The Interaction Between Chronic Stress and Pregnancy: Preterm Birth from A Biobehavioral Perspective

Latendresse, Gwen

doi:10.1016/j.jmwh.2008.08.001

Cited by 171 publications

(162 citation statements)

References 61 publications

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“…Although financial constraint accompanying economic depression is expected to expose to stress [5], it did not appear to matter in its generation. Whether this finding is typically local (in Kinshasa) or African remains to be addressed.…”

Section: Discussionmentioning

confidence: 99%

Maternal Stress and Pregnancy Outcomes

Tandu-Umba¹,

Dedetemo²,

Mananga³

2014

OJOG

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Aims of the study: To seek for magnitude of stress conditions among pregnant women, the clinical profile of stressed pregnant women and the potential of stress on adverse maternal and perinatal outcomes in Kinshasa. Methods: This is a multicentre 6-month case-control study dealing with consenting women having given birth at 13 biggest maternities of Kinshasa, the capital of DR Congo. Mother-infant pairs were considered cases (obviously stressed women) and controls (light or not stressed women) at the end of data processing according to their perceived stress scores (PSS). Stress events, potential stress factors and maternal general and physical characteristics were registered along with maternal and perinatal outcomes. Odds ratios calculation allowed finding influence of stress on occurrence of adverse outcomes. Results and conclusions: Our study concerned 1082 women whose 57.1% (n = 618) qualified as the stressed. General characteristics found significantly different between stressed and non-stressed women were marital status (the married and widowed more frequent among the stressed), instruction level (the educated more frequent among the stressed), socioeconomic status (the elevated more frequent among the stressed) and religion status (both the traditional and new charismatic more frequent among the stressed). Obstetric risk factors were similar in both groups that were different only according to stress factors, whether emotional (relationships) or pregnancy (preciousness) related. The 3 most prominent stress factors were parent's death (p 0.000), tension in family (p 0.000) and tension in couple (p 0.003). All expectedly compensating factors appeared significantly more frequent among stressed women. As of organic pregnancy outcomes infection, gastritis, hypertensive disorders and preterm labor were maternal ones significantly more frequent among stressed women. All non-organic outcomes (insomnia and depression) were significantly predominant among stressed women. In offspring, prematurity, low birth weight and perinatal death were significantly dominant among those born to stressed women. Odds ratios calculation showed significant potential of stress conditions on occurrence of all maternal complications but cesarean section. In * This study was approved by the scientific board of the faculty of medicine (University of Kinshasa). # Corresponding author.B. Tandu-Umba et al. 362offspring too, risk of outcomes' occurrence was enhanced by stress, except for macrosomia and neonatal distress.

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Section: Discussionmentioning

confidence: 99%

Maternal Stress and Pregnancy Outcomes

Tandu-Umba¹,

Dedetemo²,

Mananga³

2014

OJOG

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“…Aunque los mecanismos precisos varían de acuerdo a los factores estresantes, CRH parece jugar un papel central en la iniciación de la respuesta al estrés fisiológico. 29 Sin embargo, el estrés puede ser descrito a lo largo de varias dimensiones, incluyendo tiempo (temprano o más tarde en el curso de la vida), gravedad (estresantes menores frente a los principales factores de estrés tales como la agresión sexual, muerte de hijo o cónyuge) y la duración de la exposición (factores de estrés crónicos contra agudos). Existen teorías generales y complementarias que explican que las experiencias preconcepcionales del estrés modifican los resultados del embarazo.…”

Section: Discussionunclassified

“…Solo un estudio en el cual recibieron asistencia psicológica durante el periodo prenatal (7,2% vs 15,7% en el grupo control, p <0,02) se redujo la ocurrencia en mujeres con amenaza de parto prematuro, y por otra parte un estudio prospectivo, aleatorizado y controlado donde redujo la tasa de parto prematuro entre un grupo de intervención de yoga y un grupo control (14% vs 29%, p < 0,05), así como una reducción en la restricción del crecimiento intrauterino (21% frente a 36%, p < 0,05). Estos resultados ciertamente son intrigantes 29 y no podríamos considerarlos como ejemplos exclusivos para disminuir el estrés, a pesar de que el riesgo de parto pretérmino en el grupo con estrés fue incrementado en un porcentaje menor y no fue estadísticamente significativo, creemos importante que estas dos últimas intervenciones pueden considerarse con otros tratamientos para disminuir el estrés en este grupo de mujeres. Además sugerimos la realización de estudios controlados, aleatorizados y longitudinales con mediciones hormonales para poder establecer con mayor claridad la relación del estrés, la ansiedad y el parto pretérmino espontáneo.…”

Section: Discussionunclassified

Riesgo de Trabajo de parto pretérmino espontáneo y su relación con estrés y ansiedad

et al. 2014

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Resumen AbstractObjetivo: Determinar asociación de estrés, ansiedad y riesgo de trabajo de parto pretérmino espontáneo. Metodología: Es un estudio correlacional, longitudinal. El muestreo fue no probabilístico por casos consecutivos. A 124 mujeres embarazadas se les aplicó 2 instrumentos en tres semanas diferentes 20-24, 30-34 y 35-36. Uno evaluó el estado psicosocial de ansiedad con el instrumento "The Spielberger StateTrait Anxiety Inventory" (STAI) α de Cronbach de 0.90. Otro el estrés percibido con "Perceived Stress Questionnaire" (PSQ) α de Cronbach > 0.70. Resultados: La incidencia del parto pretérmino espontáneo (PPE) fue 6.4 %, el estrés percibido no incremento el riesgo PPE (RR 1.01; 95% [IC], 0.24-4.3 p < 0.05; La ansiedad no incremento el riesgo de PPE (RR 0.57; 95% [IC], 0.19-1.7 p < 0.05). Conclusión: El estrés percibido y la ansiedad no incrementaron el riesgo de PPE. Palabras clave: Parto pretérmino espontáneo. Estrés. Ansiedad. RISK OF SPONTANEOUS PRETERM DELIVERY AND ITS RELATIONSHIP TO STRESS AND ANXIETYTo determine the association of stress, anxiety and risk of spontaneous preterm delivery. Methodology: This study is correlational, longitudinal. The sampling was not probabilistic consecutive cases. 124 women pregnant were applied two different instruments in three different weeks 20-24, 30-34, 35-36. The first one to see the psychosocial status of the anxiety using instrument "The Spielberger State-Trait anxiety Inventory" (STAI), Cronbach's alpha 0.90. And the perceived stress with the "Perceived Stress Questionnaire" (PSQ) Cronbach's alpha > 0.70. Results: The incidence of spontaneous preterm delivery was 6.4 %, perceived stress did not increase the risk of spontaneous preterm delivery ( RR 1.01, confidence interval 95% [CI], 0.24 -4.3 p < 0.05; Anxiety did not increase the risk of spontaneous preterm delivery ( RR 0.57, 95% [CI], 0.19-1.7 p <0.05). Conclusion: The perceived stress and anxiety did not increase the risk of spontaneous preterm delivery.

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“…[4] Possible explanations include interactions between stress physiology and the normal physiology of pregnancy and birth, in addition to individual health behaviors and genomic makeup. [5] These interactions frequently involve immune mediators, such as interleukins (IL) 1, 6, 10 and Tumor Necrosis Factor-alpha (TNFα) and hormonal/neurohormonal mediators, such as placental corticotrophin-releasing hormone (pCRH). [6][7][8][9] Cortisol is a downstream product of the Hypothalamic-Pituitary-Adrenal (HPA) axis, one of the most-studied mind-body systems.…”

Section: Psychological Distress Definitionmentioning

confidence: 99%

Effect of Maternal Psycological Stress (Krodha-Shokadi Mansika Bhava) on Fetal Development

Rajani¹

2017

WJPPS

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Nature has given the magical power to the pregnant mother over the living material of her child. Throughout the nine months of pregnancy a women not only form the physical body of child, but psychological.Social and spiritual too. This built up is altered if mother is encircled with stress(krodh-shoka-chinta-bhay) and can have both immediate and long term effect on offspring. In Ayurveda, it is mentioned that garbhopaghatakara bhava (factors likely to harm the fetus) and its effect on fetus. The object of this paper is to introspect the effect of maternal stress on prenatal, perinatal, postnatal development of the fetus.

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The Interaction Between Chronic Stress and Pregnancy: Preterm Birth from A Biobehavioral Perspective

Cited by 171 publications

References 61 publications

Maternal Stress and Pregnancy Outcomes

Maternal Stress and Pregnancy Outcomes

Riesgo de Trabajo de parto pretérmino espontáneo y su relación con estrés y ansiedad

Effect of Maternal Psycological Stress (Krodha-Shokadi Mansika Bhava) on Fetal Development

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