Pregnancy-specific stress, fetoplacental haemodynamics, and neonatal outcomes in women with small for gestational age pregnancies: a secondary analysis of the multicentre Prospective Observational Trial to Optimise Paediatric Health in Intrauterine Growth Restriction

Levine, Terri A.; Grunau, Ruth E.; Segurado, Ricardo; Daly, Seán; Geary, Michael; O’Donoghue, Keelin; Hunter, Alyson; Burke, Gerard; Tully, Elizabeth; Malone, Fergal D.; Alderdice, Fiona; McAuliffe, Fionnuala M.

doi:10.1136/bmjopen-2016-015326

Cited by 14 publications

(6 citation statements)

References 91 publications

(46 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patients present a deficit in emotion regulation abilities in response to an acute psychosocial stressor (190). Stress itself may complicate the course of pregnancy and can cause preterm deliveries or intrauterine growth restriction, regardless the diagnosis of ED (191). Women with EDs may display severe malnutrition, leading to hypothalamic dysfunction, low bone mass and precocious osteopenia (44,62).…”

Section: Discussion (Table 7)mentioning

confidence: 99%

See 1 more Smart Citation

Eating Disorders During Gestation: Implications for Mother's Health, Fetal Outcomes, and Epigenetic Changes

et al. 2020

View full text Add to dashboard Cite

Introduction: Eating disorders (EDs) have increased globally in women of childbearing age, related to the concern for body shape promoted in industrialized countries. Pregnancy may exacerbate a previous ED or conversely may be a chance for improving eating patterns due to the mother's concern for the unborn baby. EDs may impact pregnancy evolution and increase the risk of adverse outcomes such as miscarriage, preterm delivery, poor fetal growth, or malformations, but the knowledge on this topic is limited. Methods: We performed a systematic review of studies on humans in order to clarify the mechanisms underpinning the adverse pregnancy outcomes in patients with EDs. Results: Although unfavorable fetal development could be multifactorial, maternal malnutrition, altered hormonal pathways, low pre-pregnancy body mass index, and poor gestational weight gain, combined with maternal psychopathology and stress, may impair the evolution of pregnancy. Environmental factors such as malnutrition or substance of abuse may also induce epigenetic changes in the fetal epigenome, which mark lifelong health concerns in offspring. Conclusions: The precocious detection of dysfunctional eating behaviors in the pre-pregnancy period and an early multidisciplinary approach comprised of nutritional support, psychotherapeutic techniques, and the use of psychotropics if necessary, would prevent lifelong morbidity for both mother and fetus. Further prospective studies with large sample sizes are needed in order to design a structured intervention during every stage of pregnancy and in the postpartum period.

show abstract

Section: Discussion (Table 7)mentioning

confidence: 99%

Section: Discussion ( Table 7 )mentioning

confidence: 99%

Eating Disorders During Gestation: Implications for Mother's Health, Fetal Outcomes, and Epigenetic Changes

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Recent clinical practice guidelines in pregnancy recommend screening for mental health concerns [21]. Despite this, maternal well-being is not routinely evaluated during pregnancy, leading to missed opportunities to offer effective levels of support [22,23].…”

Section: Introductionmentioning

confidence: 99%

Maternal Well-Being and Stage of Behaviour Change during Pregnancy: A Secondary Analysis of the PEARS Randomised Controlled Trial

Roche

Rafferty

Holden

et al. 2022

IJERPH

View full text Add to dashboard Cite

We aimed to determine whether early pregnancy well-being was associated with the stage of behaviour change during an antenatal lifestyle intervention using a secondary analysis of data from the Pregnancy Exercise and Nutrition Research Study (PEARS). Pregnant women (n = 277) with well-being data in early pregnancy were included. Maternal well-being was measured using the World Health Organisation Five-Item Well-Being Index. The intervention consisted of a mobile health (mHealth) phone application, supported by antenatal education and exercise, to prevent gestational diabetes in a population with overweight. Stage of behaviour change was measured in late pregnancy using a five-stage classification. Ordinal logistic regression was used to examine if well-being, the study group, or their interaction, were related to behaviour change. Maternal well-being (OR 1.03, 95% CI 1.01, 1.04, p < 0.01) and the study group (OR 2.25, 95% CI 1.44, 3.51, p < 0.01) both significantly influenced the positive stage of behaviour change. The probability of being at stage 5 increased from 43 to 92% as well-being increased from 0 to 100% and was higher in the intervention (53%) compared to the control (34%) group (p ≤ 0.01 (8.65, 29.27). This study demonstrates the potential importance of well-being in enabling women to engage with a healthy lifestyle, and the role that mHealth technology has in facilitating beneficial behaviour change.

show abstract

“…Pregnancy-specific stress refers to the mother's concerns, worries, and fears of pregnancy [ 9 ]. Women during pregnancy experience stresses that arise from pregnancy itself, including relationship concerns, parental concerns, physical changes, worries about labor and childbirth, as well as concerns about the baby's health, future care of the infant, worries about work responsibilities, and many other possible issues [ 6 7 8 9 10 ]. Stress during pregnancy can have negative consequences for maternal and fetal health [ 6 8 ].…”

Section: Introductionmentioning

confidence: 99%

Role of social capital and self-efficacy as determinants of stress in pregnancy

Pasha

Faramarzi

Chehrazi

et al. 2021

Tzu Chi Medical Journal

View full text Add to dashboard Cite

Objectives: The study investigated the role of social capital, self-efficacy, and depression as determinants of stress during pregnancy. Materials and Methods: In a cross-sectional study, 200 low-risk pregnant women with at least 5 years of education and ages 18 or more were enrolled in public obstetric clinics of Babol University of Medical Sciences. The participants completed four questionnaires including Social Capital, Revised Prenatal Distress Questionnaire (NuPDQ), Perceived Stress, and General Self-efficacy. Results: Women at late phase of pregnancy had lower mean scores of total social capital (61.5 ± 17.1 vs. 47.1 ± 18.1) and self-efficacy (60.1 ± 9.7 vs. 55.1 ± 15.2) compared to those at early pregnancy. Social capital was the negative independent variable associated with pregnancy-specific stress in the adjusted model (β = −0.418, P = 0.020). Both social capital (β = −0.563, P ≤ 0.001) and self-efficacy (β = −0.330, P ≤ 0.001) were negative independent variables associated with general stress. Conclusions: Our findings suggest that health professionals should note the benefits of social capital in stress management and encourage women in establishing stronger relations and neighborhood environments during pregnancy.

show abstract

Pregnancy-specific stress, fetoplacental haemodynamics, and neonatal outcomes in women with small for gestational age pregnancies: a secondary analysis of the multicentre Prospective Observational Trial to Optimise Paediatric Health in Intrauterine Growth Restriction

Cited by 14 publications

References 91 publications

Eating Disorders During Gestation: Implications for Mother's Health, Fetal Outcomes, and Epigenetic Changes

Eating Disorders During Gestation: Implications for Mother's Health, Fetal Outcomes, and Epigenetic Changes

Maternal Well-Being and Stage of Behaviour Change during Pregnancy: A Secondary Analysis of the PEARS Randomised Controlled Trial

Role of social capital and self-efficacy as determinants of stress in pregnancy

Contact Info

Product

Resources

About