Objective and Subjective Aspects of Voice in Pregnancy

Saltürk, Zıya; Kumral, Tolgar Lütfı; Bekiten, Güler; Atar, Yavuz; Ataç, Enes; Aydoğdu, İmran; Yıldırım, Güven; Kılıç, Aydın; Uyar, Yavuz

doi:10.1016/j.jvoice.2015.02.013

Cited by 16 publications

(10 citation statements)

References 13 publications

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“…These voice changes endure for at least one year postpartum, later returning to near pre-pregnancy levels controlling for ageing. Previous studies have focused on voice changes during pregnancy (Cassiraga et al, 2012;Hamdan et al, 2009;Hancock & Gross, 2015;Lã & Sundberg, 2012;Saltürk et al, 2016;Von Deuster, 1977). Here, we show that although women's voice pitch shows a trend toward lower values during pregnancy, significant decreases in pitch occur after pregnancy, and are transient.…”

Section: Discussionmentioning

confidence: 99%

“…However, pregnant women's F0 increased by 8 Hz within 12 to 24 hours of giving birth (Hamdan et al, 6 2009). Saltürk et al (2016) compared three groups of pregnant women, each in a different trimester of pregnancy, to a fourth group of non-pregnant controls and also found no significant group differences in mean F0. Finally, Hancock and Gross (2015) recorded one woman weekly during the last 30 weeks of her pregnancy and once at 21 weeks postpartum.…”

Section: Does Pregnancy Affect Women's Voice Pitch?mentioning

confidence: 97%

“…To our knowledge, six other studies have empirically tested for vocal changes during pregnancy (Cassiraga, Castellano, Abasolo, Abin, & Izbizky, 2012;Hamdan, Mahfoud, Sibai, & Seoud, 2009;Hancock & Gross, 2015;Lã & Sundberg, 2012;Saltürk et al, 2016;Von Deuster, 1977). Focusing predominantly on mean F0 and other spectral parameters, these studies have used between-subject designs or longitudinal case studies of a single individual.…”

Section: Does Pregnancy Affect Women's Voice Pitch?mentioning

confidence: 99%

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Women's voice pitch lowers after pregnancy

Pisanski

Bhardwaj

Reby

2018

Evolution and Human Behavior

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Women's voice pitch (the perceptual correlate of fundamental frequency, F0) varies across the menstrual cycle and lowers after menopause, and may represent a putative signal of women's fertility and reproductive age. Yet, despite dramatic changes in women's sex hormone levels and bodies during and after pregnancy, previous between-subject and case studies have not found systematic changes in F0 due to pregnancy. Here, we tracked withinindividual variation in 20 mothers' voices during their first pregnancy, as well as up to 5 years before conception and 5 years postpartum. Voice recordings from 20 age-matched nulliparous women were measured as a control. Linear Mixed Models indicated that F0 mean, range and variation changed significantly following pregnancy in mothers, controlling for age at time of recording, whereas we did not observe any F0 changes across corresponding timeframes in our sample of nulliparous controls. Mothers' voices became significantly lower-pitched and more monotonous during the first year postpartum compared to during pregnancy or before. These F0 parameters did not decrease within-individuals over a 5-year period prior to conception above and beyond the effects of ageing. Although voice pitch decreased following pregnancy, mothers' F0 parameters reverted after the first year postpartum, approaching pre-pregnancy levels. Our results demonstrate that pregnancy has a transient and perceptually salient masculinizing effect on women's voices.

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Section: Discussionmentioning

confidence: 99%

Section: Does Pregnancy Affect Women's Voice Pitch?mentioning

confidence: 97%

Section: Does Pregnancy Affect Women's Voice Pitch?mentioning

confidence: 99%

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Women's voice pitch lowers after pregnancy

Pisanski

Bhardwaj

Reby

2018

Evolution and Human Behavior

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“…Consequently, symptoms of vocal fatigue and altered vocal quality are often reported by pregnant women during the third trimester. As documented by several researchers, voice self-assessment questionnaires scores (such as the Voice Handicap Index (VHI)) are significantly worse during pregnancy, especially during the third trimester [36][37][38].…”

Section: Pregnancymentioning

confidence: 98%

“…As a result, functional residual capacity (FRC), expiratory reserve volume (ERV), residual volume (RV) and total lung capacity (TLC) decrease to various degrees [34,35]. These aspects explain the constant and significant decrease in maximum phonation time (MPT), especially in the third trimester of pregnancy [31,[36][37][38].…”

Section: Pregnancymentioning

confidence: 99%

Effect of sex hormones on human voice physiology: from childhood to senescence

Zamponi¹,

Mazzilli²,

Mazzilli³

et al. 2021

Hormones

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The aim of the present literature review is to describe the influence of sex hormones on the human voice in physiological conditions. As a secondary sexual organ, the larynx is affected by sex hormones and may change considerably over the lifespan. In the current review, sex hormone-related voice modifications occurring during childhood, puberty, the menstrual cycle, pregnancy and senescence are described. The roles of sex hormones (including gonadotropins, testosterone, estrogen, androstenedione, dehydroepiandrosterone, and dehydroepiandrosterone-sulfate) underlying physiological voice changes are discussed, the main differences between males and females are explained and clinical implications are taken into account.

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Otolaryngology and the Pregnant Patient

Lawlor,

Graham,

Owen

et al. 2023

JAMA Otolaryngol Head Neck Surg

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ImportancePregnancy may result in physiologic and pathologic changes in the head and neck. Otolaryngologists may need to intervene medically or surgically with pregnant patients. Careful consideration of risks to both the gravid patient and the developing fetus is vital.ObservationsPatients may present with otolaryngologic complaints exacerbated by or simply occurring during their pregnancy. Symptoms of hearing loss, vertigo, rhinitis or rhinosinusitis, epistaxis, obstructive sleep apnea, sialorrhea, voice changes, reflux, subglottic stenosis, and benign and malignant tumors of the head and neck may prompt evaluation. While conservative measures are often best, there are medications that are safe for use during pregnancy. When required, surgery for the gravid patient requires a multidisciplinary approach.Conclusions and RelevanceOtolaryngologic manifestations in pregnant patients may be managed safely with conservative treatment, medication, and surgery when necessary. Treatment should include consideration of both the pregnant patient and the developing fetus.

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Objective and Subjective Aspects of Voice in Pregnancy

Cited by 16 publications

References 13 publications

Women's voice pitch lowers after pregnancy

Women's voice pitch lowers after pregnancy

Effect of sex hormones on human voice physiology: from childhood to senescence

Otolaryngology and the Pregnant Patient

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