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Updated: May 30, 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
Stress during pregnancy and offspring pediatric disease: A National Cohort Study
Marion Tegethoff1, Naomi Greene, Jørn Olsen
1Division of Clinical Psychology and Psychiatry, University of Basel, Basel, Switzerland.
Insights
Maternal life stress during pregnancy is linked to increased risks for various childhood diseases, including perinatal conditions and infections. This finding highlights the importance of prenatal care for child health outcomes.
Area of Science:
- Reproductive Health
- Pediatric Health
- Psychosocial Epidemiology
Background:
- The intrauterine environment significantly influences a child's lifelong health and disease susceptibility.
- Identifying prenatal risk factors for adverse pediatric health outcomes is crucial for public health.
Purpose of the Study:
- To investigate the association between common psychosocial stress during pregnancy and a broad range of pediatric diseases in offspring.
- To determine if maternal life stress and emotional stress are risk factors for specific childhood health conditions.
Main Methods:
- Prospective cohort study using data from the Danish National Birth Cohort (n=66,203).
- Maternal stress assessed via life and emotional stress indicators during pregnancy.
- Offspring diseases categorized using the International Classification of Diseases, 10th Revision, from national registries.
Main Results:
- Maternal life stress was associated with increased risk for perinatal conditions, congenital malformations, infections, mental, eye, ear, respiratory, digestive, skin, musculoskeletal, and genitourinary diseases.
- Emotional stress showed an association with increased infection risk and decreased risk for endocrine, eye, and circulatory diseases.
Conclusions:
- Maternal life stress during pregnancy emerges as a potential common risk factor for impaired child health.
- These findings suggest novel strategies for childhood disease prevention and intervention.
Background:
Identifying risk factors for adverse health outcomes in children is important. The intrauterine environment plays a pivotal role for health and disease across life.
Objectives:
We conducted a comprehensive study to determine whether common psychosocial stress during pregnancy is a risk factor for a wide spectrum of pediatric diseases in the offspring.
Methods:
The study was conducted using prospective data in a population-based sample of mothers with live singleton births (n = 66,203; 71.4% of those eligible) from the Danish National Birth Cohort. We estimated the association between maternal stress during pregnancy (classified based on two a priori-defined indicators of common stress forms, life stress and emotional stress) and offspring diseases during childhood (grouped into 16 categories of diagnoses from the International Classification of Diseases, 10th Revision, based on data from national registries), controlling for maternal stress after pregnancy.
Results:
Median age at end of follow-up was 6.2 (range, 3.6-8.9) years. Life stress (highest compared with lowest quartile) was associated with an increased risk of conditions originating in the perinatal period [odds ratio (OR) = 1.13; 95% confidence interval (CI): 1.06, 1.21] and congenital malformations (OR=1.17; CI: 1.06, 1.28) and of the first diagnosis of infection [hazard ratio (HR) = 1.28; CI: 1.17, 1.39], mental disorders (age 0-2.5 years: HR = 2.03; CI: 1.32, 3.14), and eye (age 0-4.5 years: HR = 1.27; CI: 1.06, 1.53), ear (HR = 1.36; CI: 1.23, 1.51), respiratory (HR = 1.27; CI; 1.19, 1.35), digestive (HR = 1.23; CI: 1.11, 1.37), skin (HR = 1.24; CI: 1.09, 1.43), musculoskeletal (HR = 1.15; CI: 1.01-1.30), and genitourinary diseases (HR = 1.25; CI; 1.08, 1.45). Emotional stress was associated with an increased risk for the first diagnosis of infection (HR = 1.09; CI: 1.01, 1.18) and a decreased risk for the first diagnosis of endocrine (HR = 0.81; CI; 0.67, 0.99), eye (HR = 0.84; CI; 0.71, 0.99), and circulatory diseases (age 0-3 years: HR = 0.63; CI: 0.42, 0.95).
Conclusions:
Maternal life stress during pregnancy may be a common risk factor for impaired child health. The results suggest new approaches to reduce childhood diseases.
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