Hostname: page-component-848d4c4894-8bljj Total loading time: 0 Render date: 2024-06-15T11:10:47.526Z Has data issue: false hasContentIssue false
  • English
  • Français

Can stress predict delivery date?: Role of chronic and acute stress to the threatened preterm labor as predictors of delivery date

Published online by Cambridge University Press:  13 August 2021

J. Buesa Lorenzo ,
A. García-Blanco ,
M. Vento ,
A. Moreno-Giménez ,
L. Campos Berga ,
V. Diago ,
D. Hervás ,
C. Cháfer-Pericás  and
P. Sáenz González
J. Buesa Lorenzo*
Affiliation:
Psychiatry, University and Polytechnic Hospital La Fe, Valencia, Spain
A. García-Blanco
Affiliation:
Neonatal Research Group, The Medical Research Institute Hospital La Fe (IIS La Fe), Valencia, Spain
M. Vento
Affiliation:
Neonatal Research Group, The Medical Research Institute Hospital La Fe (IIS La Fe), Valencia, Spain
A. Moreno-Giménez
Affiliation:
Neonatal Research Group, The Medical Research Institute Hospital La Fe (IIS La Fe), Valencia, Spain
L. Campos Berga
Affiliation:
Psychiatry, University and Polytechnic Hospital La Fe, Valencia, Spain
V. Diago
Affiliation:
Gynaecology And Obstetrics, University and Polytechnic Hospital La Fe, Valencia, Spain
D. Hervás
Affiliation:
Data Science Unit, Biostatistics, And Bioinformatics, The Medical Research Institute Hospital La Fe (IIS La Fe), Valencia, Spain
C. Cháfer-Pericás
Affiliation:
Neonatal Research Group, The Medical Research Institute Hospital La Fe (IIS La Fe), Valencia, Spain
P. Sáenz González
Affiliation:
Neonatal Research Group, The Medical Research Institute Hospital La Fe (IIS La Fe), Valencia, Spain
*
*Corresponding author.

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Introduction

Threatened preterm labor (TPL) is a traumatic event during pregnancy that involves a threat to the physical integrity of the upcoming baby. Despite biomarkers would be the strongest delivery date predictors, an assessment of chronic and acute stress response to TPL diagnosis may improve this prediction.

Objectives

The objective is to predict delivery date in women with TPL based on their response to this diagnosis and chronic stressors, along with relevant obstetric variables.

Methods

A prospective cohort study was conducted with a sample was formed by 157 pregnant women with TPL diagnosis between 24 and 31 weeks. Determination of salivary cortisol, α-amylase levels, along with anxiety and depression symptoms were measured to estimate stress response to TPL. Cumulative life stressors as traumas, social and familiar functioning were also registered. To examine the effect of the possible predictor variables of delivery date, linear regression models were used.

Results

A correlation was found between the variables of response to chronic stress and between the variables of psychological response to stress. The main predictors of preterm delivery were low family adaptation, higher BMI, higher cortisol levels, and the week of diagnosis of TPL (<29 weeks of gestation).

Conclusions

The best predictor of delivery date was the combination of the stress response to the diagnosis of TPL measured by cortisol in saliva, cumulative life stressors (mainly family adaptation) and obstetric factors (week TPL and BMI). Through psychosocial therapeutic intervention programs, it is possible to influence this modifiable predictive factors of preterm birth in symptomatic women.

Keywords

stressThreatened preterm laborpredictor
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S607
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
Submit a response

Comments

No Comments have been published for this article.