Midwives and psychologists as profesionals to screen and prevent pregnancy-specific stress
e202104060
Keywords:
Pregnancy-specific stress, Maternal health, Neonatal health, Prenatal concerns questionnaireAbstract
Events that occur during fetal and perinatal life can have consequences on the health and disease of the offspring. The pioneering work on the “Fetal Programming Hypothesis” focused on pregnant women exposed to a great famine that occurred in the Netherlands at the end of World War II. The intrauterine environment of the babies during that famine caused them to low birthweight and determined the appearance of cardiovascular diseases in themselves when they reached adulthood, a risk that was transmitted even to the following generation.
In addition to the general stress that a pregnant woman may suffer as a result of the death of a family member, suffering a war or natural disaster such as the SARS-CoV-2 coronavirus, there is another specific type of stress that refers exclusively to the pregnancy process; this is the pregnancy specific-stress. Pregnancy-specific stress is capable of sensitively predicting negative maternal and neonatal outcomes. This type of stress refers to the specific stress of pregnant women related to medical problems, the health of the newborn, the changes that the pregnancy will produce in their social relationships, prematurity, physical changes of pregnancy and fear of labor and birth.
The objective of this article was to offer an updated information on pregnancy-specific stress and its consequences for maternal and neonatal health. Thus, we also proposed to offer strategies that midwives and psychologists can use to reduce pregnancy-specific stress levels.
In conclusion, midwives and psychologists can work together to reduce pregnancy-specific stress levels.
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Estévez-González MD. Las matronas y el cuidado de la salud mental perinatal. Matronas Prof. 2019; 20(3): 112-118.
Hechler C, Borewicz K, Beijers R, Saccenti E, Riksen-Walraven M, Smidt H, De Weerth C. Association between psychosocial stress and fecal microbiota in pregnant women. Scientific reports. 2019;9(1):1-10.
Caparros-Gonzalez RA, Romero-Gonzalez B, Strivens-Vilchez H, Gonzalez-Perez R, Martinez-Augustin O, Peralta-Ramirez MI. Hair cortisol levels, psychological stress and psychopathological symptoms as predictors of postpartum depression. PloS one. 2017; 12(8): e0182817.
Alderdice F, Lynn F. Stress in pregnancy: identifying and supporting women. British J Midwifery. 2009; 17(9): 552-559.
Levine TA, Grunau RE, Segurado R, Daly S, Geary MP, Kennelly MM, O’Donoghue K, Hunter A, Morrison JJ, Burke G, Dicker P. 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. BMJ Open. 2017;7(6):e015326.
Caparros-Gonzalez RA, Romero-Gonzalez B, Gonzalez-Perez R, Lucena-Prieto L, Perez-Garcia M, Cruz-Quintana F, Peralta-Ramirez MI. Maternal and neonatal hair cortisol levels are associated with infant neurodevelopment at six months of age. J Clin Med. 2019; 8(11): 1-14.
Barker DJ, Osmond C, Law CM. The intrauterine and early postnatal origins of cardiovascular disease and chronic bronchitis. J Epidemiol Community Health. 1989; 43(3): 237-240.
Caparros-Gonzalez RA. Programación Fetal: ambiente de crecimiento y desarrollo prenatal. Ediciones Pirámide (Grupo Anaya); 2021.
Glover V, O’Donnell KJ, O’Connor TG, Fisher J. Prenatal maternal stress, fetal programming, and mechanisms underlying later psychopathology—a global perspective. Dev Psychopathol. 2018; 30(3): 843-54.
Alderdice F, Lynn F, Lobel M. A review and psychometric evaluation of pregnancy-specific stress measures. J Psychosom Obstet Gynecol. 2012; 33(2): 62-77.
Caparros-Gonzalez RA, Perra O, Alderdice F, Lynn F, Lobel M, García-García I, Peralta-Ramírez MI. Psychometric validation of the Prenatal Distress Questionnaire (PDQ) in pregnant women in Spain. Women Health. 2019; 59(8): 937-952.
Rakers F, Rupprecht S, Dreiling M, Bergmeier C, Witte OW, Schwab M. Transfer of maternal psychosocial stress to the fetus. Neurosci Biobehav Rev. 2017; S0149-7634(16): 30719-9.
Romero-Gonzalez B, Martin CR, Caparros-Gonzalez RA, Quesada-Soto JM, Peralta-Ramirez MI. Spanish validation and factor structure of the Prenatal Distress Questionnaire Revised (NuPDQ). J Reprod Infant Psychol. 2020:1-12.
Green JM, Kafetsios K, Statham HE, Snowdon CM. Factor structure, validity and reliability of the Cambridge Worry Scale in a pregnant population. J Health Psychol 2003;8:753–764.
Carmona Monge FJ, Peñacoba-Puente C, Marín Morales D, Carretero Abellán I. Factor structure, validity and reliability of the Spanish version of the Cambridge Worry Scale. Midwifery 2010;28:112-119.
Brunton RJ, Dryer R, Saliba A, Kohlhoff J. Pregnancy anxiety: A systematic review of current scales. J Affect Disord 2015;176:24-34.
Da Costa D, Brender W, Larouche J. A prospective study of the impact of psychosocial and lifestyle variables on pregnancy complications. J Psychosom Obstet Gynaecol 1998;19:28–37.
DiPietro JA, Ghera MM, Costigan K, Hawkins M. Measuring the ups and downs of pregnancy stress J Psychosom Obstet Gynaecol. 2004; 25: 189–201.
DiPietro JA, Hilton SC, Hawkins M, Costigan KA, Pressman EK. Maternal stress and affect influence fetal neurobehavioral development. Dev Psychol. 2002; 38: 659–668.
Lobel M, Dunkel Schetter C. Pregnancy and prenatal stress. In H. S. Friedman (Ed.), Encyclopedia of mental health (2nd ed., pp. 318–329). Waltham, MA: Academic Press. 2016.
Glynn LM, Schetter CD, Hobel CJ, Sandman CA. Pattern of perceived stress and anxiety in pregnancy predicts preterm birth. Health Psychol. 2008; 27: 43–51.
Lobel M, Cannella DL, Graham JE, DeVincent C, Schneider J, Meyer BA. Pregnancy-specific stress, prenatal health behaviors, and birth outcomes. Health Psychol. 2008; 27: 604–615.
Saunders TA, Lobel M, Veloso C, Meyer BA. Prenatal maternal stress is associated with delivery analgesia and unplanned cesareans. J. Psychosom. Obstet. Gynaecol. 2006; 27: 141–146.
Coussons-Read ME, Lobel M, Carey JC, Kreither MO, D’Anna K, Argys L, Cole S. The occurrence of preterm delivery is linked to pregnancy-specific distress and elevated inflammatory markers across gestation. Brain Behav Immun. 2012; 26(4): 650-659.
Ibrahim SM, Lobel M. Conceptualization, measurement, and effects of pregnancy-specific stress: Review of research using the original and revised Prenatal Distress Questionnaire. Journal Behav Med. 2020; 43(1): 16-33.
Roesch SC, Schetter CD, Woo G, Hobel CJ. Modeling the types and timing of stress in pregnancy. Anxiety Stress Coping, 2004; 17(1): 87-102.
Davis EP, Buss C, Muftuler LT, Head K, Hasso A, Wing DA, Hobel C, Sandman CA. Children’s brain development benefits from longer gestation. Front. Psychol. 2011a; 2: 1.
Davis EP, Glynn LM, Waffarn F, Sandman CA. Prenatal maternal stress programs infant stress regulation. J. Child Psychol. Psychiatry. 2011b; 52: 119–129.
Dong Y, Yu JL. An overview of morbidity, mortality and long-term outcome of late preterm birth. World J. Pediat. 2011; 7: 199–204.
Samra HA, McGrath JM, Wehbe M. An integrated review of developmental outcomes and late-preterm birth. J. Obstet., Gynecol., Neonatal Nurs.: JOGNN/NAACOG. 2011; 40: 399–411.
Yang S, Bergvall N, Cnattingius S, Kramer MS. Gestational age differences in health and development among young Swedish men born at term. Int. J. Epidemiol. 2010a; 39: 1240–1249.
Yang S, Platt RW, Kramer MS. Variation in child cognitive ability by week of gestation among healthy term births. Am. J. Epidemiol. 2010; 171: 399–406.
Caparros-Gonzalez RA, Romero-Gonzalez B, Strivens-Vilchez H, Gonzalez-Perez R, Martinez-Augustin O, Peralta-Ramirez MI. Hair cortisol levels, psychological stress and psychopathological symptoms as predictors of postpartum depression. PloS One. 2017; 12(8).
Caparros-Gonzalez RA, Romero-Gonzalez B, Peralta-Ramirez MI. Depresión posparto, un problema de salud pública mundial. Rev Panam Salud Publica. 2018;42:e97.
O’Hara MW, McCabe JE. Postpartum depression: current status and future directions. Annu Rev of Clin Psychol. 2013; 9: 379-407.
Fe Rodriguez-Munoz M, Izquierdo N, Eugenia Olivares M, del Carmen Picos M, Isabel Rodriguez M, Herraiz MA, Le HN, Fonseca J. Postpartum Depression Screening Scale Short Form: Is it possible to use it for antenatal depression?. Clinica Salud. 2018;29(3):147-50.
Huizink AC, Robles de Medina PG, Mulder EJ, Visser GH, Buitelaar JK. Stress during pregnancy is associated with developmental outcome in infancy. J Child Psychol Psychiatry. 2003; 44(6): 810-818.
Gillberg, IC, Gillberg, C. Children with preschool minor neurological disorders IV: Behavior and school achievement at age 13. Develop Med Child Neurol. 1998; 31: 3–13.
Bayley N. Bayley Scales of Infant Development. New York: Psychological Corp. 1969.
Romero-Gonzalez B, Caparros-Gonzalez RA, Gonzalez-Perez R, Delgado-Puertas P, Peralta-Ramirez MI. Newborn infants’ hair cortisol levels reflect chronic maternal stress during pregnancy. PloS One. 2018;13(7).
Ortega HR, Ramírez MI. Programa para el control de estrés. Ediciones Pirámide; 2006.
Ministerio de Sanidad y Política Social. Boletín Oficial del Estado, Orden SAS/1349/2009, de 6 de mayo, por la que se aprueba y publica el programa formativo de la especialidad de Enfermería Obstétrico-Ginecológica (Matrona). (Consultado el 01/02/2021). Disponible en https://www.mscbs.gob.es/profesionales/formacion/docs/enfermeriaObstetricoGineMatronas.pdf
National Institute for Health and Care Excellence (NICE). Antenatal and postnatal mental health. London: National Institute for Health and Care Excellence; 2020. (Consultado el 02/2/2021). Disponible en https://www.nice.org.uk/guidance/cg192/chapter/1Recommendations#recognising-mental-health-problems-in-pregnancy-and-the-postnatal-period-and-referral-2
Caparros-González RA, García-García I, Mariñas-Lirola JC, Peralta-Ramírez MI. Protocolo del estudio de cohortes GESTASTRESS sobre los efectos del estrés durante el embarazo mediante la medida de cortisol en el cabello de la mujer y del recién nacido. Rev Esp Salud Pública. 2018; 92:16 de abril e201804027.
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Copyright (c) 2021 Rafael A. Caparros-Gonzalez, Borja Romero-Gonzalez, José A. Puertas-Gonzalez, Sara Quirós-Fernández, Bárbara Coca-Guzmán, María Isabel Peralta-Ramirez
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