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Cumulative life stressors and stress response to threatened preterm labour as birth date predictors

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Cumulative life stressors and stress response to threatened preterm labour as birth date predictors

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dc.contributor.author Campos-Berga, Laura es_ES
dc.contributor.author Moreno-Giménez, Alba es_ES
dc.contributor.author Vento, Máximo es_ES
dc.contributor.author Diago, Vicente es_ES
dc.contributor.author Hervás-Marín, David es_ES
dc.contributor.author Sáenz, Pilar es_ES
dc.contributor.author Cháfer-Pericás, Consuelo es_ES
dc.contributor.author García-Blanco, Ana es_ES
dc.date.accessioned 2023-11-06T19:02:01Z
dc.date.available 2023-11-06T19:02:01Z
dc.date.issued 2022-06 es_ES
dc.identifier.issn 0932-0067 es_ES
dc.identifier.uri http://hdl.handle.net/10251/199366
dc.description.abstract [EN] Purpose Preterm birth represents one of the main causes of neonatal morbimortality and a risk factor for neurodevelopmental disorders. Appropriate predictive methods for preterm birth outcome, which consequently would facilitate prevention programs, are needed. We aim to predict birth date in women with a threatened preterm labour (TPL) based on stress response to TPL diagnosis, cumulative life stressors, and relevant obstetric variables. Methods A prospective cohort of 157 pregnant women with TPL diagnosis between 24 and 31 weeks gestation formed the study sample. To estimate the stress response to TPL, maternal salivary cortisol, alpha-amylase levels, along with anxiety and depression symptoms were measured. To determine cumulative life stressors, previous traumas, social support, and family functioning were registered. Then, linear regression models were used to examine the effect of potential predictors of birth date. Results Lower family adaptation, higher Body Mass Index (BMI), higher cortisol levels and TPL diagnosis week were the main predictors of birth date. Gestational week at TPL diagnosis showed a non-linear interaction with cortisol levels: TPL women with middle- and high-cortisol levels before 29 weeks of gestation went into imminent labour. Conclusion A combination of stress response to TPL diagnosis (salivary cortisol) and cumulative life stressors (family adaptation) together with obstetric factors (TPL gestational week and BMI) was the best birth date predictor. Therefore, a psychosocial therapeutic intervention program aimed to increase family adaptation and decrease cortisol levels at TPL diagnosis as well as losing weight, may prevent preterm birth in symptomatic women. es_ES
dc.description.sponsorship Prior to study initiation, a grant was awarded by the Instituto de Salud Carlos III (PI18/01352). To achieve this grant, the project was assessed by an external peer review panel, guaranteeing scientific quality and ethical integrity. MV acknowledges PI17/0131 grant from the Instituto de Salud Carlos III (Spanish Ministry of Economy and Competitiveness) (ISCIII; Plan Estatal de I + D + I 2013-2016) and co-financed by the European Development Regional Fund "A way to achieve Europe" (ERDF); and RETICS funded by the PN 2018-2011 (Spain), ISCIII-Sub-Directorate General for Research Assessment and Promotion and the European Regional Development Fund (FEDER), RD16/0022/0001.VD acknowledges PI18/01352 grant from the ISCIII. CC-P acknowledges a "Miguel Servet I" grant (CP16/00082) from the ISCIII. AG-B acknowledges a "Juan Rodes" grant (JR17/00003) and a health research project (PI18/01352) from the ISCIII. LC-B acknowledges a "Rio Hortega" grant (CM20/00143) from the ISCIII. es_ES
dc.language Inglés es_ES
dc.publisher Springer-Verlag es_ES
dc.relation.ispartof Archives of Gynecology and Obstetrics es_ES
dc.rights Reserva de todos los derechos es_ES
dc.subject Cortisol es_ES
dc.subject Previous traumas es_ES
dc.subject Family functioning es_ES
dc.subject Anxiety es_ES
dc.subject Depressive symptoms es_ES
dc.subject Preterm birth es_ES
dc.subject.classification ESTADISTICA E INVESTIGACION OPERATIVA es_ES
dc.title Cumulative life stressors and stress response to threatened preterm labour as birth date predictors es_ES
dc.type Artículo es_ES
dc.identifier.doi 10.1007/s00404-021-06251-z es_ES
dc.relation.projectID info:eu-repo/grantAgreement/MINECO//RD16%2F0022%2F0001/ES/RED DE SALUD MATERNO-INFANTIL Y DEL DESARROLLO/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/ISCIII//PI18%2F01352 / es_ES
dc.relation.projectID info:eu-repo/grantAgreement/ISCIII//PI17%2F0131/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/ISCIII//RETICS - PN 2018-2011/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/ISCIII//CP16%2F00082/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/ISCIII//JR17%2F00003/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/ISCIII//CM20%2F00143/ es_ES
dc.rights.accessRights Abierto es_ES
dc.contributor.affiliation Universitat Politècnica de València. Escuela Politécnica Superior de Alcoy - Escola Politècnica Superior d'Alcoi es_ES
dc.description.bibliographicCitation Campos-Berga, L.; Moreno-Giménez, A.; Vento, M.; Diago, V.; Hervás-Marín, D.; Sáenz, P.; Cháfer-Pericás, C.... (2022). Cumulative life stressors and stress response to threatened preterm labour as birth date predictors. Archives of Gynecology and Obstetrics. 305(6):1421-1429. https://doi.org/10.1007/s00404-021-06251-z es_ES
dc.description.accrualMethod S es_ES
dc.relation.publisherversion https://doi.org/10.1007/s00404-021-06251-z es_ES
dc.description.upvformatpinicio 1421 es_ES
dc.description.upvformatpfin 1429 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion es_ES
dc.description.volume 305 es_ES
dc.description.issue 6 es_ES
dc.identifier.pmid 34549310 es_ES
dc.relation.pasarela S\454733 es_ES
dc.contributor.funder Instituto de Salud Carlos III es_ES
dc.contributor.funder European Regional Development Fund es_ES
dc.contributor.funder Ministerio de Economía y Competitividad es_ES
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