Effect of Maternal Stress During Pregnancy on the Risk for Preterm Birth Today, there are many different reasons that contribute to premature births. “Multiple pregnancies, vaginal bleeding during pregnancy, and polyhydramnios or oligohydramnios are all associated with an increased in premature delivery” (Lilliecreutz, Laren, Sydsjo, & Josefsson, 2016, p. 2). Typically, these factors are related to preterm pregnancies. In addition, factors such as having high levels of stress during pregnancy can also lead to having preterm births. Women these days are often taking on a dual shift by working a full time job as well as coming home to cook and take care of the kids. Often, this will result in an increase in stress levels, not to mention when she is pregnant. There has been information that has been acquired which show a interrelationship between both social and psychological stress with an increase risk of preterm birth or even death of a child (Lilliecreutz, Laren, Sydsjo, & Josefsson, 2016). Lilliecreutz et al. (2016) states, “Our hypothesis was that maternal stress during pregnancy can attribute to the adverse outcomes of preterm labor” (p. 2). This study is carried out by trying to determine if whether women who are exposed to stress itself during pregnancy is linked to preterm births, or whether preterm babies are delivered because of pregnancy stress, while being pregnant (Lilliecreutz, Laren, Sydsjo, & Josefsson, 2016).
Methods
This study was performed on 332 women,
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).
The method used to study the hypothesis was by having 328 women completed five surveys up to 72 hours postpartum. They were between the ages of 18-42. Out of the group 68.6% were married or living with a partner and 43.3% had a job. The average number of years the women spent in school was 8.8yrs. More than half (59.2%), did not complete high school and only 2% (6) completed higher education. From the group, 19.2% of them had a miscarriage before. More than half (51.5%) had already
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).
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
Prenatal stress is an important topic to me; both our daughters are adopted from the same birth parents. The birth mother was addicted to heroin and was prescribed suboxone to help her with the addiction. Of course, she became addicted to suboxone, it is considered a wonder drug to combat opiate addiction. Suboxone is readily available as a street drug. My daughter experienced a great deal of stress in utero, not only from the drugs, but also due to abusive relationship between the birth mother and the birth father. The birth father beat the birth mother so severely in her 7 month of pregnancy, the state moved her to a hospital several hours away as a Jane Doe in order to protect the baby. It is probably the best possible outcome for my daughter as her health was monitored daily for the last 45 days of gestation. However, she was born addicted and required morphine for the withdrawals, she was in the NICU for thirty days in Seattle, I was with her during this time. My point to her history is that until the age of two she startled easily with any loud sound, and to this day if anyone speaks loudly or with an angry tone she becomes upset. Also, if anyone approached her unexpectedly she would flinch as if shielding herself. According to a 2012 Forbes article stress in utero can lead to ADHD and anxiety disorders. She has outgrown the flinching and
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.
Borders, A. E., Grobman, W. A., Amsden, L. B., & Holl, J. L. (2007). Chronic stress and low birth weight neonates in a low-income population
The study identifies several studies that focus on variables, but none that fulfil the whole sample criteria. Finding a gap in previous research is justification for the study (Polit & Tatano Beck, 2006). The literature review states studies that cite that operative delivery is associated with bonding difficulties (Rowe- Murray & Fisher, 2001), vaginally delivered women had more positive perceptions (Fawcett et al.,2007), women who had a high level of obstetric intervention were more likely to have trauma symptoms (Creedy et al., 2001), and birth experience affects postpartum development (Stadmayr et al., 2004). To summarise the cited literature, women that have a caesarean section or instrumental delivery are more likely to suffer from feelings of ill health and difficulty in parental transition. This is a limitation of the research. As these are proven factors, including them in the criteria for participant selection could discredit the study as they are already well known implications without the phenomena of prolonged labour. In addition to this, the same researchers had previously devised a case referent study investigating negative birth experiences following prolonged labour (Nysted et al., 2005). This is not disclosed or referred to within this study. A study should describe how it enhances existing knowledge (Holloway & Wheeler, 2002). As the findings of
Despite countless medical advancements and technology, preterm births continue to plague the nation as a public health issue. Preterm births have become a devastating issue that has caused government agencies to intervene. There are a variety of risk factors that may contribute to a mother delivering a child preterm, such as smoking, lack of prenatal supplements, and social disadvantages, which may cause severe stress (Räisänen S., M. Gissler , J. Saari, M. Kramer, & S. Heinonen S 2013). Any combination of these risk factors may increase a mother’s chance for delivering a child preterm. During the preterm period, infants are placed at a
Postpartum depression is the most common psychological complexity that occurs after childbirth (Bakhshizadeh, 2013). This form of depression has been reported to be as high as 20% (Asltoghiria, 2012). The mother will begin to experience postpartum depression between the birth of the infant and 6 to 8 weeks later (Bhati, 2015). Depending on the person, the typical length of postpartum depression ranges anywhere from two weeks to two years in length (Posmontier, 2010). It is thought that postpartum depression affects mothers of multiples at a greater incidence than mothers whom birth just one child, and the chance increases with the number of children in a multiple birth. Evidence shows that the older the mother’s age at the time of birth, shows there is no notable increase in the risk of being diagnosed with postpartum depression. Another factor that is thought to have an influence on the diagnosis of postpartum depression is income within the household. A study shows that as income goes down, the risk of having
Another important part of this study was looking at how these effects occurred during different stages of prenatal development, as the “consequences of prenatal maternal stress were determined by the
Preterm birth can be a devastating experience not only for the mother, but also for the child. This issue has plagued the United States and other countries for many years, and no concrete evidence have been found to tell us why preterm birth occurs. One in eight babies in the United States is born premature each year. The impact of social support on the psychological well-being, attitudes, and behavior of parents is rapidly becoming a major issue. It is becoming more and more difficult for mothers to cope with the long-term and short-term effects of premature birth. These parents’ attitude and behavior can have both a direct and indirect effect on the child's
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?
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.