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Oxytocin drives childbirth through a feedback loop where each contraction triggers the next

the gist

Oxytocin is a peptide hormone and neuropeptide made in the hypothalamus and released by the posterior pituitary. In humans it is involved in social bonding, romantic attachment, sexual activity, childbirth and breastfeeding. Its most dramatic action is in labour: it stimulates uterine contractions, and the process runs on positive feedback. Each contraction releases oxytocin, which prompts the body to make and release more, which strengthens and speeds up the next contraction. The loop continues until the triggering activity stops, meaning the baby has been delivered or the stimulus has ended. A similar loop operates during breastfeeding and sexual activity, which is why oxytocin is so closely associated with bonding.

how it works

Stretching of the cervix and uterine contractions trigger oxytocin release from the posterior pituitary. The hormone then acts on the uterine muscle to contract it more strongly, and it also stimulates further oxytocin production in the hypothalamus. This self-reinforcing cycle intensifies labour until it stops.

so what

Oxytocin is one of the few hormones that works through positive feedback, which explains how labour can accelerate so quickly. Doctors use synthetic oxytocin to speed up delivery or control bleeding after birth.

fun fact

Oxytocin is often nicknamed the 'love hormone', although the name captures only part of its roles.

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