Stress and preterm labor and birth in black women
Stress and preterm labor and birth in black women
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DOI：
10.1111/j.1552-6909.2008.00278.x
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发表时间：
2008-09-01
影响因子：
1.8
通讯作者：
Garry, David J.
中科院分区：
文献类型：
--
作者：
Gennaro, Susan;Shults, Justine;Garry, David J.
目的：检查(a)怀孕期间3种常用的压力测量方法，(b)压力随时间的变化，以确定何时压力最大，以及(c)是否有任何压力测量方法可以预测怀孕的黑人妇女谁会早产。设计：前瞻性描述性研究。地点：东北某教学医院围产期评价中心及门诊。参与者：59名黑人妇女：39名来自围产期评估中心的早产妇女，20名来自产前诊所的健康怀孕妇女。测量方法：采用纸笔两项测试（产前压力问卷和压力感知量表）和促肾上腺皮质激素释放激素进行压力测量。结果：压力测量之间的相关性不高。产前压力问卷和压力感知量表测得28周压力最大，促肾上腺皮质激素释放激素升高至32周后下降。结论：感知压力、产前窘迫和促肾上腺皮质激素释放激素并非都能测量相同的现象。黑人妇女在28周时的压力筛查需要进一步的研究，因为在28周左右经历早产的黑人妇女的感知压力水平区分了早产妇女和足月分娩的黑人妇女。
Objective: To examine (a) 3 commonly used measures of stress during pregnancy, (b) changes in stress over time to determine when stress is highest, and (c) whether any of the stress measures predict who will deliver preterm in pregnant Black women.Design: Prospective descriptive study.Setting: Perinatal evaluation center and outpatient clinics of a teaching hospital in the northeast.Participants: Fifty-nine Black women: 39 were recruited in preterm labor from a Perinatal Evaluation Center, and 20 experiencing healthy pregnancies were recruited from the prenatal clinic.Measures: Stress was measured using 2 paper and pencil tests (the Prenatal Distress Questionnaire and the Perceived Stress Scale) and corticotropin-releasing hormone.Results: There was not a high correlation between stress measures. Stress at 28 weeks as measured by Prenatal Distress Questionnaire and Perceived Stress Scale was at its highest, but corticotropin-releasing hormone increased to 32 weeks and then decreased.Conclusions: Perceived stress, prenatal distress, and corticotropin-releasing hormone do not all appear to be measuring the same phenomenon. Screening for stress in Black women at 28 weeks requires further research as perceived stress levels in Black women experiencing preterm labor around 28 weeks differentiated women who delivered preterm infants from Black women who delivered at term.