Psychosocial stress and neuroendocrine mechanisms in preterm delivery.

Abstract:

:This review focuses on the contribution of psychosocial stress to the racial/ethnic disparities in preterm delivery in the United States and addresses the subset of psychosocial stressors that are disproportionately prevalent among minority women. We argue that chronic exposure to poverty, racism, and insecure neighborhoods may condition stress responses and physiologic changes in ways that increase the risk of preterm delivery. Cumulative stressors may impact pregnancy outcomes through several intersecting pathways, which include neuroendocrine, behavioral, immune, and vascular mechanisms. Many of these pathways also lead to chronic disease. It may be useful to consider preterm delivery as a chronic disease with roots in childhood, adolescence, and early adulthood. Like other physiologic systems, the female reproductive axis may be vulnerable to the physiologic "wear and tear" of cumulative stress, which results in preterm delivery.

journal_name

Am J Obstet Gynecol

authors

Rich-Edwards JW,Grizzard TA

doi

10.1016/j.ajog.2005.01.072

subject

Has Abstract

pub_date

2005-05-01 00:00:00

pages

S30-5

issue

5 Suppl

eissn

0002-9378

issn

1097-6868

pii

S0002937805002073

journal_volume

192

pub_type

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