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Related Experiment Videos

Stress, pre-term labour and birth outcomes.

M C MacKey1, C A Williams, C M Tiller

  • 1University of South Carolina, College of Nursing, Columbia, SC 29208, USA.

Journal of Advanced Nursing
|September 30, 2000
PubMed
Summary

Women experiencing pre-term labor (PTL) reported higher stress levels and poorer birth outcomes. Race and specific daily hassles influenced these outcomes, highlighting the need for targeted interventions and social support.

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Area of Science:

  • Perinatal health
  • Psychosocial factors in pregnancy
  • Maternal stress and birth outcomes

Background:

  • Previous research suggests a link between stress and pre-term labor (PTL) onset and outcomes.
  • A direct comparison of stress levels in women with and without PTL has been lacking.
  • Understanding these differences is crucial for improving maternal and infant health.

Purpose of the Study:

  • To compare daily hassles and mood states between women with and without PTL.
  • To examine birth outcomes in relation to PTL and maternal stress.
  • To explore racial differences in stress and birth outcomes.

Main Methods:

  • Exploratory study comparing 35 women with PTL and 35 matched controls.
  • Data collected on daily hassles and mood states using validated scales (Profile of Mood States, Daily Hassles Scale).

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  • Birth outcomes including birthweight and gestational age were analyzed.

    • Main Results:

    • Women in the PTL group exhibited higher tension-anxiety and depression-dejection.
    • PTL group had lower mean birthweight, shorter gestational age, and higher rates of low birthweight infants.
    • Specific racial groups and women with low birthweight infants reported elevated stress scores on various sub-scales.

    Conclusions:

    • Stress significantly impacts pre-term labor and adverse birth outcomes.
    • The interplay of race, stress, and PTL requires further investigation.
    • Social support interventions may be vital for preventing pre-term birth, especially after an episode of PTL.