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Maternal Psychosocial Stress during Pregnancy and Placenta Weight: Evidence from a National Cohort Study

Identifieur interne : 000B56 ( Main/Exploration ); précédent : 000B55; suivant : 000B57

Maternal Psychosocial Stress during Pregnancy and Placenta Weight: Evidence from a National Cohort Study

Auteurs : Marion Tegethoff [Suisse, Allemagne] ; Naomi Greene [États-Unis] ; J Rn Olsen [États-Unis, Danemark] ; Andrea H. Meyer [Suisse] ; Gunther Meinlschmidt [Suisse]

Source :

RBID : PMC:3013108

Abstract

Background

To study in a large-scale cohort with prospective data the associations between psychosocial stress during pregnancy and placenta weight at birth. Animal data suggest that the placenta is involved in stress-related fetal programming.

Methodology/Principal Findings

We defined a priori two types of psychosocial stress during pregnancy, life stress (perceived burdens in major areas of life) and emotional symptoms (e.g. anxiety). We estimated the associations of maternal stress during pregnancy with placenta weight at birth, controlled for length of gestation, by predicting gestational age- and sex-specific z-scores of placenta weight through multiple regression analysis, adjusted for potential confounders (N = 78017 singleton pregnancies). Life stress (per increase in stress score by 1, range: 0–18) during pregnancy was associated with increased placenta weight at birth (z-score, reported in 10−3; B, 14.33; CI, 10.12–18.54). In contrast, emotional symptoms during pregnancy were not associated with placenta weight at birth.

Conclusions/Significance

Maternal life stress but not emotional symptoms during pregnancy was associated with increased placenta weight at birth; yet, the association-estimate was rather small. Our results may contribute to a better understanding of the role of the placenta in the regulation of intrauterine processes in response to maternal stress.


Url:
DOI: 10.1371/journal.pone.0014478
PubMed: 21217829
PubMed Central: 3013108


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<p>We defined
<italic>a priori</italic>
two types of psychosocial stress during pregnancy, life stress (perceived burdens in major areas of life) and emotional symptoms (e.g. anxiety). We estimated the associations of maternal stress during pregnancy with placenta weight at birth, controlled for length of gestation, by predicting gestational age- and sex-specific z-scores of placenta weight through multiple regression analysis, adjusted for potential confounders (N = 78017 singleton pregnancies). Life stress (per increase in stress score by 1, range: 0–18) during pregnancy was associated with increased placenta weight at birth (z-score, reported in 10
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<p>Maternal life stress but not emotional symptoms during pregnancy was associated with increased placenta weight at birth; yet, the association-estimate was rather small. Our results may contribute to a better understanding of the role of the placenta in the regulation of intrauterine processes in response to maternal stress.</p>
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