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Updated: Jun 21, 2026

Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
Published on: June 13, 2021
Maternal psychological distress and fetal growth trajectories: the Generation R Study
J Henrichs1, J J Schenk, S J Roza
1Institute of Psychology, Erasmus University Rotterdam, The Netherlands.
Maternal psychological distress, including anxiety and depression, during pregnancy can negatively impact fetal growth. This study found impaired fetal weight gain and head/abdominal growth in late pregnancy linked to maternal distress.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Psychology
- Developmental Biology
Background:
- Maternal psychological distress during pregnancy is a potential risk factor for adverse birth outcomes.
- Previous research has yielded inconsistent findings regarding the impact of maternal distress on fetal development.
Purpose of the Study:
- To investigate the association between maternal psychological distress and fetal growth from mid-pregnancy to birth.
- To determine if maternal anxiety and depressive symptoms affect fetal size and growth patterns.
Main Methods:
- A cohort of 6313 pregnant women reported psychological distress using validated questionnaires at mid-pregnancy.
- Fetal growth was assessed via ultrasound measurements (head circumference, abdominal circumference, femur length) in mid- and late pregnancy.
- Multilevel models were used to analyze the relationship between maternal distress and fetal growth curves.
Main Results:
- Maternal distress was not significantly linked to fetal size in mid-pregnancy.
- In late pregnancy, anxious symptoms were associated with smaller fetal size and lower birth weight.
- Maternal anxiety and depressive symptoms were linked to impaired fetal weight gain and reduced fetal head and abdominal growth.
Conclusions:
- Maternal psychological distress, particularly anxiety, affects fetal growth patterns starting in mid-pregnancy.
- Prenatal anxiety is associated with impaired fetal growth trajectories.
- Further research is needed to explore biological mechanisms and the efficacy of interventions to reduce maternal distress during pregnancy.
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