Prospective associations between maternal stress during pregnancy and fasting glucose with obstetric and neonatal outcomes

Autor: Leah Gilbert, Ji Seon Kang, Yvan Vial, Antje Horsch, Jardena J. Puder, Stefano Lanzi
Rok vydání: 2019
Předmět:
Adult
Blood Glucose
medicine.medical_specialty
Life Change Events
03 medical and health sciences
0302 clinical medicine
Pregnancy
Medicine
Humans
030212 general & internal medicine
Prospective Studies
Prospective cohort study
Depression (differential diagnoses)
business.industry
Obstetrics
Infant
Newborn
Pregnancy Outcome
Blood Glucose/analysis
Delivery
Obstetric/statistics & numerical data
Fasting/blood
Female
Pregnancy Complications/blood
Pregnancy Complications/psychology
Stress
Psychological/blood
Stress
Psychological/complications
Depression
Gestational diabetes mellitus
Glucose
Neonatal
Obstetric
Stress
Fasting
medicine.disease
Delivery
Obstetric
Pregnancy Complications
Psychiatry and Mental health
Clinical Psychology
Cord blood
Small for gestational age
Anxiety
Gestation
Apgar score
medicine.symptom
business
030217 neurology & neurosurgery
Stress
Psychological
Zdroj: Journal of psychosomatic research, vol. 125, pp. 109795
ISSN: 1879-1360
Popis: Objective This prospective study investigated associations between maternal stress exposure and maternal psychological stress measures during pregnancy with obstetric and neonatal outcomes. We also tested whether any observed associations would be moderated by increasing glucose levels, as increased glycaemia is also associated with adverse obstetric and neonatal outcomes. Methods 203 women between 24 and 30 weeks gestation completed validated questionnaires assessing pregnancy-related major events and major life events, maternal perceived stress, and depression, anxiety, and stress symptoms. Glucose was measured using fasting morning blood samples. Instrumental delivery represented an obstetric outcome. Neonatal outcomes included Apgar score, large and small for gestational age weight, cord blood pH, NICU hospitalization, and neonatal hypoglycaemia. Results Regarding the obstetric outcome, pregnancy-related major life events OR = 1.346 (1.016–1.783; p = .016) were related to more incidences of instrumental delivery. Regarding neonatal outcomes, exposure to major life events in the last 12 months was associated with lower cord blood pH values B = -0.155 (−0.059 to −0.002; p = .036) and with more incidences of hypoglycaemia OR = 0.165 (0.012–0.169; p = .04). Maternal psychological stress measures were related to more incidences of instrumental delivery OR = 1.018 (1.003–1.032; p = .013). Maternal stress perception was associated with higher cord blood pH values B = 0.155 (0–0.003; p = .046) and fewer NICU hospitalisations OR = −0.170 (−0.009 to −0.001; p = .019). Some of these associations between life events and stress perceptions with neonatal outcomes were moderated by fasting glucose levels. Conclusion Maternal pregnancy events as well as stress, depression and anxiety symptoms have a negative impact on obstetric outcomes and maternal life events are associated with negative neonatal outcomes. Higher fasting glucose levels moderate some of the relationships between stress and neonatal outcomes.
Databáze: OpenAIRE
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