La salud de la mujer / Woman's HealthEl feto detecta la ansiedad materna a partir de las 15 semanas de embarazo
Un estudio de la Dra. Philipa Green se ha centrado en embarazadas en el efecto de las situaciones estresantes y como repercuten sobre el estado fetal. Al parecer, los fetos de 4 meses son capaces de percibir las situaciones estresantes y se convierte en una advertencia para los empleadores y familiares para que sean sensibles a las necesidades de las embarazadas.
Por primera vez. se ha obtenido evidencia sólida sobre el sufrimiento fetal a causa del estrés materno, a una edad tan temprana como las 17 semanas.
Otro estudio ha demostrado que el estrés durante el embarazo casi dobla el número de casos de muertes fetales intraútero. El estudio danés de 19.000 mujeres durante el último trimestre del embarazo un tercio de las mujeres sufren estrés.
Habrá que tomarse muy en serio los efectos psicológicos y las relaciones ambientales como causa de alteración de la salud materna ... y fetal.
BJOG. 2008 Jun;115(7):882-5.Psychological stress during pregnancy and stillbirth: prospective study.Wisborg K, Barklin A, Hedegaard M, Henriksen TB.
Department of Obstetrics and Paediatrics, Aarhus University Hospital, Aarhus N, Denmark.
OBJECTIVE: To study the association between psychological stress during pregnancy and stillbirth. DESIGN: Prospective follow-up study. SETTING: Aarhus University Hospital, Skejby, Denmark,1989-98. POPULATION: A total of 19 282 singleton pregnancies in women with valid information about psychological stress during pregnancy. METHODS: Information about psychological stress during pregnancy was obtained from questionnaires and measured by the 12-item General Health Questionnaires (GHQ). A score was generated by the sum of all the answers, each contributing a value between 0 (low psychological stress) and 3 (high psychological stress). Women with an intermediate level of psychological stress (scores of 7-11) were considered the reference group. Scores of 0-6 were defined as a low level of psychological stress and scores of 12-36 as the highest level. The association between psychological stress and stillbirth was presented as relative risks with 95% CIs. Adjustment for potential confounding factors was carried out by logistic regression analyses. MAIN OUTCOME MEASURES: Stillbirth (delivery of a dead fetus at >28 weeks of gestation). RESULTS: There were 66 stillbirths (3.4 per thousand) in the population studied. Compared with women with an intermediate level of psychological stress during pregnancy, women with a high level of stress had 80% increased risk of stillbirth (relative risk = 1.8; 95% CI 1.1-3.2). Adjustment for maternal age, parity, maternal pre-pregnancy body mass index, smoking habits, alcohol and caffeine intake during pregnancy, education and cohabitation failed to change the result. The results remained essentially unchanged after exclusion of preterm deliveries. Exclusion of women with complications during pregnancy such as diabetes, hypertension, vaginal bleeding, immunisation and imminent preterm delivery failed to change the results. Likewise, restriction to women's first pregnancy in the cohort did not change the results. CONCLUSION: Psychological stress during pregnancy was associated with an increased risk of stillbirth.
menopausia climaterio
salud de la mujer
women's health
ginecologia
health
preguntaspararesponder dijo
siempre está bien saberlo
4 Noviembre 2008 | 01:45 PM