Psychologic Stress in the Workplace and Spontaneous Abortion

Fenster, Laura; Schaefer, Catherine; Mathur, Ashwini; Hiatt, Robert A.; Pieper, Carl; Hubbard, Alan E.; Von Behren, Julie; Swan, Shanna H.

doi:10.1093/oxfordjournals.aje.a117576

Cited by 118Workplace Health and Well-beingMaternal Mental Health During Pregnancy and PostpartumOccupational Health and Safety in Workplaces

Psychologic Stress in the Workplace and Spontaneous Abortion

Fenster, Laura, Schaefer, Catherine, Mathur, Ashwini, Hiatt, Robert A., Pieper, Carl, Hubbard, Alan E., Von Behren, Julie, Swan, Shanna H.·1995·American Journal of Epidemiology

DOI 10.1093/oxfordjournals.aje.a117576

Open this paper in CoChat — free account

Abstract

The relation of work-related psychologic stress to spontaneous abortion was examined in a prospective study of 3,953 pregnant, employed members of a prepaid health plan in California, recruited between 1990 and 1991. Information on occupation, psychologic stress-related factors at work, social support at work, physical exertion at work, life events, pregnancy worries, and potential confounders was obtained by a telephone interview. Psychologic job stress and social support at work were assessed using an abbreviated version of the instrument developed by Karasek and colleagues (Los Angeles: University of Southern California, 1986). Results from the multivariate model indicated that, overall, stressful work was not associated with an increased risk of spontaneous abortion. However, interactions were observed between stressful work and maternal age over 32 years (p = 0.04), cigarette smoking (p = 0.02), and primigravidity (p = 0.06). Relative to the odds ratio for stressful work in young, nonsmoking, multigravid women without a history of two or more spontaneous abortions, the odds ratios for spontaneous abortion given stressful work were higher by 2.45 (95% confidence interval (CI) 1.03-5.81) for older women, 2.96 (95% CI 1.16-7.52) for smokers, and 2.27 (95% CI 0.97-5.27) for primigravid women.

Integrity signals

Registry

Crossref · 10.1093/oxfordjournals.aje.a117576

Cites

26 of 26 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Prenatal psychological distress is associated with spontaneous abortion.
“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 [11]
Alcohol use is an important modifiable risk factor for miscarriage.
“Our literature review found that alcohol use is also an important modifiable risk factor, as high alcohol consumption during the first trimester is associated with an increase in miscarriage risk (aOR 1·67; 95% CI 1·31-2·19; Table 6). 25,39,62-70”
From Miscarriage matters: the epidemiological, physical, psychological, and economic costs of early pregnancy loss (2021) · cites this paper as [62]
High alcohol consumption during the first trimester is associated with an increase in miscarriage risk (aOR 1.67; 95% CI 1.31-2.19).
“Our literature review found that alcohol use is also an important modifiable risk factor, as high alcohol consumption during the first trimester is associated with an increase in miscarriage risk (aOR 1·67; 95% CI 1·31-2·19; Table 6). 25,39,62-70”
From Miscarriage matters: the epidemiological, physical, psychological, and economic costs of early pregnancy loss (2021) · cites this paper as [62]

Applied logistic regression
(1990) · Choice Reviews Online · doi:10.5860/choice.27-3338 · Cited by 35,305 · see citing works
The social readjustment rating scale
Holmes, T. H., & Rahe, R. H. (1967) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(67)90010-4 · Cited by 11,174 · see citing works
Modeling and variable selection in epidemiologic analysis
Greenland, S. (1989) · American Journal of Public Health · doi:10.2105/ajph.79.3.340 · Cited by 2,208 · see citing works
THE CONTRIBUTION OF THE SOCIAL ENVIRONMENT TO HOST RESISTANCE: THE FOURTH WADE HAMPTON FROST LECTURE1
Cassel, J. C. (1995) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a117515 · Cited by 1,947 · see citing works
Statistical methods in cancer research. Vol. 1. The analysis of case-control studies
(1983) · Food and Chemical Toxicology · doi:10.1016/0278-6915(83)90281-8 · Cited by 1,726 · see citing works
Overcoming the absence of socioeconomic data in medical records: validation and application of a census-based methodology.
Krieger, N. R. (1992) · American Journal of Public Health · doi:10.2105/ajph.82.5.703 · Cited by 1,661 · see citing works
Job decision latitude, job demands, and cardiovascular disease: a prospective study of Swedish men.
Karasek, R. A., Baker, D. B., Marxer, F., Ahlbom, A., & Theorell, T. (1981) · American Journal of Public Health · doi:10.2105/ajph.71.7.694 · Cited by 1,566 · see citing works
Coworker and Supervisor support as moderators of associations between task characteristics and mental strain
Karasek, R. A., Triantis, K. P., & Chaudhry, S. S. (1982) · Journal of Organizational Behavior · doi:10.1002/job.4030030205 · Cited by 368 · see citing works
Older Maternal Age and Pregnancy Outcome
HANSEN, J. P. (1986) · Obstetrical & Gynecological Survey · doi:10.1097/00006254-198611000-00024 · Cited by 246 · see citing works
Short-Term Catecholamine Response to Psychological Stress1
Dimsdale, J. E., & Moss, J. (1980) · Psychosomatic Medicine · doi:10.1097/00006842-198009000-00003 · Cited by 195 · see citing works
Maternal psychological stress and fetal asphyxia: A study in the monkey
Myers, R. E. (1975) · American Journal of Obstetrics and Gynecology · doi:10.1016/0002-9378(75)90614-6 · Cited by 164 · see citing works
Confidence Limit Analyses Should Replace Power Calculations in the Interpretation of Epidemiologic Studies
Smith, A. H., & Bates, M. N. (1992) · Epidemiology · doi:10.1097/00001648-199209000-00011 · Cited by 128 · see citing works
Job Stress and Adverse Outcome of Pregnancy: A Causal Link or Recall Bias?
Brandt, L. P. A., & Nielsen, C. V. (1992) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a116284 · Cited by 127 · see citing works
Life event scales for obstetric groups
Barnett, B. E. W., Hanna, B. A., & Parker, G. B. (1983) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(83)90054-5 · Cited by 122 · see citing works
The relationship between 'job strain,' workplace diastolic blood pressure, and left ventricular mass index: a correction.
Schnall, P. L., Devereux, R. B., Pickering, T. G., & Schwartz, J. E. (1992) · PubMed · Cited by 120 · see citing works
Magnetic Fields of Video Displau Terminals and Spontaneous Abortion
Lindbohm, M.-L., Hietanen, M., Kyyrönen, P., Sallmén, M., von Nandelstadh, A., Taslomem, H., Pekkarinen, M., Ylikoski, M. E., & Hemminiki, K. (1992) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a116569 · Cited by 103 · see citing works
Heavy Lifting during Pregnancy—A Hazard to the Fetus? A Prospective Study
Ahlborg, G., Bodin, L., & Hogstedt, C. (1990) · International Journal of Epidemiology · doi:10.1093/ije/19.1.90 · Cited by 94 · see citing works
An epidemiological study of work with video screens and pregnancy outcome: II. A case–control study
Ericson, A., & Källén, B. A. J. (1986) · American Journal of Industrial Medicine · doi:10.1002/ajim.4700090507 · Cited by 76 · see citing works
Confounders contributing to the reported associations of coffee or caffeine with disease
Schreiber, G. B., Robins, M., Maffeo, C. E., Masters, M. N., Bond, A. P., & Morganstein, D. R. (1988) · Preventive Medicine · doi:10.1016/0091-7435(88)90005-9 · Cited by 75 · see citing works
The frequency of kidney and urinary tract diseases in a defined population
Hiatt, R. A., & FRIEDMAN, G. D. (1982) · Kidney International · doi:10.1038/ki.1982.133 · Cited by 75 · see citing works
Self-citation
Catecholamine levels in pregnant physicians and nurses: a pilot study of stress and pregnancy.
Vl, K., Jenkins, T., Haley, L., & Bowes, W. A. (1991) · PubMed · Cited by 57 · see citing works
Statistical handbook on women in America
(1996) · Choice Reviews Online · doi:10.5860/choice.34-1308 · Cited by 44 · see citing works
Maternal Age and Births in the 1980s
Adams, M. M. (1982) · JAMA · doi:10.1001/jama.1982.03320290039028 · Cited by 33 · see citing works
Psychological and Endocrinological Correlates of Chronic Stress at Three Mile Island
Baum, A. E., Schaeffer, M. A., Lake, C. R., Fleming, R., & COLLINS, D. L. (1985) · Elsevier eBooks · doi:10.1016/b978-0-12-532102-0.50015-2 · Cited by 27 · see citing works
DEVELOPMENT AND USE OF A SELF-ADMINISTERED QUESTIONNAIRE FOR ASSESSMENT OF PSYCHOLOGIC ATTITUDES TOWARD PREGNANCY AND THEIR RELATION TO A SUBSEQUENT PREMATURE BIRTH
MAMELLE, N., Measson, A., Munoz, F., de la Bastie, M. A., Gérin, P., HANAUER, M. T., Collet, P., & Guyotat, J. (1989) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a115432 · Cited by 26 · see citing works
Spontaneous abortion and work with visual display units.
Roman, E., Beral, V., Pelerin, M., & Hermon, C. (1992) · Occupational and Environmental Medicine · doi:10.1136/oem.49.7.507 · Cited by 22 · see citing works

Flagged first, then by citations

Sorted by citations

The Job Content Questionnaire (JCQ): An instrument for internationally comparative assessments of psychosocial job characteristics.
Karasek, R. A., Brisson, C., Kawakami, N., Houtman, I. L. D., Bongers, P. M., & Amick, B. C. (1998) · Journal of Occupational Health Psychology · doi:10.1037//1076-8998.3.4.322 · Cited by 4,022 · see citing works
Miscarriage matters: the epidemiological, physical, psychological, and economic costs of early pregnancy loss
Quenby, S., Gallos, I. D., Dhillon-Smith, R. K., Podesek, M., Stephenson, M. D., Fisher, J., Brosens, J. J., Brewin, J., Ramhorst, R., Lucas, E. S., et al. (2021) · The Lancet · doi:10.1016/s0140-6736(21)00682-6 · Cited by 1,560 · see citing works
Prenatal maternal stress: effects on pregnancy and the (unborn) child
Mulder, E. J. H., Robles de Medina, P. G., Huizink, A. C., Van den Bergh, B. R. H., Buitelaar, J. K., & Visser, G. H. A. (2002) · Early Human Development · doi:10.1016/s0378-3782(02)00075-0 · Cited by 779 · see citing works
Stress Pathways to Spontaneous Preterm Birth: The Role of Stressors, Psychological Distress, and Stress Hormones
Kramer, M. S., Lydon, J. E., Séguin, L., Goulet, L., Kahn, S. R., McNamara, H., Genest, J. J., Dassa, C., Chen, M. F., Sharma, S., et al. (2009) · American Journal of Epidemiology · doi:10.1093/aje/kwp061 · Cited by 395 · see citing works
Socio‐economic disparities in preterm birth: causal pathways and mechanisms
Kramer, M. S., Goulet, L., Lydon, J. E., Séguin, L., McNamara, H., Dassa, C., Platt, R. W., Chen, M. F., Gauthier, H., Genest, J. J., et al. (2001) · Paediatric and Perinatal Epidemiology · doi:10.1046/j.1365-3016.2001.00012.x · Cited by 369 · see citing works
Effects of prenatal stress on fetal and child development: A critical literature review
Graignic-Philippe, R., Dayan, J., Sylvie Chokron, A., Jacquet, A.-Y., & Tordjman, S. (2014) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2014.03.022 · Cited by 369 · see citing works
Association between psychosocial work characteristics and health functioning in American women: prospective study
Cheng, Y. (2000) · BMJ · doi:10.1136/bmj.320.7247.1432 · Cited by 343 · see citing works
Cortisol levels and very early pregnancy loss in humans
Nepomnaschy, P. A., Welch, K. B., McConnell, D. S., Low, B. S., Strassmann, B. I., & England, B. G. (2006) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0511183103 · Cited by 335 · see citing works
Prenatal Active or Passive Tobacco Smoke Exposure and the Risk of Preterm Delivery or Low Birth Weight
Windham, G. C., Hopkins, B., Fenster, L., & Swan, S. H. (2000) · Epidemiology · doi:10.1097/00001648-200007000-00011 · Cited by 318 · see citing works
Self-citation
Progesterone During Pregnancy: Endocrine–Immune Cross Talk in Mammalian Species and the Role of Stress
Arck, P., Hansen, P. J., Mulac‐Jeričević, B., Piccinni, M., & Szekeres‐Barthó, J. (2007) · American Journal of Reproductive Immunology · doi:10.1111/j.1600-0897.2007.00512.x · Cited by 276 · see citing works
Efficacy of Yoga on Pregnancy Outcome
Narendran, S., Nagarathna, R., Narendran, V., Gunasheela, S., & Nagendra, H. R. (2005) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2005.11.237 · Cited by 224 · see citing works
The job demand-control(-support) model and physical health outcomes: A review of the strain and buffer hypotheses
van der Doef, M., & Stan Maes, A. (1998) · Psychology and Health · doi:10.1080/08870449808407440 · Cited by 214 · see citing works
Influence of Paternal Age on the Risk of Spontaneous Abortion
Slama, R., Bouyer, J., Windham, G. C., Fenster, L., Werwatz, A., & Swan, S. H. (2005) · American Journal of Epidemiology · doi:10.1093/aje/kwi097 · Cited by 206 · see citing works
Self-citation
Relationship of job strain and iso-strain to health status in a cohort of women in the United States
Amick, B. C., Kawachi, I. I., Coakley, E., Lerner, D., Levine, S., & Colditz, G. A. (1998) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.278 · Cited by 203 · see citing works
Reliability and validity of the chinese version of the job content questionnaire in Taiwanese workers
Cheng, Y., Luh, W., & Guo, Y. L. (2003) · International Journal of Behavioral Medicine · doi:10.1207/s15327558ijbm1001_02 · Cited by 195 · see citing works
Occupational risk factors and reproductive health of women
Figà-Talamanca, I. (2006) · Occupational Medicine · doi:10.1093/occmed/kql114 · Cited by 183 · see citing works
The association between psychological stress and miscarriage: A systematic review and meta-analysis
Qu, F., Wu, Y., Zhu, Y.-H., Barry, J., Ding, T., Baio, G., Muscat, R., Todd, B. K., Wang, F.-F., & Hardiman, P. J. (2017) · Scientific Reports · doi:10.1038/s41598-017-01792-3 · Cited by 182 · see citing works
Stress and reproductive failure: past notions, present insights and future directions
Nakamura, K., Sheps, S. B., & Arck, P. (2008) · Journal of Assisted Reproduction and Genetics · doi:10.1007/s10815-008-9206-5 · Cited by 175 · see citing works
Estresse ocupacional e saúde: contribuições do Modelo Demanda-Controle
de Araújo, T. M., Carneiro, C. C. G., & de Araújo, E. M. (2003) · Ciência & Saúde Coletiva · doi:10.1590/s1413-81232003000400021 · Cited by 166 · see citing works
Environmental and occupational factors affecting fertility and IVF success
Younglai, E. V., Holloway, A. C., & Foster, W. G. (2004) · Human Reproduction Update · doi:10.1093/humupd/dmh055 · Cited by 164 · see citing works
Moderate Maternal Alcohol Consumption and Risk of Spontaneous Abortion
Windham, G. C., Behren, J. V., Fenster, L., Schaefer, C. A., & Swan, S. H. (1997) · Epidemiology · doi:10.1097/00001648-199709000-00007 · Cited by 147 · see citing works
Self-citation
The influence of socioeconomic status on stillbirth risk in Sweden
Stephansson, O., Dickman, P. W., Johansson, A. L. V., & Cnattingius, S. (2001) · International Journal of Epidemiology · doi:10.1093/ije/30.6.1296 · Cited by 142 · see citing works
Shift work, Job Stress, and Late Fetal Loss: The National Birth Cohort in Denmark
Zhu, J. L., Hjøllund, N. H., Andersen, A. N., & Olsen, J. (2004) · Journal of Occupational and Environmental Medicine · doi:10.1097/01.jom.0000145168.21614.21 · Cited by 136 · see citing works
Association of Maternal Psychological Distress With In Utero Brain Development in Fetuses With Congenital Heart Disease
Wu, Y., Kapse, K., Jacobs, M., Niforatos-Andescavage, N., Donofrio, M. T., Krishnan, A., Vezina, G., Wessel, D., du Plessis, A., & Limperopoulos, C. (2020) · JAMA Pediatrics · doi:10.1001/jamapediatrics.2019.5316 · Cited by 128 · see citing works
Brain structural and functional outcomes in the offspring of women experiencing psychological distress during pregnancy
Wu, Y., De Asis-Cruz, J., & Limperopoulos, C. (2024) · Molecular Psychiatry · doi:10.1038/s41380-024-02449-0 · Cited by 124 · see citing works
Effects of maternal prenatal stress on offspring development: a commentary
Lazinski, M. J., Shea, A. K., & Steiner, M. S. (2008) · Archives of Women s Mental Health · doi:10.1007/s00737-008-0035-4 · Cited by 120 · see citing works
The progesterone derivative dydrogesterone abrogates murine stress-triggered abortion by inducing a Th2 biased local immune response
Joachim, R., Zenclussen, A. C., Polgár, B., Douglas, A. J., Fest, S., Knackstedt, M., Klapp, B. F., & Arck, P. (2003) · Steroids · doi:10.1016/j.steroids.2003.08.010 · Cited by 120 · see citing works
Mothers in Stress: Consequences for the Offspring
Knackstedt, M., Hamelmann, E. H., & Arck, P. (2005) · American Journal of Reproductive Immunology · doi:10.1111/j.1600-0897.2005.00288.x · Cited by 91 · see citing works
Pregnancy in the workplace
Salihu, H. M., Myers, J. L., & August, E. M. (2012) · Occupational Medicine · doi:10.1093/occmed/kqr198 · Cited by 90 · see citing works
The effect of caffeine consumption and nausea on the risk of miscarriage
Giannelli, M., Doyle, P., Roman, E., Pelerin, M., & Hermon, C. (2003) · Paediatric and Perinatal Epidemiology · doi:10.1046/j.1365-3016.2003.00523.x · Cited by 83 · see citing works
Exposure to Environmental and Mainstream Tobacco Smoke and Risk of Spontaneous Abortion
Windham, G. C., Behren, J. V., Waller, K., & Fenster, L. (1999) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a009798 · Cited by 78 · see citing works
Self-citation
Live-Birth Bias and Observed Associations Between Air Pollution and Autism
Raz, R., Kioumourtzoglou, M., & Weisskopf, M. G. (2018) · American Journal of Epidemiology · doi:10.1093/aje/kwy172 · Cited by 77 · see citing works
Review of the Epidemiological Evidence Relating Toluene to Reproductive Outcomes
Bukowski, J. A. (2001) · Regulatory Toxicology and Pharmacology · doi:10.1006/rtph.2000.1448 · Cited by 72 · see citing works
Caffeinated Beverages, Decaffeinated Coffee, and Spontaneous Abortion
Fenster, L., Hubbard, A., Swan, S. H., Windham, G. C., Waller, K., Hiatt, R. A., & Benowitz, N. L. (1997) · Epidemiology · doi:10.1097/00001648-199709000-00008 · Cited by 72 · see citing works
Self-citation
A Prospective Study of Psychosocial Job Strain and Birth Outcomes
Oths, K. S., Dunn, L. L., & Palmer, N. S. (2001) · Epidemiology · doi:10.1097/00001648-200111000-00025 · Cited by 64 · see citing works
Psychosocial work stress during pregnancy and birthweight
Lee, B., Ha, M., Park, H., Hong, Y., Kim, Y., Kim, Y. J., & Ha, E. (2011) · Paediatric and Perinatal Epidemiology · doi:10.1111/j.1365-3016.2010.01177.x · Cited by 63 · see citing works
A Prospective Study of Work-Related Physical Exertion and Spontaneous Abortion
Fenster, L., Hubbard, A., Windham, G. C., Waller, K., & Swan, S. H. (1997) · Epidemiology · doi:10.1097/00001648-199701000-00011 · Cited by 59 · see citing works
Self-citation
Spontaneous Abortions Among Finnish Flight Attendants
Aspholm, R., Lindbohm, M.-L., Paakkulainen, H., Taskinen, H., Nurminen, T., & Tiitinen, A. (1999) · Journal of Occupational & Environmental Medicine · doi:10.1097/00043764-199906000-00015 · Cited by 58 · see citing works
Maternal occupational exposures and risk of spontaneous abortion in veterinary practice
Shirangi, A., Fritschi, L., & Holman, C. D. J. (2008) · Occupational and Environmental Medicine · doi:10.1136/oem.2007.035246 · Cited by 57 · see citing works
Prenatal stress and risk of spontaneous abortion
Wainstock, T., Lerner-Geva, L., Glasser, S., Shoham-Vardi, I., & Anteby, E. Y. (2013) · Psychosomatic Medicine · doi:10.1097/psy.0b013e318280f5f3 · Cited by 54 · see citing works
Weathering the storm; a review of pre-pregnancy stress and risk of spontaneous abortion
Frazier, T., HOGUE, C. J. R., Bonney, E. A., Yount, K. M., & Pearce, B. D. (2018) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2018.03.001 · Cited by 53 · see citing works
Work and Work-related Stress in Pregnancy
Katz, V. L. (2012) · Clinical Obstetrics & Gynecology · doi:10.1097/grf.0b013e318253b192 · Cited by 52 · see citing works
Maternal occupation and adverse pregnancy outcomes: a Finnish population-based study
Ahmed, P., & Jaakkola, J. J. K. (2007) · Occupational Medicine · doi:10.1093/occmed/kqm038 · Cited by 52 · see citing works
Do the emotional states of pregnant women affect neonatal behaviour?
Hernández‐Martínez, C., Arija, V., Balaguer, A., Cavallé, P., & Canals, J. (2008) · Early Human Development · doi:10.1016/j.earlhumdev.2008.05.002 · Cited by 49 · see citing works
Effects of Psychosocial Characteristics of Work on Pregnancy Outcomes: A Critical Review
Mutambudzi, M. S., Meyer, J. D., Warren, N., & Reisine, S. (2011) · Women & Health · doi:10.1080/03630242.2011.560242 · Cited by 47 · see citing works
Evaluation of four maternal smoking questions
Kharrazi, M. (1999) · Public Health Reports · doi:10.1093/phr/114.1.60 · Cited by 45 · see citing works
Does Male Age Affect the Risk of Spontaneous Abortion? An Approach Using Semiparametric Regression
Slama, R. (2003) · American Journal of Epidemiology · doi:10.1093/aje/kwg056 · Cited by 43 · see citing works
Socio‐demographic determinants of poor infant outcome in north‐west Russia
Grjibovski, A. M., Bygren, L. O., & Svartbo, B. (2002) · Paediatric and Perinatal Epidemiology · doi:10.1046/j.1365-3016.2002.00429.x · Cited by 42 · see citing works
Benzopyrene and Experimental Stressors Cause Compensatory Differentiation in Placental Trophoblast Stem Cells
Rappolee, D. A., Awonuga, A. O., Puscheck, E. E., Zhou, S., & Xie, Y. (2010) · Systems Biology in Reproductive Medicine · doi:10.3109/19396360903431638 · Cited by 38 · see citing works
Reproductive Problem among Women Health Care Workers: Epidemiologic Evidence and Preventive Strategies
Figà-Talamanca, I. (2000) · Epidemiologic Reviews · doi:10.1093/oxfordjournals.epirev.a018037 · Cited by 38 · see citing works
Job Strain and Male Fertility
Hjøllund, N. H., Bonde, J. P., Henriksen, T. B., Giwercman, A., & Olsen, J. (2004) · Epidemiology · doi:10.1097/01.ede.0000100290.90888.4a · Cited by 35 · see citing works
Rate of Caffeine Metabolism and Risk of Spontaneous Abortion
Fenster, L., Quale, C. M., Hiatt, R. A., Wilson, M., Windham, G. C., & Benowitz, N. L. (1998) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a009477 · Cited by 33 · see citing works
Self-citation
Weight Loss During Pregnancy Is Associated with Adverse Pregnancy Outcomes among HIV-1 Infected Women
Villamor, E., Dreyfuss, M. L., Baylín, A., Msamanga, G., & Fawzi, W. W. (2004) · Journal of Nutrition · doi:10.1093/jn/134.6.1424 · Cited by 34 · see citing works
Maternal sleep deprivation, sedentary lifestyle and cooking smoke: Risk factors for miscarriage: A case control study
SAMARAWEERA, Y., & Abeysena, C. (2010) · Australian and New Zealand Journal of Obstetrics and Gynaecology · doi:10.1111/j.1479-828x.2010.01190.x · Cited by 27 · see citing works
Job strain and time to pregnancy
Hjollund, N., Jensen, T. K., Bonde, J., Henriksen, T. B., Kolstad, H. A., Andersson, A., Ernst, E., Giwercman, A., Skakkebæk, N. E., & Olsen, J. (1998) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.354 · Cited by 26 · see citing works
Measuring aspects of women's life and work for the study of variations in health
Dunnell, K., Bunting, J., Wood, R., & Babb, P. (1999) · American Journal of Industrial Medicine · doi:10.1002/(sici)1097-0274(199907)36:1 · Cited by 7 · see citing works
Pregnancy, obstetrical and neonatal outcomes in women exposed to physician-related occupational hazards: a scoping review
Marsters, C. M., Stafl, L., Bugden, S., Gustainis, R., Nkunu, V., Reimer, R., Fletcher, S., Smith, S. R., Joe, M. B., Hyde, C., et al. (2023) · BMJ Open · doi:10.1136/bmjopen-2022-064483 · Cited by 22 · see citing works
Review of hazards to female reproductive health in veterinary practice
Scheftel, J. M., Elchos, B. L., Rubin, C. S., & Decker, J. (2017) · Journal of the American Veterinary Medical Association · doi:10.2460/javma.250.8.862 · Cited by 21 · see citing works
Practice variations for fetal and neonatal congenital heart disease within the Children’s Hospitals Neonatal Consortium
León, R. L., Levy, P. T., Hu, J., Yallpragada, S. G., Hamrick, S. E. G., Ball, M. K., the CHNC Cardiac Focus Group, Sullivan, K., McKay, V. J., Limjoco, J. J., et al. (2022) · Pediatric Research · doi:10.1038/s41390-022-02314-2 · Cited by 21 · see citing works
Applying the revised Chinese Job Content Questionnaire to assess psychosocial work conditions among Taiwan's hospital workers
Chien, T., Lai, W.-P., Wang, H., Hsu, S.-Y., Castillo, R. V., Guo, H., Chen, S.-C., & Su, S. (2011) · BMC Public Health · doi:10.1186/1471-2458-11-478 · Cited by 21 · see citing works
Biomarkers of preconception stress and the incidence of pregnancy loss
Lynch, C. D., Sundaram, R., & Buck Louis, G. M. (2018) · Human Reproduction · doi:10.1093/humrep/dey030 · Cited by 20 · see citing works
Placental accelerated aging in antenatal depression
Saeed, H., Wu, J., Tesfaye, M., Grantz, K. L., & Ayele, F. T. (2023) · American Journal of Obstetrics & Gynecology MFM · doi:10.1016/j.ajogmf.2023.101237 · Cited by 20 · see citing works
Prospectively assessed perceived stress associated with early pregnancy losses among women with history of pregnancy loss
Schliep, K. C., Hinkle, S. N., Kim, K., Sjaarda, L. A., Silver, R. M., Stanford, J. B., Purdue‐Smithe, A., Plowden, T. C., Schisterman, E. F., & Mumford, S. L. (2022) · Human Reproduction · doi:10.1093/humrep/deac172 · Cited by 19 · see citing works
Risk of adverse pregnancy outcomes by maternal occupational status: A national population-based study in South Korea
Kim, C.-B., Choe, S., Kim, T., Kim, M., Ryu, J., Oh, J., & Yoon, J. W. (2023) · Journal of Occupational Health · doi:10.1002/1348-9585.12380 · Cited by 19 · see citing works
Prevention of Pregnancy Loss: Combining Progestogen Treatment and Psychological Support
Картлосовна, Т. Н., Domar, A. D., & Bashiri, A. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12051827 · Cited by 21 · see citing works
Lifestyle, education, and prevalence of hypertension in populations of African origin
Kaufman, J. S., Tracy, J. A., Durazo-Arvizú, R., & Cooper, R. (1997) · Annals of Epidemiology · doi:10.1016/s1047-2797(96)00107-x · Cited by 17 · see citing works
Severe stress following bereavement during pregnancy and risk of pregnancy loss: results from a population-based cohort study
Plana‐Ripoll, O., Parner, E. T., Olsen, J., & Li, J. (2015) · Journal of Epidemiology & Community Health · doi:10.1136/jech-2015-206241 · Cited by 16 · see citing works
Factors affecting the early embryonic environment
Johns, J., Jauniaux, E. R. M., & Burton, G. J. (2006) · Reviews in Gynaecological and Perinatal Practice · doi:10.1016/j.rigapp.2006.05.004 · Cited by 16 · see citing works
Maternal Mental Health in Assisted and Natural Conception: A Prospective Cohort Study
Furmli, H., Seeto, R. A., Hewko, S. L., Dalfen, A., Jones, C. A., Murphy, K. E., & Bocking, A. D. (2019) · Journal of Obstetrics and Gynaecology Canada · doi:10.1016/j.jogc.2019.03.002 · Cited by 15 · see citing works
Preterm congenital heart disease and neurodevelopment: the importance of looking beyond the initial hospitalization
Katz, J. A., Levy, P. T., Butler, S., Sadhwani, A., Lakshminrusimha, S., Morton, S. U., & Newburger, J. W. (2023) · Journal of Perinatology · doi:10.1038/s41372-023-01687-4 · Cited by 14 · see citing works
Spontaneous abortions among veterinarians
Lindbohm, M.-L., & Taskinen, H. K. (2000) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.574 · Cited by 14 · see citing works
The Effects of Shipping on Early Pregnancy in Laboratory Rats
Pritchett‐Corning, K. R., Clifford, C. B., & Festing, M. F. W. (2013) · Birth Defects Research Part B Developmental and Reproductive Toxicology · doi:10.1002/bdrb.21056 · Cited by 14 · see citing works
Current Insights and Future Perspectives on Neuro-Endocrine-Immune Circuity Challenging Pregnancy Maintenance and Fetal Health
Arck, P., Knackstedt, M., & Blois, S. M. (2006) · Journal für Kardiologie (Krause & Pachernegg GmbH) · Cited by 14 · see citing works
The Influence of Socio-Demographic Factors on Miscarriage Incidence Among Italian and Immigrant Women: A Critical Analysis from Italy
Caserta, D., Ralli, E., Matteucci, E., Bordi, G., Soave, I., Marci, R., & Moscarini, F. (2014) · Journal of Immigrant and Minority Health · doi:10.1007/s10903-014-0005-z · Cited by 13 · see citing works
Estrés relacionado con el trabajo (modelo de demanda-controlapoyo social) y alteraciones en la salud: una revisión de la evidencia existente
Arribas, M. (2007) · Enfermería Intensiva · doi:10.1016/s1130-2399(07)74400-0 · Cited by 13 · see citing works
Psychological stress and spontaneous abortion
Bashour, H. N., & Salam, A. A. (2001) · International Journal of Gynecology & Obstetrics · doi:10.1016/s0020-7292(00)00344-1 · Cited by 12 · see citing works
Miscarriage: Women's Experience and its Cumulative Incidence
Adolfsson, A. (2006) · Cited by 11 · see citing works
Influence of maternal psychological distress during COVID-19 pandemic on placental morphometry and texture
Saeed, H., Lu, Y.-C., Andescavage, N. N., Kapse, K. J., Andersen, N. R., Lopez, C., Quistorff, J. L., Barnett, S. D., Henderson, D., Bulas, D., et al. (2023) · Scientific Reports · doi:10.1038/s41598-023-33343-4 · Cited by 10 · see citing works
Spatial evaluation of pregnancy loss among child-bearing women in India
Tiwary, B., Nilima, N., Kumar, A., Kaushik, S., Khan, M. A., & Pandey, P. K. (2021) · GeoJournal · doi:10.1007/s10708-021-10464-9 · Cited by 10 · see citing works
Examining the association between prenatal maternal stress and infant non-nutritive suck
Zimmerman, E., Aguiar, A., Aung, M. T., Geiger, S. D., Hines, M., Woodbury, M., Martens, A., Huerta-Montañez, G., Cordero, J. F., Meeker, J. D., et al. (2021) · Pediatric Research · doi:10.1038/s41390-021-01894-9 · Cited by 10 · see citing works
Estrés relacionado con el trabajo y exposición laboral en enfermeras de la Comunidad de Castilla y León
Martín-Arribas, M. C., Santiago-Santos, I., Rodríguez-Rodríguez, F., Moreno‐Casbas, T., Copa, P. D. A., Casadevall-Doménech, A., González‐María, E., Fernández-García, C., Gonzalo, B. Q., Jiménez, M. T. M., et al. (2006) · Enfermería Clínica · doi:10.1016/s1130-8621(06)71198-6 · Cited by 9 · see citing works
Stress et implantation
Arck, P. (2004) · Journal de gynécologie, obstétrique et biologie de la reproduction. Supplément/Journal de gynécologie obstétrique et biologie de la reproduction · doi:10.1016/s0368-2315(04)96404-6 · Cited by 9 · see citing works
Occupational and environmental risks of spontaneous abortions around a smelter
Wulff, M., Högberg, U., & Stenlund, H. C. (2002) · American Journal of Industrial Medicine · doi:10.1002/ajim.10036 · Cited by 8 · see citing works
NUTRITION, EXERCISE, WORK, AND SEX IN PREGNANCY
Reilly, K. (2000) · Primary Care Clinics in Office Practice · doi:10.1016/s0095-4543(05)70150-0 · Cited by 7 · see citing works
Maternally Mediated Effects on Development
Miller, D., & Hood, R. D. (2005) · Informa Healthcare eBooks · doi:10.1201/9781420040548.ch4 · Cited by 7 · see citing works
What the Fetal Face can tell Us: A Discussion of the Evidence, Implications and Potential for Further Research
Reissland, N. (2014) · Donald School Journal of Ultrasound in Obstetrics & Gynecology · doi:10.5005/jp-journals-10009-1373 · Cited by 5 · see citing works
Good practice in occupational health services – The influence of hazardous conditions and nuisance coexisting in the work environment and at home on the course and outcome of pregnancy
Marcinkiewicz, A., Wezyk, A. B., Muszyński, P., Polańska, K., Makowiec-Dąbrowska, T., Wiszniewska, M., Walusiak‐Skorupa, J., & Hanke, W. (2015) · Medycyna Pracy · doi:10.13075/mp.5893.00201 · Cited by 5 · see citing works
Apoio social e satisfação no trabalho em funcionários de uma empresa de petróleo
Fonseca, I. S. S., de Araújo, T. M., Santos, K. O. B., & Amado, N. (2013) · Psicologia para América Latina · Cited by 4 · see citing works
The preconception stress and mental health of couples
Park, Y. C., Park, S., & Park, M.-I. (2011) · Journal of Korean Medical Association · doi:10.5124/jkma.2011.54.8.832 · Cited by 3 · see citing works
Retrait préventif du travail, exposition aux contraintes psychosociales au travail et symptômes dépressifs majeurs
Fall, A., Goulet, L., & Vézina, M. (2015) · Revue d Épidémiologie et de Santé Publique · doi:10.1016/j.respe.2015.09.008 · Cited by 3 · see citing works
Risk Assessment Studies: Epidemiology
Whelan, E. A. (2010) · Elsevier eBooks · doi:10.1016/b978-0-08-046884-6.01132-5 · Cited by 3 · see citing works
Maternal Work and Pregnancy
Walker, S. P., Higgins, J. R., Permezel, M., & Brennecke, S. P. (1999) · Australian and New Zealand Journal of Obstetrics and Gynaecology · doi:10.1111/j.1479-828x.1999.tb03359.x · Cited by 3 · see citing works
Évaluation du Stress chez le Personnel au Service des Refugiés et Demandeurs d’Asile à Dakar
Dia, S., Mohamed, A. S., Ndoye, E.-H. O., Agbobli, Y. A., & Fall, M. C. G. (2018) · HEALTH SCIENCES AND DISEASE · doi:10.5281/hsd.v19i2.921 · Cited by 3 · see citing works
De invloed van fysieke belasting, stress en ploegendienst op de voortplanting
Brand, T., Pal, T. M., & Zweerman, G. (2006) · Tijdschrift voor bedrijfs- en verzekeringsgeneeskunde · doi:10.1007/bf03074464 · Cited by 3 · see citing works
Role of psychoneuroimmunology in reproduction
Arck, P., & Klapp, B. F. (2001) · Der Gynäkologe · doi:10.1007/s001290050750 · Cited by 2 · see citing works
Moederlijke stress: effecten op de zwangerschap en het (ongeboren) kind
Mulder, E. J. H., Huizink, A. C., de Medina, P. G. R., den Bergh, B. R. H. V., & Buitelaar, J. K. (2001) · Tijdschrift voor kindergeneeskunde · doi:10.1007/bf03061343 · Cited by 2 · see citing works
Armed Conflict and Pregnancy Termination: Evidence from Burkina Faso
Luetke, M. C., Grace, K. L., Yu, J., & Gunther, M. (2024) · Spatial Demography · doi:10.1007/s40980-024-00129-9 · Cited by 1 · see citing works
Parental Psychological Response to Prenatal Congenital Heart Defect Diagnosis
Tecar, C., Chiperi, L. E., & Muresanu, D. F. (2025) · Children · doi:10.3390/children12081095 · Cited by 1 · see citing works
Prenatal serotonin reuptake inhibitor exposure and maternal depression symptoms are associated with altered fetal brain and placental development
Wu, Y., Andescavage, N. N., Wisner, K. L., Kapse, K. J., Murnick, J. G., Ngwa, J. S., & Limperopoulos, C. (2026) · Neuropsychopharmacology · doi:10.1038/s41386-026-02436-9 · Cited by 1 · see citing works
Reciprocal Brain-Body Neuro-Endocrine-Immune Interactions: Role in Maintaining Pregnancy
Parker, V. J., Arck, P., & Douglas, A. J. (2011) · Advances in Neuroimmune Biology · doi:10.3233/nib-2011-020 · Cited by 1 · see citing works

Printed in U.S.A. Psychologic Stress in the Workplace and Spontaneous Abortion
Behren, J. V., & Swan, S. H. (2016)
Self-citation
Work related physical exertion and spontaneous abortion.
Banerjee, B., Tk, D., & Chatterjee, P. K. (2005) · PubMed · Cited by 8 · see citing works
Life event stress and the association with spontaneous abortion in gravid women at an urban emergency department.
Boyles, S. H., Ness, R. B., Grisso, J. A., Marković, N., Bromberger, J. T., & Cifelli, D. (2000) · Health Psychology · doi:10.1037//0278-6133.19.6.510 · Cited by 52 · see citing works
Effects of Psychosocial Characteristics of Work on Pregnancy Outcomes: A Critical Review
Mutambudzi, M. S., Meyer, J. D., Warren, N., & Reisine, S. (2011) · Women & Health · doi:10.1080/03630242.2011.560242 · Cited by 47 · see citing works
Does stress influence early pregnancy loss?
Nelson, D. (2003) · Annals of Epidemiology · doi:10.1016/s1047-2797(02)00419-2 · Cited by 69 · see citing works

Authors: Fenster, L., Schaefer, C., Mathur, A., Hiatt, R. A., Pieper, C., Hubbard, A. E., Von Behren, J., & Swan, S. H.
Affiliations: California Health and Human Services Agency (US)
Kaiser Permanente (US)
Department of Health Services (US)
Duke University (US)
ORCID: Schaefer, Catherine
Hiatt, Robert A.
Pieper, Carl
Hubbard, Alan E.
Swan, Shanna H.
Venue: American Journal of Epidemiology
Publisher: Oxford University Press (OUP)
Published: 1995-12-01
Volume: 142
Issue: 11
Pages: 1176-1183
ISSN: 0002-9262 (ISSN-L)
1476-6256
DOI: 10.1093/oxfordjournals.aje.a117576
OpenAlex: W2142686474
Cited by: 118
References: 26
Citations by year: 2026: 1 · 2025: 2 · 2024: 2 · 2023: 6 · 2022: 2 · 2021: 5 · 2020: 2 · 2019: 3 · 2018: 5 · 2017: 4 · 2015: 4 · 2014: 4 · 2013: 3 · 2012: 2
FWCI: 10.91
Type: journal article
Language: en
Open access: closed
Locations: American Journal of Epidemiology (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute of Mental Health (R3MH50508A)
Topics: Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Safety in Workplaces
Keywords: psychological stress, occupational stress, miscarriage, pregnancy, social support at work, maternal age, cigarette smoking, life events
MeSH terms: Abortion, Spontaneous, Adult, Female, Humans, Pregnancy, Pregnancy Outcome, Prospective Studies, Risk Factors, Social Support, Stress, Psychological, Confounding Factors, Epidemiologic, Multivariate Analysis, Logistic Models, Occupational Exposure, Workplace

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Psychologic Stress in the Workplace and Spontaneous Abortion

Abstract

Integrity signals

Claims the paper makes

Claims other papers make about this one

Cites

Cited by

Related

Record

About these checks