Maternal psychosocial risks predict preterm birth in a group of women from Appalachia

Jesse, D. Elizabeth; Seaver, William L.; Wallace, Debra C.

doi:10.1016/s0266-6138(03)00031-7

Cited by 90 publications

(23 citation statements)

References 44 publications

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“…This does not mean that these short-term changes in mothers' self-esteem are not important, as mothers' negative psychological adjustment during pregnancy and after childbirth could have major consequences for both the mother and the child. For example, mothers with low levels of self-esteem during pregnancy have a higher risk of delivering a pre-term baby (Jesse, Seaver, & Wallace, 2003) and experiencing a postnatal depression (Jomeen, 2004).…”

Section: Differences Between First and Later Pregnanciesmentioning

confidence: 99%

Self-Esteem and Relationship Satisfaction during the Transition to Motherhood

Scheppingen¹,

Denissen²,

Chung³

et al. 2017

Preprint

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Section: Differences Between First and Later Pregnanciesmentioning

confidence: 99%

Self-Esteem and Relationship Satisfaction during the Transition to Motherhood

Scheppingen¹,

Denissen²,

Chung³

et al. 2017

Preprint

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“…In one study, changes in anxiety level over time rather than the anxiety level at one time point predicted preterm birth [49]. North American and European studies examining the relationship between depression and preterm birth have also shown inconsistent findings, with a minority of the studies finding a statistically significant association between depression and preterm birth (e.g., [44, 46, 50]).…”

Section: Methodsmentioning

confidence: 99%

Perinatal Distress in Women in Low- and Middle-Income Countries: Allostatic Load as a Framework to Examine the Effect of Perinatal Distress on Preterm Birth and Infant Health

Premji

2014

Matern Child Health J

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In low- and middle-income countries (LMIC), determinants of women’s and children’s health are complex and differential vulnerability may exist to risk factors of perinatal distress and preterm birth. We examined the contribution of maternal perinatal distress on preterm birth and infant health in terms of infant survival and mother–infant interaction. A critical narrative and interpretive literature review was conducted. Peer-reviewed electronic databases (MEDLINE, Embase, Global Health, CINHAL), grey literature, and reference lists were searched, followed by a consultation exercise. The literature was predominantly from high-income countries. We identify determinants of perinatal distress and explicate changes in the hypothalamic–pituitary–adrenal axis, sympathetic, immune and cardiovascular systems, and behavioral responses resulting in pathophysiological effects. We suggest cultural–neutral composite measures of allostatic mediators (i.e., several biomarkers) of maternal perinatal distress as objective indicators of dysregulation in body systems in pregnant women in LMIC. Understanding causal links of maternal perinatal distress to preterm birth in women in LMIC should be a priority. The roles of allostasis and allostatic load are considered within the context of the health of pregnant women and fetuses/newborns in LMIC with emphasis on identifying objective indicators of the level of perinatal distress and protective factors or processes contributing to resilience while facing toxic stress. We propose a prospective study design with multiple measures across pregnancy and postpartum requiring complex statistical modeling. Building research capacity through partnering researchers in high-income countries and LMIC and reflecting on unique ethical challenges will be important to generating new knowledge in LMIC.

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“…Racial disparities in birth outcomes may be due, in part, to excess exposure to stress. 66,67 Exposure to certain stressors, specifically violence 68–70 and discrimination 71,72 in pregnancy, are associated with the risk of preterm birth. Further, responses to stressors, including depression and pregnancy-related anxiety, predict preterm birth.…”

Section: Psychosocial Stressorsmentioning

confidence: 99%

Birth outcome racial disparities: A result of intersecting social and environmental factors

Burris

Hacker

2017

Seminars in Perinatology

159

105

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Adverse birth outcomes such as preterm birth, low birth weight and infant mortality continue to disproportionately affect black and poor infants in the United States. Improvements in healthcare quality and access have not eliminated these disparities. The objective of this review was to consider societal factors, including suboptimal education, income inequality, and residential segregation, that together lead to toxic environmental exposures and psychosocial stress. Many toxic chemicals, as well as psychosocial stress, contribute to the risk of adverse birth outcomes and black women often are more highly exposed than white women. The extent to which environmental exposures combine with stress and culminate in racial disparities in birth outcomes has not been quantified but is likely substantial. Primary prevention of adverse birth outcomes and elimination of disparities will require a societal approach to improve education quality, income equity, and neighborhoods.

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Maternal psychosocial risks predict preterm birth in a group of women from Appalachia

Cited by 90 publications

References 44 publications

Self-Esteem and Relationship Satisfaction during the Transition to Motherhood

Self-Esteem and Relationship Satisfaction during the Transition to Motherhood

Perinatal Distress in Women in Low- and Middle-Income Countries: Allostatic Load as a Framework to Examine the Effect of Perinatal Distress on Preterm Birth and Infant Health

Birth outcome racial disparities: A result of intersecting social and environmental factors

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