Journal ArticleDOI
Stress: Pregnancy Considerations
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TLDR
How stress may impact the neuropsychological development of children whose mothers experienced perinatal stress is explained and how prenatal screening and appropriate interventions may reduce perinnatal stress and associated pregnancy complications are demonstrated.Abstract:
UNLABELLED Stress-induced pregnancy complications represent a significant cause of maternal and perinatal morbidity and mortality due to preterm labor, low-birth-weight babies, pregnancy-induced hypertension, and neuropsychological developmental delays of affected offspring. Psychosocial factors such as socioeconomic status, work status, marital status, level of education, access to prenatal care, substance abuse, ethnicity, cultural background, and quality of relationships with partners and parents have been identified as determinants of stress during pregnancy. The biopsychosocial model of health and disease aptly explains the interactions of these psychosocial factors in the genesis of stress-induced pregnancy complications. Prenatal screening and intervention for relevant biopsychosocial risk factors may be useful in preventing stress-related perinatal complications. TARGET AUDIENCE Obstetricians and gynecologists, family physicians. LEARNING OBJECTIVES After completing this CME activity, physicians should be better able to describe how stress is manifested biologically, discuss stress and its impact from the biopsychosocial model of health and disease, recognize how stress may lead to pregnancy complications such as preterm labor, preeclampsia, and low-birth-weight infants, explain how stress may impact the neuropsychological development of children whose mothers experienced perinatal stress, and demonstrate how prenatal screening and appropriate interventions may reduce perinatal stress and associated pregnancy complications.read more
Citations
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Maternal depression, anxiety and stress during pregnancy and child outcome; what needs to be done
TL;DR: Depression, anxiety, and stress during pregnancy are frequently undetected by health professionals, and untreated, so programs to help with this should eventually improve child outcome.
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Depression, stress, anxiety and their predictors in Iranian pregnant women during the outbreak of COVID-19.
Fatemeh Effati-Daryani,Somayeh Zarei,Azam Mohammadi,Elnaz Hemmati,Sakineh Ghasemi Yngyknd,Mojgan Mirghafourvand +5 more
TL;DR: Using strategies to promote marital life satisfaction and socio-economic status can play an effective role in controlling anxiety and reducing stress and depression in pregnant women in critical situations such as the prevalence of COVID-19.
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Interventions for sleep problems during pregnancy: A systematic review.
Valeria Bacaro,Fee Benz,Andrea Pappaccogli,Paola De Bartolo,Anna F. Johann,Laura Palagini,Caterina Lombardo,Bernd Feige,Dieter Riemann,Chiara Baglioni +9 more
TL;DR: There is an utmost urgency to perform high-quality randomized controlled trials for insomnia interventions during pregnancy and to implement effective programs in standard gynecological care.
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Fighting for the Next Generation: US Prematurity in 2030
TL;DR: The March of Dimes proposes an aspirational goal of 5.5% for the 2030 US PTB rate, which would put the United States in the top 4 (10%) of 39 VHHDI countries, and ensure a better start in life for many more neonates in the next generation.
References
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Book
Measuring stress: A guide for health and social scientists.
TL;DR: In this article, the authors describe strategies for measuring stress in studies of psychiatric and physical disorders and present a check-list measurement of stressful life events, including daily and within-day event measurement.
Journal ArticleDOI
Antenatal maternal stress and long-term effects on child neurodevelopment: how and why?
TL;DR: It is suggested that extra vigilance or anxiety, readily distracted attention, or a hyper-responsive HPA axis may have been adaptive in a stressful environment during evolution, but exists today at the cost of vulnerability to neurodevelopmental disorders.
Journal ArticleDOI
Prevalence of Violence Against Pregnant Women
Julie A. Gazmararian,Suzanne Lazorick,Alison M. Spitz,Terri J. Ballard,Linda E. Saltzman,James S. Marks +5 more
TL;DR: Violence may be a more common problem for pregnant women than some conditions for which they are routinely screened and evaluated and future research that more accurately measures physical violence during pregnancy would contribute to more effective design and implementation of prevention and intervention strategies.
Journal ArticleDOI
Mechanisms of disease: glucocorticoids, their placental metabolism and fetal 'programming' of adult pathophysiology.
TL;DR: Prenatal stress or exposure to excess glucocorticoids might provide the link between fetal maturation and adult pathophysiology, and the molecular mechanisms that underlie prenatal programming might reflect permanent changes in the expression of specific transcription factors, including the glucOCorticoid receptor.