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Prenatal maternal stress and prematurity: a prospective study of socioeconomically disadvantaged women
Abstract
Developed and tested a biopsychosocial model of birthweight and gestational age at delivery using structural equation modeling procedures. The model tested the effects of medical risk and prenatal stress on these indicators of prematurity after controlling for whether a woman had ever given birth (parity). Subjects were 130 women of low socioeconomic status interviewed throughout pregnancy in conjunction with prenatal care visits to a public clinic. The majority of women were Latino or African-American. Half were interviewed in Spanish. Lower birthweight was predicted by earlier delivery and by prenatal stress. Earlier delivery was predicted by medical risk and by prenatal stress. Parity was not related to time of delivery or to birthweight. Implications of results for the development of biopsychosocial research on pregnancy and on stress are discussed.
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“Mothers experiencing high levels of psychological or social stress are at increased risk of preterm birth (generally <2–fold) even after adjustment for the effects of sociodemographic, medical, and behavioural risk factors.45, 46”
From Epidemiology and causes of preterm birth (2008) · cites this paper as [46]
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References 71 · Cited by 393
Metadata
- Authors
- Lobel, M., Dunkel-Schetter, C., & Scrimshaw, S. C. M.
- Affiliations
- Stony Brook University (US)
- Venue
- Health Psychology
- Published
- 1992
- Volume
- 11
- Issue
- 1
- Pages
- 32-40
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- OpenAlex
- W2091897623
- Cited by
- 393
- References
- 71
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 5 · 2023: 8 · 2022: 8 · 2021: 5 · 2020: 9 · 2019: 9 · 2018: 4 · 2017: 8 · 2016: 14 · 2015: 23 · 2014: 13 · 2013: 16 · 2012: 13
- FWCI
- 9.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (2s07rr007067-26)
- National Institute of Mental Health (MH15750, T32MH015750)
- National Center for Research Resources (RR07009-19, S07RR07067-25)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Keywords
- prenatal stress, preterm birth, birth weight, gestational age, socioeconomic deprivation, biopsychosocial model, parity, medical risk, Hispanic women, African American women, low-income pregnant women
- MeSH terms
- Adolescent, Adult, Anxiety, Female, Fetal Growth Retardation, Gestational Age, Humans, Infant, Newborn, Obstetric Labor, Premature, Life Change Events, Personality Assessment, Pregnancy, Prenatal Care, Risk Factors, Socioeconomic Factors
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- The paper
- Lobel, M., Dunkel-Schetter, C., & Scrimshaw, S. C. M. (1992). Prenatal maternal stress and prematurity: a prospective study of socioeconomically disadvantaged women. Health Psychology. https://doi.org/10.1037/0278-6133.11.1.32
