Cortisol awakening response in pregnant women

Psychoneuroendocrinology. 2005 Oct;30(9):902-7. doi: 10.1016/j.psyneuen.2005.05.003.

Abstract

In this study, basal saliva cortisol was determined in women at 32 weeks of pregnancy and again at 9 months post-partum. During pregnancy, the cortisol levels of the 119 subjects were found to be elevated, with noon and evening levels more than twice as high as during the non-pregnant state. Despite the hypercortisolism, the cortisol awakening response was still present during pregnancy. Although the absolute mean increase in cortisol at 30 min post-awakening was larger during pregnancy, the relative mean increase was around 40% of the awakening level in both cases. The cortisol awakening response was not correlated between pregnancy and the post-partum, showing a lack of stability over the 11-month period. Finally, both in the pregnant and non-pregnant states, the magnitude of the cortisol awakening response was not related to time of awakening, nor to anticipation of a working vs. non-working day. In conclusion, the free cortisol awakening response is present during pregnancy, and is potentially a useful marker to study the association between prenatal psychosocial stress and offspring development.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Circadian Rhythm / physiology*
  • Female
  • Humans
  • Hydrocortisone / metabolism*
  • Longitudinal Studies
  • Pregnancy
  • Pregnancy Trimester, Third / metabolism*
  • Saliva / metabolism
  • Stress, Psychological / metabolism*
  • Wakefulness / physiology*

Substances

  • Hydrocortisone