Psychosocial factors and pregnancy outcome: A review with emphasis on methodological issues
Abstract
This review focuses on the research concerning the relation between psychosocial factors and pregnancy outcome. The following four outcome measures are dealt with: (1) birth weight, (2) preeclampsia, (3) preterm labour, and (4) intrapartum complications. The most consistent finding concerns the association between maternal exposure to taxing situations and preterm delivery. Three possible pathways are hypothesized: (1) an indirect influence via unhealthy coping and life style behaviour, (2) a direct influence via stress-dependent hormones, and (3) an additional direct influence via psycho-immunological factors. Intervention studies aimed at improving pregnancy outcome show fairly mixed results. It is recommended that studies on the relationship between psychosocial factors and pregnancy outcome should employ a prospective design with due attention to chronic stressors, should include appropriate biochemical assessments, and multivariate techniques are applied.
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Prenatal psychological distress is associated with preterm delivery.
“Prenatal psychological distress is widely associated with pregnancy complications, including preeclampsia [10], spontaneous abortion [11], preterm delivery [12], lower birth weight [13], and”
From Brain structural and functional outcomes in the offspring of women experiencing psychological distress during pregnancy (2024) · cites this paper as [12]
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- Authors
- Paarlberg, K. M., Vingerhoets, A. J. J. M., Passchier, J., Dekker, G. A., & Van Geijn, H. P.
- Affiliations
- Tilburg University (NL)
- Erasmus University Rotterdam (NL)
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 1995-07
- Volume
- 39
- Issue
- 5
- Pages
- 563-595
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W1966171569
- Cited by
- 356
- References
- 135
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 8 · 2023: 6 · 2022: 7 · 2021: 4 · 2020: 8 · 2019: 3 · 2018: 6 · 2017: 7 · 2016: 8 · 2015: 7 · 2014: 24 · 2013: 12 · 2012: 13
- FWCI
- 0.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- psychosocial factors, pregnancy outcomes, birth weight, preeclampsia, preterm labour, labor complications, maternal stress, coping behaviour, stress hormones, psychoneuroimmunology, lifestyle habits, prenatal intervention, research methodology
- MeSH terms
- Birth Weight, Data Interpretation, Statistical, Female, Humans, Infant, Newborn, Obstetric Labor Complications, Obstetric Labor, Premature, Pre-Eclampsia, Pregnancy, Pregnancy Outcome, Prospective Studies, Retrospective Studies, Risk Factors, Social Environment, Stress, Psychological, Bias
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