Effects of Perinatal Stress and Maternal Traumatic Stress on the Cortisol Regulation of Preterm Infants

Habersaat, Stéphanie; Borghini, Ayala; Nessi, Jennifer; Forcada-Guex, Margarita; Müller-Nix, Carole; Pierrehumbert, Blaise; Ansermet, François

doi:10.1002/jts.21939

Cited by 10 publications

(8 citation statements)

References 14 publications

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“…Cortisol, the primary stress hormone, also helps a fetus to develop and is responsible for triggering the birth process. Cortisol could also contribute to premature labor [96,97,98,99]. Long-term activation of the stress-response system, high-intensity of stressful conditions, and the subsequent overexposure to cortisol and other stress hormones can lead to adverse pregnancy outcomes [100,101].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Prenatal Stress, Proxied by Marital and Paternity Status, on the Risk of Preterm Birth

Merklinger-Gruchała

Kapiszewska

2019

IJERPH

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Uncertainty and insecurity in the relationship between the mother and father of a child are responsible for heightened maternal stress, which can lead to preterm birth (PTB). Different intensities of prenatal stress (proxied by four levels of marital status linked with the presence or absence of paternal data on birth records) were defined as the Marital-Father Data index. We assessed the impact of those varying intensities of prenatal stress on PTB with respect to parity among a group of Polish mothers residing in Krakow (N = 87,916). We found a pattern across the adjusted risk ratios (RR) of preterm birth that ordered these estimates in an increasing trend towards higher risk, beginning with the group of married mothers with father data present (baseline), through the groups of legitimizing marriages—married after conception with father data present (RR = 1.1; 95% Confidence Intervals (CI) 1.0–1.2) and unmarried mothers with father data present (RR = 1.3; 95% CI 1.2–1.5) to the group of unmarried mothers with father data absent (RR = 1.9; 95% CI 1.7–2.2). The adjusted p for the linear trend between Marital-Father Data index and PTB was less than 0.001. The adjusted effect of perceived prenatal stress differed with respect to parity (confirmed by statistically significant interactions between Marital-Father Data index levels and parity), with a higher magnitude of this effect noted among multiparous versus primiparous women. Low paternal involvement and support during pregnancy may negatively affect PTB risk and this effect may differ in relation to parity status. More attention should be paid to maternal pregnancy stress, especially of multiparous mothers, to decrease the risk of unfavorable birth outcomes.

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Section: Discussionmentioning

confidence: 99%

The Effect of Prenatal Stress, Proxied by Marital and Paternity Status, on the Risk of Preterm Birth

Merklinger-Gruchała

Kapiszewska

2019

IJERPH

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“…In our sample, only full-term children were traumatized by family issues, such as parental separation. The literature also highlights an increased risk of post-traumatic disorders in mothers of prematurely born children (Holditch-Davis et al, 2003; Kersting et al, 2004; Muller-Nix et al, 2004), and in the prematurely born neonates themselves, cortisol, a stress indicator, higher than the average has been underlined (Habersaat et al, 2014a, 2014b). More investigation regarding the maternal disorder and the trauma it can incur on the children is needed.…”

Section: Discussionmentioning

confidence: 99%

“…Medical risk and the long postnatal hospitalizations, rather than prematurity itself, may influence both infant self-regulation and parental stress (Bonifacio et al, 2010; Miceli et al, 2000). It is well known that these factors can affect the neurocognitive development (Bonifacio et al, 2010; Miceli et al, 2000) and the quality of the early dyadic interaction, which in turn affects children’s psychological development (Fuertes et al, 2006; Habersaat et al, 2014a; Muller-Nix et al, 2004; Pierrehumbert et al, 2003; Stramrood et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

“…Most studies reveal parental stress in terms of post-traumatic stress disorder, especially in mothers of premature babies (Holditch-Davis, Bartlett, Blickman, & Miles, 2003), with long-term effects (Kersting et al, 2004; Muller-Nix et al, 2004; Pierrehumbert, Nicole, Muller-Nix, Forcada-Guex, & Ansermet, 2003; Stramrood et al, 2011). Additionally, recent studies highlighted high levels of salivary cortisol in both mothers and prematurely born children (Habersaat et al, 2014a, 2014b) and a correlation between post-traumatic stress disorder mothers’ symptoms and children cortisol levels (Habersaat et al, 2014a, 2014b). It would be interesting to investigate child’s psychological trauma associated with premature birth, from his perspective.…”

Section: Introductionmentioning

confidence: 99%

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The attachment of prematurely born children at school age: A pilot study

Nuccini

Paterlini

Gargano

et al. 2015

Clin Child Psychol Psychiatry

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This prospective longitudinal study compared the psychological development and patterns of attachment of 20 prematurely born children and 20 full-term children at 7 years of age. The School-age Assessment of Attachment (SAA) was used, and hypotheses and interpretation of the findings were drawn from the Dynamic-Maturational Model of Attachment and Adaptation (DMM). Significant differences between prematurely born and full-term children were found: 10% versus 0% at "high" risk, 55% versus 25% at "moderate" risk, and 35% versus 75% at "low" risk. There were no differences in the percentage of psychological trauma between samples, but there was a difference in the types of experiences leading to trauma. For prematurely born children, it was most often illness, whereas for full-term children, it was family problems. We discuss the implications for clinicians.

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“…Capik (1) found that 11.9% of healthy spontaneous pregnancies are stressful due to pregnancy. Other studies have shown that pregnancy with assisted reproductive therapy (ART) (2)(3)(4)(5)(6) , gestational diabetes mellitus (GDM) (7)(8)(9) , preterm labor diagnosis (PLD) (10,11) and hypertensive disorders (12) cause stress for pregnant women. In addition, systemic (such as anemia and hypertension) and pregnancy-related disorders (such as Rh incompatibility, placental abnormalities, intrauterine growth retardation, hyperemesis gravidarum (HEG), infection, oligohydramnios, and cholestasis) can increase stress (13,14) .…”

Section: Introductionmentioning

confidence: 99%

Comparison of Stress Levels in Risky and Non-Risky Pregnancies

Mete¹,

Fata²,

Özberk³

2020

JAREN

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Objective: In this descriptive and comparative study, it was aimed to compare the stress levels between risky and non-risky pregnancies. Methods: Four hundred pregnant women participated in this study. Half of these women consisted of 200 women who spontaneously conceived and had no risk of pregnancy. The other half of the women constituted 200 women who became pregnant with assisted reproductive techniques and who did not have any pregnancy related risk or who had spontaneous pregnancy and who had a pregnancy related risk. Women were filled out Personal Information Form and Prenatal Distress Questionnaire. The risky and non-risky pregnancy groups were evaluated for homogeneity of variances with a one-way analysis of variance (ANOVA) test. Independent t test was used to evaluate the mean difference between the Prenatal Distress Questionnaire and the sub-scale for the risky and non-risky pregnancy groups. The one-way ANOVA was used to determine the mean difference between risky groups (risky pregnancy) and non-risky pregnancy groups. Results: Stress levels and financial concerns related to health care quality and health status were found to be higher in women with risky pregnancy. When stress levels were compared between risky and non-risk pregnant women, it was determined that pregnant women with hypertension experienced significantly more stress than other pregnant women. Conclusion: In risky pregnant women, especially women with hypertension problem, it is necessary to determine level of the stress. While giving nursing care to women with risky pregnancies, determining the stress levels and causes may have a positive impact on the pregnancy process.

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Effects of Perinatal Stress and Maternal Traumatic Stress on the Cortisol Regulation of Preterm Infants

Cited by 10 publications

References 14 publications

The Effect of Prenatal Stress, Proxied by Marital and Paternity Status, on the Risk of Preterm Birth

The Effect of Prenatal Stress, Proxied by Marital and Paternity Status, on the Risk of Preterm Birth

The attachment of prematurely born children at school age: A pilot study

Comparison of Stress Levels in Risky and Non-Risky Pregnancies

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