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560 Associations of human placental lactogen and oxytocin during pregnancy with maternal-fetal attachment, anxiety and depression

Published online by Cambridge University Press:  03 April 2024

Remington Coté
Affiliation:
Department of Biology, Creighton University, Omaha, NE, USA
Holly Stessman
Affiliation:
Department of Pharmacology and Neuroscience, Creighton University School of Medicine, USA
Jonathan Handelzalts
Affiliation:
The Academic College of Tel-Aviv, Graduate Program in Clinical Psychology, School of Behavioral Sciences, Yaffo, Israel Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA
Pooja Doerman
Affiliation:
Department of Obstetrics and Gynecology, Creighton University School of Medicine, Phoenix, AZ USA Department of Obstetrics and Gynecology, University of Arizona College of Medicine, Phoenix, AZ USA
Danielle B. Dilsaver
Affiliation:
Department of Obstetrics and Gynecology CommonSpirit/Dignity Health, Phoenix, AZ, USA
Ryan W. Walters
Affiliation:
Department of Clinical Research and Public Health, Creighton University School of Medicine, Omaha, NE, USA
Amy S. Badura-Brack
Affiliation:
Department of Psychological Science, Creighton University, Omaha, NE, USA
John Coté
Affiliation:
Department of Obstetrics and Gynecology, Creighton University School of Medicine, Omaha, NE, USA Department of Obstetrics and Gynecology, CommonSpirit/CHI Health, Lakeside, Omaha, NE, USA
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Abstract

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OBJECTIVES/GOALS: The goals of the present study were to examine levels and potential changes in oxytocin and HPL over the course of pregnancy. We assessed the potential predictive value of oxytocin and HPL on maternal-fetal attachment, anxiety and depression at three timepoints during pregnancy. METHODS/STUDY POPULATION: Pregnant women (n=70) enrolled in a longitudinal, rolling protocol study. Eligibility criteria included 1) singleton pregnancy confirmed at early pregnancy screen (EPS) ultrasonography, 2) mother aged 19 or greater, and 3) fluent in English. Predictors (oxytocin and HPL levels) were measured via blood draws at the same three times (early-stage, mid-stage, and late-stage) that MFA, anxiety and depression questionnaires were completed. RESULTS/ANTICIPATED RESULTS: An increased OT level compared to a mother’s average OT level did not have a statistically significant effect on MFA (within-person estimate = 0.02, 95% CI: -0.03 to 0.05, p = 0.427. An increased HPL level compared to a patient’s average HPL level did not have a statistically significant effect on MFA (within-person estimate = -0.10, 95% CI: -0.67 to 0.47, p = 0.730). The main effect of between-person HPL was significant; such that a one-unit increase in average HPL level was associated with a 0.52 higher anxiety score (between-person 95% CI: 0.08 to 0.96, p = 0.022). The main effect of between-person HPL was significant, such that an increased average HPL level was associated with a 0.45 higher depression score (between-person estimate = 0.45, 95% CI: 0.04 to 0.86, p=0.031). DISCUSSION/SIGNIFICANCE: To our knowledge, our study is the first to measure HPL and MFA over the course of a pregnancy. At this point, perhaps the best we can say is that HPL is a promising new target hormone that may be related to psychological symptoms surrounding pregnancy.

Type
Team Science
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
© The Author(s), 2024. The Association for Clinical and Translational Science