Pregnancy as a period of risk, adaptation, and resilience for mothers and infants
| Autor: | Elysia Poggi Davis, Angela J. Narayan |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pregnancy
Window of opportunity media_common.quotation_subject Prenatal Programming Psychological intervention Infant Mothers Protective Factors medicine.disease Mental health Article Developmental psychology Psychiatry and Mental health Prenatal stress Developmental and Educational Psychology medicine Humans Female Psychological resilience Child Psychology media_common Maladaptation |
| Zdroj: | Dev Psychopathol |
| ISSN: | 1469-2198 0954-5794 |
| DOI: | 10.1017/s0954579420001121 |
| Popis: | The pregnancy period represents a unique window of opportunity to identify risks to both the fetus and mother and to deter the intergenerational transmission of adversity and mental health problems. Although the maternal–fetal dyad is especially vulnerable to the effects of stress during pregnancy, less is known about how the dyad is also receptive to salutary, resilience-promoting influences. The present review adopts life span and intergenerational perspectives to review four key areas of research. The first part describes how pregnancy is a sensitive period for both the mother and fetus. In the second part, the focus is on antecedents of maternal prenatal risks pertaining to prenatal stress response systems and mental health. The third part then turns to elucidating how these alterations in prenatal stress physiology and mental health problems may affect infant and child outcomes. The fourth part underscores how pregnancy is also a time of heightened fetal receptivity to maternal and environmental signals, with profound implications for adaptation. This section also reviews empirical evidence of promotive and protective factors that buffer the mother and fetus from developmental and adaptational problems and covers a sample of rigorous evidence-based prenatal interventions that prevent maladaptation in the maternal–fetal dyad before babies are born. Finally, recommendations elaborate on how to further strengthen understanding of pregnancy as a period of multilevel risk and resilience, enhance comprehensive prenatal screening, and expand on prenatal interventions to promote maternal–fetal adaptation before birth. |
| Databáze: | OpenAIRE |
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