{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T00:42:17Z","timestamp":1789432937359,"version":"build-2803163510"},"reference-count":19,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2005,2,9]],"date-time":"2005-02-09T00:00:00Z","timestamp":1107907200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2005,7]]},"abstract":"<jats:p><jats:bold>Objective\u2003<\/jats:bold> To investigate (A) the determinants of infant stress response at delivery and (B) test the hypothesis that stress at birth, as reflected by cord arterial cortisol, influences cortisol response to vaccination at two months.<\/jats:p><jats:p><jats:bold>Design\u2003<\/jats:bold> Prospective observational study.<\/jats:p><jats:p><jats:bold>Setting\u2003<\/jats:bold> Tertiary referral maternity hospital.<\/jats:p><jats:p><jats:bold>Population\u2003<\/jats:bold> One hundred and seventy\u2010two primiparous women with uncomplicated singleton pregnancies.<\/jats:p><jats:p><jats:bold>Methods\u2003<\/jats:bold> Women were recruited antenatally. At birth, cord arterial blood and obstetric data were collected. Saliva was collected from infants immediately before and after vaccination at two months. Cortisol was analysed from cord blood and saliva by radio\u2010immunoassay.<\/jats:p><jats:p><jats:bold>Main outcome measures\u2003<\/jats:bold> Stress response at birth, as demonstrated by cord arterial cortisol; association with saliva cortisol response to vaccination at two months.<\/jats:p><jats:p><jats:bold>Results\u2003<\/jats:bold> Cord arterial cortisol varied with mode of delivery, combined spinal\/epidural use and pH. Salivary cortisol response at two months correlated with cord arterial cortisol (<jats:italic>r<\/jats:italic>= 0.24, <jats:italic>P<\/jats:italic> &lt; 0.05). Infants with the highest and lowest cord arterial cortisol had markedly different cortisol responses at two months (<jats:italic>P<\/jats:italic>= 0.017). These groups had different modes of delivery with caesarean rates of &lt;8% in the high cortisol response group and 83% in the low cortisol response group (<jats:italic>P<\/jats:italic> &lt; 0.0001).<\/jats:p><jats:p><jats:bold>Conclusion\u2003<\/jats:bold> Babies born vaginally mount greater cortisol responses at birth than those delivered by caesarean section. Stress at delivery may influence the infant HPA axis response for up to two months.<\/jats:p>","DOI":"10.1111\/j.1471-0528.2005.00620.x","type":"journal-article","created":{"date-parts":[[2005,6,15]],"date-time":"2005-06-15T12:44:48Z","timestamp":1118839488000},"page":"921-926","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":73,"title":["Stress responses at birth: determinants of cord arterial cortisol and links with cortisol response in infancy"],"prefix":"10.1111","volume":"112","author":[{"given":"N.M.","family":"Miller","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.M.","family":"Fisk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.","family":"Modi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Glover","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2005,5,17]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/dev.420250604"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1159\/000054636"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2826.1994.tb00591.x"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1159\/000127094"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(01)00298-6"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1210\/jcem-73-1-182"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(99)02549-0"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1515\/jpme.1995.23.6.453"},{"key":"e_1_2_7_10_2","first-page":"41","article-title":"Maternal and fetal plasma cortisol levels at parturition","volume":"47","author":"Goldkrand JW","year":"1976","journal-title":"Obstet Gynecol"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.1997.154-az0160.x"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200110000-00008"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(01)00292-5"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.3109\/15622970109026799"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.mp.4001032"},{"key":"e_1_2_7_16_2","doi-asserted-by":"crossref","first-page":"877","DOI":"10.2307\/1131867","article-title":"Dampening of adrenocortical responses during infancy: normative changes and individual differences","volume":"67","author":"Gunnar MR","year":"1996","journal-title":"Child Dev"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5846(01)00155-5"},{"key":"e_1_2_7_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-8624.1995.tb00925.x"},{"key":"e_1_2_7_19_2","doi-asserted-by":"crossref","first-page":"508","DOI":"10.2307\/1131829","article-title":"Behavioral inhibition and stress reactivity: the moderating role of attachment security","volume":"67","author":"Nachmias M","year":"1996","journal-title":"Child Dev"},{"key":"e_1_2_7_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-8624.1995.tb00896.x"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1471-0528.2005.00620.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1471-0528.2005.00620.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T02:40:56Z","timestamp":1696992056000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/j.1471-0528.2005.00620.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,5,17]]},"references-count":19,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2005,7]]}},"alternative-id":["10.1111\/j.1471-0528.2005.00620.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1471-0528.2005.00620.x","archive":["Portico"],"relation":{},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"value":"1470-0328","type":"print"},{"value":"1471-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,5,17]]},"assertion":[{"value":"2005-05-17","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}