Beyond labor: The role of natural and synthetic oxytocin in the transition to motherhood

Aleeca F. Bell, Elise N. Erickson, C. Sue Carter

Research output: Contribution to journalArticlepeer-review

94 Scopus citations


Emerging research raises questions that synthetic oxytocin during childbirth may alter the endogenous oxytocin system and influence maternal stress, mood, and behavior. Endogenous oxytocin is a key component in the transition to motherhood, affecting molecular pathways that buffer stress reactivity, support positive mood, and regulate healthy mothering behaviors (including lactation). Synthetic oxytocin is widely used throughout labor and postpartum care in modern birth. Yet research on the implications beyond labor of maternal exposure to perinatal synthetic oxytocin is rare. In this article, we review oxytocin-related biologic pathways and behaviors associated with the transition to motherhood and evidence supporting the need for further research on potential effects of intrapartum oxytocin beyond labor. We include a primer on oxytocin at the molecular level.

Original languageEnglish (US)
Pages (from-to)35-42
Number of pages8
JournalJournal of Midwifery and Women's Health
Issue number1
StatePublished - 2014
Externally publishedYes


  • Birth
  • Breastfeeding
  • Labor
  • Lactation
  • Mood
  • Mothering
  • Oxytocin
  • Pitocin
  • Postpartum depression
  • Stress

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Maternity and Midwifery


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