Maternal psychological and physiologic correlates of fetal-newborn health status

Lederman, Edward; Lederman, Regina P.; Work, Bruce A.; McCann, Daisy S.

doi:10.1016/0002-9378(81)90967-4

Cited by 79 publications

(25 citation statements)

References 13 publications

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“…Although the physiology of pregnancy and birth are not well understood (Institute of Medicine, 1985), there is accumulating evidence identifying adverse physiological effects of maternal stress (for a review, see Emory et al, 1991). Most attention has been focused on stress-related hormonal changes which cause impaired uterine activity (Fox, 1979;Lederman et al, 1978;Morishima et al, 1978;Myers, 1975) as well as placental blood and oxygen restriction (Lederman et al, 1981;Levinson and Shnider, 1979). There is also some evidence that maternal stress during pregnancy interferes with caloric utilization (Picone et al, 1982) and immune response (Emory et al, 1991).…”

Section: Implications and Future Directionsmentioning

confidence: 97%

Conceptualizations, measurement, and effects of prenatal maternal stress on birth outcomes

1994

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This article analyzes the conceptual and methodological approaches which have been used to investigate effects of prenatal maternal stress on birth outcomes and highlights the major findings of this research. By viewing the most widely used operational definitions of prenatal stress in a broader theoretical framework, it can be seen that most studies have failed to conceptualize stress reliably. This, in addition to common methodological and design flaws which are described in the article, has produced equivocal findings about the role of stress in adverse birth outcomes such as preterm delivery and low birth weight. Recent studies using more powerful, multidimensional approaches to stress definition and measurement provide more definitive evidence and suggest some precise effects. Implications and strategies for future research are presented.

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Section: Implications and Future Directionsmentioning

confidence: 97%

Conceptualizations, measurement, and effects of prenatal maternal stress on birth outcomes

1994

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“…Several researchers have reported a link between level of state and/or trait anxiety and childbirth preparation, complications during pregnancy, labor and delivery, neonatal status measures and infant behavior [6,17,20,27,29,38]. The results across studies have generally shown that state anxiety varies considerably depending on when measurement takes place.…”

Section: Introductionmentioning

confidence: 96%

Review Article: Anxiety, depression and stress in pregnancy: A multivariate model of intra-partum risks and pregnancy outcomes

Molfese

Bricker²,

Manion³

et al. 1987

Journal of Psychosomatic Obstetrics & Gynecology

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This study evaluated a multivariate model in which the influence of maternal anxiety, depression and stress on infant postnatal status are seen as mediated by attitudes toward pregnancy, internal vs. external locus of control and perception of available social supports. Ante-partum and intra-partum complications are also included since they are associated with anxiety, depression and stress and have been shown to influence infant postnatal status.A total of 133 pregnant women completed: Beck Depression Inventory; State-Trait Anxiety Inventory; PER1 Life Events Scale; Rotter I-E Scale, Maternal Attitude Toward Pregnancy; Perceived Social Support Inventory. Composite Perinatal Risk Scales, Outcome-Specific Scales, the Nesbitt-Aubry Maternal-Child Health Care Index and Aubry-Pennington Labor Index were scored from medical records.Anxiety, depression and stress in pregnancy, while weakly correlated with outcome, showed expected relationships with mediating factors predicting gestational age, 5-min Apgar and Neonatal Factors scores. Mediating factors with perinatal scores best predicted 1 -min Apgar and Postnatal Complications scores. Results support the notion that these variables work in synergy. The new risk scales produced stronger beta weights than personality, stress and mediator variables and stronger equations than Nesbitt-Aubry or Aubry-Pennington scales. 01 67-482X/87/%03.50 0 1987 Elsevier Science Publishers B.V. (Biomedical Division) J Psychosom Obstet Gynaecol Downloaded from informahealthcare.com by University of Toronto on 01/03/15 For personal use only. J Psychosom Obstet Gynaecol Downloaded from informahealthcare.com by University of Toronto on 01/03/15 For personal use only.

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“…Studies of the effects of anxiety upon labor processes have shown that anxiety was related to fetal heart rate patterns and Apgar Scores (Lederman et al, 1981), to uterine contractility and length of active labor (Lederman et al, 1978), and to prolonged labor, fetal distress, and postpartum hemorrhage (Crandon, 1979).…”

Section: Anxietymentioning

confidence: 99%

“…The influence of psychological and social factors upon childbirth outcomes has been considered in numerous studies, with selected factors, e.g., anxiety (Chalmers, 1982;Gorsuch & Key, 1974;Lederman et al, 1981;Lederman et al, 1979;Crandon, 1979;Erickson, 1976;Beck et al, 1980) and expectations (Nelson et al, 1980) identified as predictors of physiological or psychological complications of pregnancy and birth. However, no study was found, which considered interactions between individual characteristics and chosen birth environment, and the subsequent effects of such interactions on both physiological and psychological pregnancy outcomes.…”

Section: Introductionmentioning

confidence: 99%

Person‐environment interaction as a determinant of labor length variables

Hodnett

Abel

1986

Health Care for Women International

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A prospective study of 80 women, who elected home births, and 80, who chose hospital births, yielded information about combinations of psychological variables which predicted duration of the latent phase of labor, and total labor length. The results indicated that psychological factors influenced physiological outcomes in specific ways, depending upon the parturient's parity and choice of birth setting. Anxiety variables predicted at least one of the two labor length variables in both the Home and Hospital Multigravida groups, and expectations of control predicted a labor length variable in both primigravidas and multigravidas giving birth at home. Arousal seeking tendency was a predictor of a labor length variable' in all but Home Multigravidas, but the direction of the effect depended upon the chosen birth setting.

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Maternal psychological and physiologic correlates of fetal-newborn health status

Cited by 79 publications

References 13 publications

Conceptualizations, measurement, and effects of prenatal maternal stress on birth outcomes

Conceptualizations, measurement, and effects of prenatal maternal stress on birth outcomes

Review Article: Anxiety, depression and stress in pregnancy: A multivariate model of intra-partum risks and pregnancy outcomes

Person‐environment interaction as a determinant of labor length variables

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