Stress and stress reduction

Heather Straub, Sameen Qadir, Greg Miller, Ann Borders*

*Corresponding author for this work

Research output: Contribution to journalArticle

9 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)579-606
Number of pages28
JournalClinical Obstetrics and Gynecology
Issue number3
StatePublished - Sep 2014


  • CenteringPregnancy
  • group prenatal care
  • intervention
  • low birthweight
  • preterm birth
  • stress reduction

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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