The interaction between chronic stress and pregnancy: preterm birth from a biobehavioral perspective.

The interaction between chronic stress and pregnancy: preterm birth from a biobehavioral perspective.
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DOI:
10.1016/j.jmwh.2008.08.001
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发表时间:
2009-01
影响因子:
2.7
通讯作者:
Latendresse, Gwen
Latendresse, Gwen
中科院分区:
医学3区
文献类型:
--
作者:
Latendresse, Gwen

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妇女的医疗保健提供者越来越意识到,慢性压力源,如贫困,持续的感知压力和焦虑,亲密伴侣暴力,种族主义的经验,与早产的发生率在美国增加。重要的是要增加我们对这些关联所涉及的解释途径的理解。本文讨论的概念,压力,慢性应激反应,非稳态负荷,分娩启动的生理学,和病理生理学的相互作用,可能有助于发生慢性应激相关早产。对未来的研究和干预措施的影响进行了探讨。
Women's health care providers are increasingly aware that chronic stressors—such as poverty, ongoing perceived stress and anxiety, intimate partner violence, and experiences of racism—are associated with an increased incidence of preterm birth in the United States. It is important to increase our understanding of the explanatory pathways involved in these associations. This article discusses the concepts of stress, chronic stress response, allostatic load, the physiology of labor initiation, and the pathophysiologic interactions that may contribute to the occurrence of chronic stress-related preterm birth. Implications for future research and interventions are explored.
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