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

Details

Serval ID
serval:BIB_A3BD48CC72F0
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Prospective associations between maternal stress during pregnancy and fasting glucose with obstetric and neonatal outcomes.
Journal
Journal of psychosomatic research
Author(s)
Horsch A., Gilbert L., Lanzi S., Kang J.S., Vial Y., Puder J.J.
ISSN
1879-1360 (Electronic)
ISSN-L
0022-3999
Publication state
Published
Issued date
10/2019
Peer-reviewed
Oui
Volume
125
Pages
109795
Language
english
Notes
Publication types: Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
Publication Status: ppublish
Abstract
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.
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.
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.
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.
Keywords
Adult, Blood Glucose/analysis, Delivery, Obstetric/statistics & numerical data, Fasting/blood, Female, Humans, Infant, Newborn, Life Change Events, Pregnancy, Pregnancy Complications/blood, Pregnancy Complications/psychology, Pregnancy Outcome, Prospective Studies, Stress, Psychological/blood, Stress, Psychological/complications, Depression, Gestational diabetes mellitus, Glucose, Neonatal, Obstetric, Stress
Pubmed
Web of science
Create date
31/08/2019 0:30
Last modification date
03/09/2020 17:32
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