Skip Navigation LinksHome > September 2014 - Volume 57 - Issue 3 > Stress and Stress Reduction
Clinical Obstetrics & Gynecology:
doi: 10.1097/GRF.0000000000000038
Prevention of Preterm Birth in 2014

Stress and Stress Reduction

STRAUB, HEATHER MD*; QADIR, SAMEEN MPH*; MILLER, GREG PhD; BORDERS, ANN MD, MSc, MPH*

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Abstract

Chronic stress contributes to preterm birth (PTB), through direct physiological mechanisms or behavioral pathways. This review identified interventions to prevent PTB through decreased maternal stress. Studies were grouped according to intervention: group prenatal care (11 studies), care coordination (8 studies), health insurance expansion (4 studies), expanded prenatal education/support in the clinic (8 studies), home visitation (9 studies), telephone contact (2 studies), or stress-reduction strategies (5 studies). Group prenatal care had the most evidence for PTB prevention. Comparative studies of PTB prevention through different models of prenatal care and maternal support, education, empowerment, stress-reduction, and coping strategies are needed.

© 2014, Lippincott Williams & Wilkins

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