GOLD Learning Speakers

The perinatal period is a pivotal time in development for mothers and babies, as well as being a time of exceptional evolutionary investment in mammalian survival. During labor and birth, Mother Nature provides an extraordinary hormonal cocktail that is designed to enhance survival, efficiency and reward for mothers and offspring, and also to optimize life-long well-being by optimizing breastfeeding and mother-baby attachment. In this lecture Dr Buckley describes Mother Nature’s superb design for mothers and babies, and the hormonal systems that contribute to life-long well-being for modern humans, as for our ancestors and our mammalian cousins. She also details the conditions needed to optimize this hormonal orchestration for mother and baby, and how maternity care professionals can support this system of physiologic birth. In addition, she discusses the importance of neonatal bacterial colonization, another pivotal event for life long well-being. Dr Buckley is the author of the up-coming report The Hormonal Physiology of Childbearing (Childbirth Connection, US) and her material is based on the best-available research evidence.

Contemporary childbearing has benefited from many medical advances, and from highly skilled and committed maternity care providers. However, current high rates of maternity care interventions may be disadvantageous for the healthy majority. This presentation summarises the healthy functioning of hormonal physiology in relation to four important hormonal systems, and the benefits of physiologic childbearing for mother and baby. It also explores the possible impacts of common maternity care practices on this hormonal physiology, including induction of labor, epidural analgesia and caesarean section, and suggest midwifery approaches that may optimise hormonal physiology when intervention are needed. Dr Buckley also considers the hormonal physiology of childbearing in relation to other models including epigenetic perspectives and the developmental origins of health and disease (DOHaD) model. This presentation is based on Dr Buckley’s ground-breaking 2015 report Hormonal Physiology of Childbearing.

The physiological onset of labour is a moment of enormous biological investment. Fetal readiness for the stresses of labour, and for the critical transition to life outside the womb, must be matched with maternal readiness for an effective, efficient labour and birth. In addition, pre-labour physiological preparations promote success for mother and newborn with breast-feeding and attachment, adding essential components to individual and species survival. Induction of labour, by definition, curtails full readiness for mother and baby. How might this impact hormonal physiology for mother and baby? Could there be longer-term effects? Join Dr Sarah Buckley, author of Hormonal Physiology of Childbearing, in this thought-provoking presentation.

The physiological onset of labour is a moment of enormous biological investment. Fetal readiness for the stresses of labour, and for the critical transition to life outside the womb, must be matched with maternal readiness for an effective, efficient labour and birth. In addition, pre-labour physiological preparations promote success for mother and newborn with breast-feeding and attachment, adding essential components to individual and species survival. Induction of labour, by definition, curtails full readiness for mother and baby. How might this impact hormonal physiology for mother and baby? Could there be longer-term effects? Join Dr Sarah Buckley, author of Homonal Physiology of Childbearing, in this thought-provoking presentation.

Oxytocin is a major hormone of labour and birth. As well as facilitating the rhythmic contractions of labour in all mammals, oxytocin also acts within the maternal brain at this time, with calming, connecting and pain-relieving effects. Oxytocin activates maternal behaviour in all mammals including by activating brain reward and pleasure centres through the oxytocin peaks of labour and birth. The oxytocin system in labour and birth can be disrupted by obstetric interventions. This presentation draws from current knowledge, human and animal research, and biological understandings to discuss possible positive and negative impacts of synthetic oxytocin, epidurals, and caesareans on maternal and fetal oxytocin systems. Strategies to fill possible ‘hormonal gaps’ are also discussed.