Stress, infection and preterm birth: a biobehavioural perspective
Wadhwa P, Culhane J, Rauh V, Barve S, Hogan V, Sandman C, Hobel C, Chicz‐DeMet A, Dunkel‐Schetter C, Garite T, Glynn L. Stress, infection and preterm birth: a biobehavioural perspective. Paediatric And Perinatal Epidemiology 2001, 15: 17-29. PMID: 11520397, DOI: 10.1046/j.1365-3016.2001.00005.x.Peer-Reviewed Original ResearchConceptsPreterm birthMaternal stressImmune processesPlacental corticotropin-releasing hormoneFetal endocrine systemObstetric risk assessmentIndependent risk factorSpontaneous preterm birthSpontaneous preterm deliveryPro-inflammatory mechanismsCorticotropin-releasing hormoneInfectious-inflammatory processMaternal-child healthUrogenital tract infectionsChronic maternal stressPreterm parturitionPreterm deliveryTract infectionsLocal immunityPregnant womenInflammatory pathwaysRisk factorsPhysiology of parturitionEpidemiological studiesPathophysiological eventsMaternal Stress is Associated With Bacterial Vaginosis in Human Pregnancy
Culhane J, Rauh V, McCollum K, Hogan V, Agnew K, Wadhwa P. Maternal Stress is Associated With Bacterial Vaginosis in Human Pregnancy. Maternal And Child Health Journal 2001, 5: 127-134. PMID: 11573838, DOI: 10.1023/a:1011305300690.Peer-Reviewed Original ResearchConceptsChronic maternal stressBacterial vaginosisMaternal stressRisk factorsMaternal infectionBV statusPresence of BVChronic stressMultivariable logistic regression modelHigher chronic stress levelsIntermediate vaginal floraAdverse perinatal outcomesBehavioral risk factorsMaternal sociodemographic variablesCohen's Perceived Stress ScaleModerate stress groupLogistic regression modelsRace/ethnicityLow stress groupPerinatal outcomesIndependent predictorsWeeks' gestationHigh stress groupHuman pregnancyPregnant women