Prenatal maternal stress: effects on pregnancy and the (unborn) child

Mulder, E.J.H.; Medina, P. G. Robles de; Huizink, Anja C.; Bergh, Bea Van den; Buitelaar, Jan K.; Visser, Gerard H.A.

doi:10.1016/s0378-3782(02)00075-0

Cited by 644 publications

(489 citation statements)

References 40 publications

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“…It is evident that music has, on the whole, positive effects on the condition of pregnant women and those giving birth. This is of particular relevance in obstetrics because the perception of stress and anxiety during pregnancy can have negative effects on the expectant mother and the unborn or new-born child [14,50]. The results of the majority of studies also suggest that music has a large potential as a form of intervention for relaxation, anxiety reduction and pain reduction, although this has by no means been exhausted in its frequency of application and its type of use in the gynaecologistʼs office and in daily practice in hospitals.…”

Section: Discussionmentioning

confidence: 99%

“…The pregnant woman is faced with many new challenges and especially the thought of the approaching birth and the changes associated with it can create stress and cause discomfort. Feelings of stress, on the other hand, can have negative effects on the health of the pregnant woman and that of the unborn child as well as on the process of labour [13,14]. Approaches to help the pregnant woman minimise stress are important to reduce the risk posed by these negative effects.…”

Section: Introductionmentioning

confidence: 99%

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Music in Obstetrics: An Intervention Option to Reduce Tension, Pain and Stress

Wulff

Hepp

Fehm

et al. 2017

Geburtshilfe Frauenheilkd

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In recent years, the effect of music interventions and music therapy has experienced increased attention in the literature. It has been shown that music has positive effects on cognitive and physical performance, such as concentration and endurance, as well as on psychological parameters, such as anxiety and relaxation. Studies within the context of medicine in particular are increasingly indicating that music may be used as an intervention for relief against anxiety, stress and pain. Music is therefore seen in actual practice as a supplement to conventional pharmacological and non-pharmacological forms of treatment – and the trend is rising. Studies involving music interventions in the field of obstetrics have shown, amongst other things, that music improves the ability to relax during pregnancy and can reduce anxiety. It was also discovered that during childbirth music interventions resulted in a reduction of pain and stress. Music also has the effect of reducing stress, pain and anxiety in expectant mothers during deliveries by caesarean section. This review intends to provide an overview of the literature on music interventions in the field of obstetrics and to give a resume on the current state of research around the topic of music in relation to pregnancy, spontaneous deliveries and caesarean sections. Furthermore, the relevance of music for everyday obstetrics will be illustrated.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Music in Obstetrics: An Intervention Option to Reduce Tension, Pain and Stress

Wulff

Hepp

Fehm

et al. 2017

Geburtshilfe Frauenheilkd

View full text Add to dashboard Cite

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“…36 Perhaps most concerning was the degree to which women expressed either transient or persistent feelings of heightened pregnancy burden and stress as well as decreased attachment to the fetus. Both are cause for concern, given that psychological distress during pregnancy has been associated with a range of deleterious outcomes [37][38][39] and prenatal psychological attachment to the fetus has important implications for subsequent maternal attachment to and interaction with the child. 40 Consistent with our other studies of fetal development, women who participate as volunteers tend to be relatively highly educated.…”

Section: Discussionmentioning

confidence: 99%

Women's response to fetal choroid plexus cysts detected by prenatal ultrasound

et al. 2006

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Objectives: To determine maternal responses to detection of a minor structural variant, the choroid plexus cyst (CPC), in their fetus on prenatal ultrasound. Study design:We interviewed 34 pregnant women with an isolated CPC detected on mid-pregnancy ultrasound about their objective experience at diagnosis, emotional response and subsequent reactions. Audiotaped, transcribed responses were evaluated by two independent raters and analyzed qualitatively and quantitatively.Results: All women reported negative emotional responses including shock, distress, fear and decreased attachment, despite counseling by 82% of providers that the CPC was probably benign. Three women underwent amniocentesis purely for reassurance after CPC detection. Most (79%) sought information beyond what their physician provided, frequently on the internet. One half of women reported that intense negative responses were temporary. However, weeks after diagnosis, 62% continued to believe that the CPC presented some danger to their baby.Conclusions: Detection of CPC prenatally can evoke profound, negative maternal emotional responses despite accurate provider counseling. Practitioners should consider these responses when counseling parents about these and other structural variants of unclear functional significance.Sponsor: The Thomas Wilson Sanitarium for the Children of Baltimore City.

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“…However, pathologies and incompatibilities alone do not explain all miscarriages (12). Maternal stress is commonly cited as a potential cause for at least part of pregnancy losses that remain ''unexplained'' (13)(14)(15)(16)(17)(18)(19)(20)(21). Yet, for humans, little physiological evidence exists in support of this hypothesis (22)(23)(24).…”

mentioning

confidence: 99%

Cortisol levels and very early pregnancy loss in humans

Nepomnaschy

Welch

McConnell

et al. 2006

Proc. Natl. Acad. Sci. U.S.A.

270

191

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Maternal stress is commonly cited as an important risk factor for spontaneous abortion. For humans, however, there is little physiological evidence linking miscarriage to stress. This lack of evidence may be attributable to a paucity of research on maternal stress during the earliest gestational stages. Most human studies have focused on ''clinical'' pregnancy (>6 weeks after the last menstrual period). The majority of miscarriages, however, occur earlier, within the first 3 weeks after conception (Ϸ5 weeks after the last menstrual period). Studies focused on clinical pregnancy thus miss the most critical period for pregnancy continuance. We examined the association between miscarriage and levels of maternal urinary cortisol during the first 3 weeks after conception. Pregnancies characterized by increased maternal cortisol during this period (within participant analyses) were more likely to result in spontaneous abortion (P < 0.05). This evidence links increased levels in this stress marker with a higher risk of early pregnancy loss in humans.stress ͉ miscarriage ͉ placentation ͉ fetomaternal conflict ͉ evolutionary theory

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Prenatal maternal stress: effects on pregnancy and the (unborn) child

Cited by 644 publications

References 40 publications

Music in Obstetrics: An Intervention Option to Reduce Tension, Pain and Stress

Music in Obstetrics: An Intervention Option to Reduce Tension, Pain and Stress

Women's response to fetal choroid plexus cysts detected by prenatal ultrasound

Cortisol levels and very early pregnancy loss in humans

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