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PRENATAL STRESİN ANA-ÇOCUK SAĞLIĞI ÜZERİNE ETKİSİ

Öz ÖZETPrenatal dönem; gebeliğin başlangıcından doğum anına kadar geçen dönemdir. Bu dönemde yaşanan fizyolojik ve psikolojik değişimlere annenin yeterli uyum sağlayamaması anneyi kaygı ve stres oluşumu yönünden savunmasız bırakmaktadır. Literatürde prenatal dönemde yaşanan stresin maternal, fetal ve çocuk sağlığı üzerine birçok olumsuz etkisinin olduğu kanıtlanmıştır. Bu nedenle gebelik, doğum ve doğum sonrası sürecin sağlıklı geçirilebilmesi için sağlık profesyonellerinin prenatal strese neden olan faktörler, her bir trimestirde yaşanan değişiklikler, stresin olumsuz sonuçları ve baş etme yolları hakkında bilgi sahibi olmaları ve bu doğrultuda hizmet vermeleri gerekmektedir. Bu derlemede; literatür bilgileri doğrultusunda prenatal dönemde yaşanan stresin nedenleri, anne-bebek-çocuk sağlığı üzerine olan etkileri, başa çıkma yolları ve prenatal stres durumunda verilecek hemşirelik bakımına yönelik bilgiler verilmiştir.Anahtar Kelimeler: Prenatal dönem; gebelik; çocuk; stres; hemşirelikABSTRACTEffect of Prenatal Stress on Maternal- Child Health Prenatal period is the period, lasting from the beginning of pregnancy to the moment of the birth. Not sufficient orientation of mother to the psychosocial changes in this period gets her vulnerable in terms of concerns and stress. In the literature, prenatal stress has been proven to have many negative effects on maternal, fetal and child health. Thus, health professions should have the knowledge about factors causing prenatal stress, changes in each trimester, negative results of the stress and ways to cope with it to conduct healthly pregnancy, birth and postpartum period, and they should serve in this direction. In this review, the knowledges about the reason of stress in prenatal period, its effects on health of mother-baby-child, ways to cope with it, and the nursing care in the case of prenatal stress are given in the direction of kno

Anahtar Kelimeler:

Prenatal dönem, stres, gebelik, hemşirelik, çocuk, stres, hemşirelik

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Yali AM, Lobel M. Stress-resistance resources and coping in pregnancy. Anxiety, Stress and Coping 2002; 15(3): 289–309.
Woods SM, Melville JL, Guo Y, Fan MY, Gavin A. Psychosocial stress during pregnancy. American Journal of Obstetrics and Gynecology 2010; 202(1): 61-7.
Walder DJ, Laplante DP, Sousa-Pires A, Veru F, Brunet A, King S. Prenatal maternal stress predicts autism traits in 6 year-old children: Project Ice Storm. Psychiatry Res 2014; 219(2):353-60.
Vırıt O, Akbaş E, Savaş HA, Sertbaş G, Kandemir H. Gebelikte Depresyon ve Kaygı Düzeylerinin Sosyal Destek İle İlişkisi. Nöropsikiyatri Arşivi 2008;45(1):9-13.
Van Os J, Selten JP. Prenatal exposure to maternal stress and subsequent schizophrenia. The May 1940 invasion of The Netherlands. Br J Psychiatry 1998;172:324–6.
Van De Loo KF, Van Gelder MM, Roukema J, Roeleveld N, Merkus PJ, Verhaak CM. Prenatal maternal psychological stress and childhood asthma and wheezing: a meta-analysis. European Respiratory Journal 2016; 47(1): 133-46.
Usta MG, Balıkçı A. Prenatal stresin nörogelişimsel etkileri. Psikiyatride Güncel Yaklaşımlar 2012; 4(1): 99-111.
Tragea C, Chrousos GP, Alexopoulos EC, Darviri C. A randomized controlled trial of the effects of a stress management programme during pregnancy. Complementary Therapies in Medicine 2014; 22(2): 203-11.
Taşkın L. Doğum ve Kadın Sağlığı Hemşireliği, 13. Baskı. Ankara, Özyurt Matbaacılık, 2016:259-65.
Talge NM, Neal C, Glover V. Antenatal maternal stress and long term effects on child neuro development: How and why? Journal of Child Psychology and Psychiatry 2007; 48 (3-4): 245–61.
Şahin EM, Kılıçarslan S. Son trimester gebelerin depresyon ve kaygı düzeyleri ile bunları etkileyen etmenler. Trakya Üniversitesi Tıp Fakültesi Dergisi, 2010, 27(1):51-8.
Staneva A, Bogossian F, Pritchard M, Wittkowski A. The effects of maternal depression, anxiety, and perceived stress during pregnancy on preterm birth: a systematic review. Women and Birth 2015; 28(3): 179-93.
Sözeri C, Cevahir R, Şahin S, Semiz O. Gebelerin gebelik süreci ile ilgili bilgi ve davranışları. Fırat Sağlık Hizmetleri Dergisi. 2006; 1(2): 93-104.
Shishehgar S, Dolatian M, Majd HA, Bakhtiary M. Perceived pregnancy stress and quality of life amongst Iranian women. Global Journal of Health Science 2014; 6(4): 270-7.
Sausenthaler S, Rzehak P, Chen CM, et al. Stressrelated maternal factors during pregnancy in relation to childhood eczema: results from the LISA Study. J Investig Allergol Clin Immunol. 2009; 19(6): 481– 7.
Rosand GM, Slinning K, Eberhard-Gran M, Roysamb E, Tambs K. Partner relationship satisfaction and maternal emotional distress in early pregnancy. BMC Public Health 2011; 11(1): 1-12.
Rondo PHC. Maternal stress / distress and low birth weight, preterm birth and intra-uterine growth restriction: a review. Curr Womems Health Rev 2007; 3(1): 13-29.
Rajani, M. Effect Of Maternal Psycologıcal Stress (Krodha-Shokadı Mansıka Bhava) On Fetal Development. World Journal of Pharmacy and Pharmaceutical Sciences,2017; 6(4):828-35.
Polanska K, Krol A, Merecz‐Kot D, Jurewicz J, Makowiec‐Dabrowska T, Chiarotti F et. al. Maternal stress during pregnancy and neurodevelopmental outcomes of children during the first 2 years of life. Journal of Pediatrics and Child Health 2017; 53(3); 263-70.
Pearlstein, T. Depression during pregnancy. Best Practice & Research Clinical Obstetrics & Gynaecology 2015; 29(5): 1-11.
Ortaarık E, Tekgöz İ, Ak M, Kaya E. İkinci trimestir gebelerde depresyon ve anksiyete bozukluğu ile ilişkili faktörlerin değerlendirilmesi. İnönü Üniversitesi Sağlık Bilimleri Dergisi, 2012, 1: 16-20.
Orr ST, Blazer DG, James SA, Reiter JP. Depressive symptoms and indicators of maternal health status during pregnancy. Journal of Women’s Health 2007; 16(4): 535-42.
Obela C, Hedegaarda M, Henriksen TB, Secher NJ, Olsen J, Levine S. Stress and salivary cortisol during pregnancy. Psychoneuroendocrinology 2005; 30(7): 647-56.
O’Donnell KJ, Jensen VA, Freeman L, et al. Maternal prenatal anxiety and downregulation of placental 11beta-HSD2. Psychoneuroendocrinology 2012;37(6): 818–26.
Niederhofer H. Reiter A. Prenatal maternal stress, prenatal fetal movements and perinatal temperature factors influence behaviour and school marks at the age of 6 years. Fetal Diagnosis and Therapy 2004; 19(2): 160–2.
Murphy VE, Smith R, Giles WB, Clifton VL. Endocrine regulation of human fetal growth: The role of the mother, placenta, and fetus. Endocrine Reviews 2006; 27(2):141–69.
Monk C, Myers MM, Sloan RP, et al. Effects of women’s stress-elicited physiological activity and chronic anxiety on fetal heart rate. J Dev Behav Pediatr 2003; 24(1): 32–8.
Melender HL. Experiences of fears associated with pregnancy and childbirth: A study of 329 pregnant women. Birth 2002; 29(2): 101-11.
Malaspina D, Corcoran C, Kleinhaus KR, Perrin MC, Fennig S, Nahon D et al. Acute maternal stress in pregnancy and schizophrenia in offspring: a cohort prospective study. BMC psychiatry 2008; 8(1):71.
Madazlı R. Gebelik ve Stress. İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Sürekli Tıp Eğitimi Etkinlikleri Sempozyum Dizisi 2005; 47: 61-2.
Maccari S, Darnaudery M, Morley-Fletcher S, Zuena AR, Cinque C, Van Reeth O. Prenatal stress and long-term consequences: implications of glucocorticoid hormones. Neuroscience & Biobehavioral Reviews 2003; 27(1): 119-27.
Lobel M, Cannella DL, Graham JE, DeVincent C, Schneider J, Meyer BA. Pregnancy-specific stress, prenatal health behaviors, and birth outcomes. Health Psychology 2008; 27(5): 604-15.
Limlomwongse N, Liabsuetrakul T. Cohort study of depressive moods in Thai women during late pregnancy and 6–8 weeks of postpartum using the Edinburgh Postnatal Depression Scale (EPDS). Archives of women's mental health 2006; 9(3): 131-8.
Lilliecreutz C, Larén J, Sydsjö G, Josefsson A. Effect of maternal stress during pregnancy on the risk for preterm birth. BMC pregnancy and childbirth 2016; 16(5):1-8.
Laplante DP, Brunet A, Schmitz N, Ciampi A, King S. Project Ice Storm: Prenatal maternal stress affects cognitive and linguistic functioning in 5½- year-old children. Journal of the American Academy of Child & Adolescent Psychiatry 2008; 47(9):1063- 72.
Lancaster CA, Gold KJ, Flynn HA, Yoo H, Marcus SM, Davis MM. Risk factors for depressive symptoms during pregnancy: A systematic review. American Journal of Obstetrics and Gynecology, 2010, 202(1): 5–14.
Koyun A, Taşkın L, Terzioğlu F. Yaşam dönemlerine göre kadın sağlığı ve ruhsal işlevler: Hemşirelik yaklaşımlarının değerlendirilmesi. Psikiyatride Güncel Yaklaşımlar 2011; 3(1): 67-99
Kinney DK, Munir KM, Crowley DJ, Miller AM. Prenatal stress and risk for autism. Neuroscience & Biobehavioral Reviews 2008; 32(8): 1519-32.
King S, Laplante DP. The effects of prenatal maternal stress on children’s cognitive development: Project Ice Storm. Stress 2005; 8(1):35-45.
Keegan J, Parva M, Gerson A, Belden M. Addiction in pregnancy. Journal of Addictive Diseases 2010; 29(2): 175–95.
Karaçam Z, Ançel G. Depression, anxiety and influencing factors in pregnancy: A study in a Turkish population. Midwifery, 2009, 25(4):344-56.
Huizink AC, de Medina PG, Mulder EJ, Visser GH, Buitelaar JK. Coping in normal pregnancy. Annals of Behavioral Medicine 2002; 24(2):132-40.
Huizink AC, Robles de Medina PG., Mulder EJH., Visser GHA, Buitelaar JK. Psychological measures of prenatal stress as predictors of infant temperament. Journal of the American Academy of Child & Adolescent Psychiatry 2002; 41(9): 1078-85
Hellriegel D., Slocum J. W., And Woodman R. W. Organizational Behavior, Western Publishing: New York. 1992.
Harrison PA, Sidebottom AC. Systematic prenatal screening for psychosocial risks. Journal of Health Care for the Poor and Underserved, 2008, 19(1):258- 76.
Hansen D, Lou HC, Olsen J. Serious life events and congenital malforma-tions: A national study with complete follow-up. The Lancet 2000; 356 (9233): 875–80.
Hammen C, Brennan AP. Severity, chronicity and timing of maternal depression and risk for adolescent offspring diagnoses in a community sample. Archives of General Psychiatry 2003; 60(3): 253-8.
Hamilton JG, Lobel M. Types, patterns, and predictors of coping with stress during pregnancy: Examination of theRevised Prenatal Coping Inventory in a diversesample. Journal of psychosomatic obstetrics&Gynecology 2008; 29(2): 97-104.
Graignic-Philippe R, Dayan J, Chokron S, Jacquet AY, Tordjman S. Effects of prenatal stress on fetal and child development: a critical literature review. Neurosci Biobehav Rev. 2014; 43:137-62
Glover V. Maternal depression, anxiety and stress during pregnancy and child outcome; what needs to be done. Best practice & research Clinical obstetrics & gynaecology 2014; 28(1): 25-35.
Flanigan C, Sheikh A, Nwaru BI. Prenatal maternal psychosocial stress and risk of asthma and allergy in their offspring: protocol for a systematic review and meta-analysis. NPJ Primary Care Respiratory Medicine 2016; 26: 16021.
Field T, Diego M, Hernandez-Reif M. Prenatal depression effects on the fetus and newborn: A review. Infant Behavior and Development 2006; 29(3): 445-55.
Field T, Diego M, Hernandez-Reif M, Salman, F, Schanberg S, Kuhn C et al. Prenatal anger effects on the fetus and neonate. Journal of Obstetrics and Gynaecology 2002; 22(3): 260–6.
Entringer S, Epel ES, Kumsta R, Lin J, Hellhammer DH, Blackburn EH et al. Stress exposure in intrauterine life is associated with shorter telomere length in young adulthood. Proceedings of the National Academy of Sciences 2011; 108 (33): E513-E518.
Dunn S, Davies B, McCleary L, Edwards N, Gaboury I. The relationship between vulnerability factors and breastfeeding outcome. Journal of Obstetric, Gynecologic, & Neonatal Nursing 2006; 35(1): 87-97.
DiPietro J. Prenatal/perinatal stress and its impact on psychosocial child development. Encyclopedia on Early Childhood Development 2002; 257-60.
Diego MA, Field T, Hernandez-Reif M, Schanberg S, Kuhn C, Gonzalez-Quintero VH. Prenatal depression restricts fetal growth. Early human development 2009; 85(1): 65-70.
Dennis CL, Mc Queen K. Does maternal postpartum depressive symptomatology influence infant feding outcomes? Acta paediatrica 2007; 96(4): 590-4.
Demirbaş H, Kadıoğlu H. Prenatal dönemdeki kadınların gebeliğe uyumu ve ilişkili faktörler. Marmara Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 2014; 4(4): 200-6.
Davis EP, Sandman CA. The timing of prenatal exposure to maternal cortisol and psychosocial stress is associated with human infant cognitive development. Child development, 2010; 81(1),131-48.
Dağlar G, Nur N. Gebelerin stresle başa çıkma tarzlarının anksiyete ve depresyon düzeyi ile ilişkisi. Cumhuriyet Tıp Dergisi 2014; 36: 429-41.
Çapık A, Ejder Apay S, Sakar T. Gebelerde Distres Düzeyinin Belirlenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2015; 18(3): 196-203.
Culhane JF, Rauh V, McCollum KF, Hogan VK, KA, Wadhwa P. Maternal stress is associated with bacterial vaginosis in human pregnancy. Maternal Child Health 2001; 5(2):127-34.
Chung TK, Lau TK, Yip AS, Chiu HF, Lee DT. Antepartum depressive symptomatology is associated with adverse obstetric and neonatal outcomes. Psychosomatic Medicine 2001; 63(5):830-4.
Bussières EL, Tarabulsy GM, Pearson J, Tessier R, Forest JC, Giguère Y. Maternal prenatal stress and infant birth weight and gestational age: A metaanalysis of prospective studies. Developmental Review 2015; 36:179-99.
Breitkopf CR, Primeau AL, Levine ER, Olson GL, Wu HZ, Berenson AB. Anxiety symptoms during pregnancy and postpartum. Journal of Psychosomatic Obstetrics and Gynecology 2006; 27(3): 157-62.
Bock J, Wainstock T, Braun K, Segal M. Stress in utero: prenatal programming of brain plasticity and cognition. Biological psychiatry, 2015; 78(5): 315-26.
Beversdorf DQ, Manning SE, Hillier A,Anderson SL, Nordgren RE, Walters SE, Nagaraja HN, Cooley WC, Gaelic SE, Bauman ML. Timing of prenatal stressors and autism. Journal of autism and developmental disorders 2005; 35(4): 471-8.
Betts KS, Williams GM, Najman JM, Alati R. The relationship between maternal depressive, anxious, and stress symptoms during pregnancy and adult offspring behavioral and emotional problems. Depression and anxiety 2015; 32(2): 82-90.
Berkowitz GS, Wolff MS, Janevic TM, Holzman IR, Yehuda R, Landrigan PJ. The World Trade Center disaster and intrauterine growth restriction. Jama 2003; 290(5): 595-6.
Beijers R, Jansen J, Riksen-Walraven M, de Weerth C. Maternal prenatal anxiety and stress predict infant illnesses and health complaints. Pediatrics 2010; 126(2): e401-e409.
Beddoe AE, Lee KA, Weiss SJ, Powell Kennedy H, Yang CPP. Effects of mindful yoga on sleep in pregnant women: a pilot study. Biological research for nursing 2010; 11(4): 363-70.
Bayık A, Altuğ Özsoy S, Ardahan M, Özkahraman Ş, Başalan İz F. Kadınların Stres Verici Yaşam Olaylarıyla Karşılaşma Durumları. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi, 2006; 9(2):1-12.
Bastani F, Hidarnia A, Kazemnejad A, Vafaei M, KashanianM. A randomized controlled trial of the effects of appliedrelaxation training on reducing anxiety and perceived stressin pregnant women. Journal of Midwifery & Women’s Health 2005; 50(4):36-40.
Baltaş Z, Baltaş A. Stres ve Başa Çıkma Yolları, 31. Baskı. İstanbul, Remzi Kitabevi, 2014: 58-60.
Baibazarova E, van de Beek C, Cohen-Kettenis PT, Buitelaar J. Shelton KH, van Goozen SH. Influence of prenatal maternal stress, maternal plasma cortisol and cortisol in the amniotic fluid on birth outcomes and child temperament at 3 months. Psychoneuroendocrinology 2013;38(6):907- 15.
Babacan Gümüş A, Çevik N, Hataf Hyusni S, Biçen Ş, Keskin G, Malak TA. Gebelikte benlik saygısı ve beden imajı ile ilişkili özellikler. Anatolian Journal of Clinical Investigation 2011; 5(1): 7- 14.
Arıbal Kocatürk P. Strese Cevap. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 2000,53(1): 49- 56.
Andersson NW, Hansen MV, Larsen AD, Hougaard KS, Kolstad HA, Schlünssen V. Prenatal maternal stress and atopic diseases in the child: a systematic review of observational human studies. Allergy 2016; 71(1):15-26.
Andersson L, Sundstrom-Poromaa I, Wulff M, Astrom M, Bixo M. Neonatal outcome following maternal antenatal depression and anxiety: A population-based study. American Journal of Epidemiology 2004;159(9):872-81.
Aliyu MH, Lynch O’N, Belogolovkin V, Zoorob R, Salihu HM. Maternal alcohol use and medically indicated vs spontaneous preterm birth outcomes: apopulation-based study. Eur. J. Public Health 2010; 20(5): 582–7.
Alderdice F, Lynn F. Factor structure of the prenatal distress questionnaire. Midwifery 2011; 27(4): 553-9.
Alder J, Fınk N, Bıtzer J, Hösli I, Holzgreve W. Depression and anxiety during pregnancy: A risk factor for obstetric, fetal and neonatal outcome? A critical review of the literature. The Journal of Maternal-Fetal and Neonatal Medicine 2007;20(3): 189-209.