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.
*NorthShore University HealthSystem
†Department of Psychology, Northwestern University Swift Hall, Evanston, Illinois
This work was funded in part by the 2012 Auxiliary Research Scholar Award and the 2012 Research Career Development Award, NorthShore University HealthSystem, Evanston, IL, received by A.B.
The authors declare that they have nothing to disclose.
Correspondence: Ann Borders, MD, MSc, MPH, NorthShore University HealthSystem, 2650 Ridge Avenue, Walgreen Building, Suite 1507 Evanston, IL. E-mail: firstname.lastname@example.org