Psychosocial stress and pregnancy outcome
Psychosocial stress and pregnancy outcome
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DOI：
10.1097/grf.0b013e31816f2709
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发表时间：
2008-06-01
影响因子：
1.5
通讯作者：
Barrett, Emily S.
中科院分区：
文献类型：
--
作者：
Hobel, Calvin J.;Goldstein, Amy;Barrett, Emily S.
本文旨在帮助临床医生更好地了解不断扩大的关于心理社会压力（急性和慢性）是否与2种主要不良妊娠结局有关的研究：早产和低出生体重。我们总结了现有的文献，然后审查评估工具通常用于诊断各种类型的心理社会压力，注意如何以及何时应该进行评估。在讨论了假设这些关系的生理机制后，我们研究了现有的旨在减少心理社会压力的干预措施，并回顾了它们在改善出生结局方面的疗效。未来的方向，为预防不良妊娠结局进行了讨论，并建议，一个全新的方法可能是必要的。
This article is intended to help clinicians better understand the ever-expanding body of research on whether psychosocial stress (both acute and chronic) is linked to 2 major adverse pregnancy outcomes: preterm birth and low birth weight. We summarize the existing literature and then review assessment tools commonly used to diagnose various types of psychosocial stress, with attention to how and when assessments should be made. After discussing the physiologic mechanisms hypothesized to underlie these relationships, we examine the range of existing interventions aimed at reducing psychosocial stress and review their efficacy at improving birth outcomes. Future directions for prevention of adverse pregnancy outcomes are discussed and suggest that an entirely new approach may be necessary.