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.
Abstract

Related Concept Videos

Psychoneuroimmunology: Cardiovascular Disease01:27

Psychoneuroimmunology: Cardiovascular Disease

Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
Physiological Foundation of Stress01:24

Physiological Foundation of Stress

Stress triggers a coordinated physiological response involving the sympathetic nervous system (SNS) and the hypothalamic-pituitary-adrenal (HPA) axis. This dual activation ensures that the body is prepared for both immediate and prolonged stress management. The process begins with the perception of a stressor. This initial phase activates the SNS, leading to the rapid release of adrenaline (epinephrine) from the adrenal glands.
Role of the Sympathetic Nervous System
Adrenaline triggers the...
Teratogenicity01:07

Teratogenicity

The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
Stress and Mental Health01:30

Stress and Mental Health

Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Psychoneuroimmunology: Diabetes and Cancer01:19

Psychoneuroimmunology: Diabetes and Cancer

Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...
Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...