Preterm Birth

The research is discussing the effects of prenatal stress (PS) on the development of socioemotional symptoms as well as neurodevelopmental disorders. The study arises from existing literatures where a significant relationship has been established between prenatal stress and social deficits such as autism and attention-deficit hypersensitivity disorder among children and schizophrenia among adolescents. King et al. identifies exposures to environmental hardships and stressful events as the underlying factor in the development of PS (274). The aspect has a negative impact on the immune and endocrine system as well as neurological development (Charil et al. 56). Studies have revealed that PS affects several aspects of brain development in the fetal stage. It increases rate of cell death and reduces rate of proliferation in the hypothalamus-pituitary axis (Schoenfeld and Gould 15).

A second suggested activity during pregnancy could be for the pregnant woman to take care of herself psychologically and emotionally, to ensure that she is not too stressed or experiencing anxiety. Regular relaxation could be advised by taking up yoga and meditation. Too much prenatal stress can have negative developmental implications for the child later in life. Research has indicated that when mothers-to-be have high levels of pregnancy-specific anxiety, their offspring were significantly more likely to show lower inhibitory control among girls, and lower visuospatial working memory performance among girls and boys (Buss et al., 2011).

Death and illnesses among women, infant, and child are preventable. In pregnancy, existing health risks can distinguish or prevent any future health problems for women and their children. According to U.S. Department of Health and Human Services (2016), some high-risk factors that may consider are the following: hypertension, heart disease, diabetes, depression, genetic conditions, sexually transmitted diseases, tobacco and alcohol abuse, inadequate nutrition and unhealthy weight. By having this government Healthy 2020 initiative, factors that can affect the pregnancy and childbirth such as poverty,

Childbirth is one of the greatest privileges on the earth anyone could have and we, as women, should feel proud to be major contributors for it. Thus, a mother has to play a key role in aiding the healthcare workers to mitigate the health crisis associated with childbirth by performing her duties faithfully. One such associated health crisis is “Premature (preterm) birth” which occurs when the baby is born too early, before 37 weeks of gestational period (CDC, 2015). The rate of preterm birth ranges from 5% to 18% of babies born across 184 countries (WHO, 2015).

-Race or ethnicity: Historically, minority populations in the United States have had higher rates of preterm delivery. In 2007, non-Hispanic White women accounted for the lowest number of preterm births in the United States, accounting for only 11.5% of all preterm births (MacDorman, 2011). In contrast, non-Hispanic Blacks, Puerto Ricans, American Indians and Hispanic women had preterm birth levels of 18.3%, 14.5%, 13.9% and 12.3% respectively (MacDorman, 2011). The Asian minority had the lowest risk at 10.9% (MacDorman, 2011). Some studies have attributed such significant differences to racial disparities in resources and health care (Dominguez, 2008; Vanderbilt & Wright, 2013). However, other studies such as Menon’s et al, which looked at differences in White versus Black women, suggest that racial disparities in preterm birth may

The prenatal period is when quick changes in the fetal organs are vulnerable to organizing change and stability but also building internal working system to trigger emotional responses (McEwen et al. 2013). It is a critical time for brain development and the PFC (McEwen et al. 2013). It exposes a selection of long -term modifications on brain development and behaviour (Entringer et al. 2009). Prenatal exposure to stress affects hormones in the body including the physiology and anatomy that relate to increasing drug levels, cortical communication and more (Entringer et al. 2009). Fetal stress is any event that interrupts a fetal process in stability in the body. (Entringer et al. 2009). During pregnancy, maternal stress impends the fetal nervous system and shortens the length of maturation due to many issues and concerns affecting the mother (Entringer et al. 2009). During pregnancy, maternal psychosocial stress threatens the fetal nervous system and contracts the length of gestation (Entringer et al. 2009). High levels of placental corticotrophin- releasing hormone

During pregnancy, there are some factors beyond the mother’s control which can have negative significances for the fetus. Maternal stress occurs when the mother is exposed to psychosocial stressors during pregnancy (Kramer et al, 2009). The mother could also develop depression during or after her pregnancy. This mental illness affects the mother’s ability to function and cope with everyday life (NIHCM, 2010), thus affecting her relationship with her baby. Recent research evidence has highlighted that there is some overlap between the symptoms of maternal depression and stress (Cheng & Pickler, 2014), and that these play a role in affecting the normal development of the fetus. However, other research has indicated that stress and depression do not harm the fetus, and in fact can be developmentally beneficial (DiPetro, 2004). In this essay, a number of symptoms of maternal stress and depression shall be addressed, and the extent to which they affect the developing fetus. First to be discussed is how the emotional stability of the mother may affect the relationship she has with her baby.

Statistically, African American have 2.5 times the likelihood of women of other races to start prenatal care in the third trimesters, or in some cases, not at all (Heisler, 18). Prenatal care includes education and counseling about how to handle various aspects of pregnancy in terms of nutrition, the importance of adequate physical activity, and basic infant care skills. This education encourages appropriate weight gain and discourages alcohol and tobacco consumption during pregnancy. It can be inferred from this information that prenatal care will reduce the occurrence of low birthweights and short gestational age births (premature births) (Heisler, 18).This education can also decrease deaths due to accidents or Sudden Infant Death Syndrome (SIDS). No prenatal care for the mother will result in a high probability that the infant will die in the first month after birth. However, it is a sad reality that many African American women do not have access to or knowledge of prenatal care; this unawareness will result in an equally disparaging consequence - high

One cause of this relationship is because stress hormones, passed to the fetus from the mother, impede on blood flow filled with oxygen and nutrients to the large muscles (Shaffer & Kipp, 2014). This takes away crucial supplies for the fetus to use during development. In addition, Prenatal Maternal Stress (PNMS) leads to shorter gestation periods, lower birth weight, and smaller head circumference. Project Ice Storm, a study on an isolated disaster and subsequent birth outcomes, illustrates this relationship. An ice storm in Canada’s St. Lawrence River Valley in 1998 caused numerous damages, fires, and deaths. The researchers addressed pregnant mothers’ distress from this catastrophic event and then analyzed the physical measures of the children. Through statistical analysis, the study demonstrates that gestational age was shortest when stress was exposed during the first and second trimester. This gestational age explained 42.6% of the difference in birth weight and 29.6% of the difference in head circumference between stress exposed and non-exposed children (Dancause et al., 2011). This study illustrates the direct correlation between a stressful event experienced by mothers and the health of the baby. Shorter gestation periods play a significant role in lower birth weight and head circumference that hinders the infant’s health. Prenatal

Although there are many factors that affect the development of the fetus, research on the specific effects of prenatal maternal stress and the resulting negative outcomes for the development of the fetus will be reviewed. While there is knowledge of these harmful effects in scientific and medical communities, researchers are still in the midst of discovering the results of these negative effects on human development. An overall review of the literature suggests that this topic is still relatively new in research as most of the articles make note that despite the amount of current research studies, there are still many unanswered questions.

The issue that I have chosen for the Current Issues and Theory project is the lack of mothers partaking in quality prenatal care. It is fairly accepted among individuals that prenatal care is important, but there are still mothers that choose not to engage in prenatal care. It has been proven that the absence of prenatal care leads to an increased risk of low birth weight and neonatal mortality; moreover, the increased risk of neonatal mortality in the absence of prenatal care is observed in women with both the absence and presence of antenatal high-risk conditions1. Since the consequences of not seeking prenatal care are so precarious, it makes one wonder why mothers would choose not to partake in such a beneficial action. One study suggests

Preterm Birth is one of the most important and interesting topics to any prospective parent. One of the reasons is because it happens so often and unexpectedly. Preterm Birth has become a personal interest in research simply because it has made a tremendous impact in my life. Having a Preterm Birth has taught me lots of things, such as, to grow as a person and as a mother, to see things from a different perspective, to get up, continue with my life, and perhaps to learn how to say “good bye” to a little one without even saying “hello.” For all the reasons above, there are some questions I would like to address: Why do preterm births happen and how can it be prevented? What kind of help is offered to parents and family members who go through the process of having a preterm birth? How effective and relevant is that help?

Prenatal care is widely accepted as an important element in improving pregnancy outcome. (Gorrie, McKinney, Murray, 1998). Prenatal care is defined as care of a pregnant woman during the time in the maternity cycle that begins with conception and ends with the onset of labor. A medical, surgical, gynecologic, obstretic, social and family history is taken (Mosby's Medical, Nursing, and Allied Health Dictionary, 1998). It is important for a pregnant woman as well as our society to know that everything that you do has an effect on your baby. Because so many women opt not to receive the benefits of prenatal care, our society sees the ramification, which include a variety of complications primarily

Having taken this class I have come to understand a lot about my emotions and why I feel the way that I do about certain things throughout my life. Stress is something that has weighed heavy on me since a very young age. I have always wondered why I seemed to not be able to handle stress as well as my peers. Then I came to understand that mothers who experience high levels of stress during pregnancy release high levels of cortisol, and in turn this can have a lasting effect on the baby. (Wood, et. al., 2014) This includes the child not being able to deal with stress as well as he or she grows up and even an increased chance at the baby suffering from high blood pressure later in in life.

At one time or another, most people experience stress. The term stress has been used to describe a variety of negative feelings and reactions that accompany threatening or challenging situations. However, not all stress reactions are negative. A certain amount of stress is actually necessary for survival. For example, birth is one of the most stressful experiences of life. The high level of hormones released during birth, which are also involved in the stress response, are believed to prepare the newborn infant for adaptation to the challenges of life outside the womb. These biological responses to stress make the newborn more alert promoting the bonding process and, by extension, the child's physical survival.