakarija-Grkovic, I. Treatments for breast engorgement during lactation. Cochrane Database Syst Rev. 2016, Cd006946.Google Scholar
Fewtrell, MS, Loh, KL, Blake, A, et al. Randomised, double blind trial of oxytocin nasal spray in mothers expressing breast milk for preterm infants. Arch Dis Child Fetal Neonatal Ed. 2006, 91: F169–174.Google Scholar
Practice Bulletin No. 183: Postpartum Hemorrhage. Obstet Gynecol. 2017, 130: e168e186.Google Scholar
Salati, JA, Leathersich, SJ, Williams, MJ, et al. Prophylactic oxytocin for the third stage of labour to prevent postpartum haemorrhage. Cochrane Database Syst Rev. 2019, Cd001808.Google Scholar
Westhoff, G, Cotter, AM, and Tolosa, JE. Prophylactic oxytocin for the third stage of labour to prevent postpartum haemorrhage. Cochrane Database Syst Rev. 2013, Cd001808.Google Scholar
Durocher, J, Dzuba, IG, Carroli, G, et al. Does route matter? Impact of route of oxytocin administration on postpartum bleeding: A double-blind, randomized controlled trial. PLoS ONE. 2019, 14: e0222981.Google Scholar
Windle, RJ, Shanks, N, Lightman, SL, et al. Central oxytocin administration reduces stress-induced corticosterone release and anxiety behavior in rats. Endocrinology. 1997, 138: 28292834.Google Scholar
Petersson, M, Wiberg, U, Lundeberg, T, et al. Oxytocin decreases carrageenan induced inflammation in rats. Peptides. 2001, 22: 14791484.Google Scholar
Neumann, ID. Brain oxytocin: A key regulator of emotional and social behaviours in both females and males. J Neuroendocrinol. 2008, 20: 858865.Google Scholar
Churchland, PS, and Winkielman, P. Modulating social behavior with oxytocin: how does it work? What does it mean? Horm Behav. 2012, 61: 392399.Google Scholar
Cyranowski, JM, Hofkens, TL, Frank, E, et al. Evidence of dysregulated peripheral oxytocin release among depressed women. Psychosom Med. 2008, 70: 967975.Google Scholar
Leng, G, and Ludwig, M. Intranasal oxytocin: Myths and delusions. Biol Psychiatry. 2016, 79: 243250.Google Scholar
Saxbe, D, Khaled, M, Horton, KT, et al. Maternal prenatal plasma oxytocin is positively associated with prenatal psychological symptoms, but method of immunoassay extraction may affect results. Biol Psychol 2019. 147: 107718.CrossRefGoogle ScholarPubMed
Bosch, OJ, Meddle, SL, Beiderbeck, DI, et al. Brain oxytocin correlates with maternal aggression: Link to anxiety. J Neurosci. 2005, 25: 68076815.Google Scholar
Craciunas, L, Kollmann, M, Tsampras, N, et al. Oxytocin antagonists for assisted reproduction. Cochrane Database Syst Rev. 2016, Cd012375.Google Scholar
Moraloglu, O, Tonguc, E, Var, T, et al. Treatment with oxytocin antagonists before embryo transfer may increase implantation rates after IVF. Reprod Biomed Online. 2010, 21: 338343.CrossRefGoogle ScholarPubMed
Kam, KY, and Lamont, RF. Developments in the pharmacotherapeutic management of spontaneous preterm labor. Expert Opin Pharmacother. 2008, 9: 11531168.Google Scholar
van Vliet, EOG, Nijman, TAJ, Schuit, E, et al. Nifedipine versus atosiban for threatened preterm birth (APOSTEL III): A multicentre, randomised controlled trial. Lancet. 2016, 387: 21172124.Google Scholar
Thornton, S, Goodwin, TM, Greisen, G, et al. The effect of barusiban, a selective oxytocin antagonist, in threatened preterm labor at late gestational age: A randomized, double-blind, placebo-controlled trial. Am J Obstet Gynecol. 2009, 200(627): e621–610.Google Scholar
Thornton, S, Miller, H, Valenzuela, G, et al. Treatment of spontaneous preterm labour with retosiban: A phase 2 proof-of-concept study. Br J Clin Pharmacol. 2015, 80: 740749.Google Scholar
Ogawa, S, Kudo, S, Kitsunai, Y, et al. Increase in oxytocin secretion at ejaculation in male. Clin Endocrinol. 1980, 13: 9597.Google Scholar
Carmichael, MS, Humbert, R, Dixen, J, et al. Plasma oxytocin increases in the human sexual response. J Clin Endocrinol Metab. 1987, 64: 2731.Google Scholar
Melis, MR, Argiolas, A, andGessa, GL. Oxytocin-induced penile erection and yawning: site of action in the brain. Brain Res. 1986, 398: 259265.Google Scholar
Filippi, S, Vannelli, GB, Granchi, S, et al. Identification, localization and functional activity of oxytocin receptors in epididymis. Mol Cell Endocrinol. 2002, 193: 89100.Google Scholar
Ivell, R, Balvers, M, Rust, W, et al. Oxytocin and male reproductive function. Adv Exp Med Biol. 1997, 424: 253264.Google Scholar
Thackare, H, Nicholson, HD, and Whittington, K. Oxytocin - Its role in male reproduction and new potential therapeutic uses. Hum Reprod Update. 2006, 12: 437448.Google Scholar
Neumann, ID, Wigger, A, Torner, L, et al. Brain oxytocin inhibits basal and stress-induced activity of the hypothalamo-pituitary-adrenal axis in male and female rats: Partial action within the paraventricular nucleus. J Neuroendocrinol. 2000, 12: 235243.Google Scholar
Goodin, BR, Anderson, AJB, Freeman, EL, et al. Intranasal oxytocin administration is associated with enhanced endogenous pain inhibition and reduced negative mood states. Clin J Pain. 2015, 31: 757767.Google Scholar
Boll, S, Almeida de Minas, AC, Raftogianni, A, et al. Oxytocin and pain perception: From animal models to human research. Neuroscience. 2018, 387: 149161.Google Scholar
Tracy, LM, Georgiou-Karistianis, N, Gibson, SJ, et al. Oxytocin and the modulation of pain experience: Implications for chronic pain management. Neurosci Biobehav Rev. 2015, 55: 5367.Google Scholar
Onaka, T, and Takayanagi, Y. Role of oxytocin in the control of stress and food intake. J Neuroendocrinol. 2019, e12700.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×