Psychological factors in preterm labor: critical review and theoretical synthesis
Abstract
Cumulative or chronic environmental stress and high scores on psychopathology scales have been consistently linked to preterm labor. In the laboratory, psychological stimuli have also been shown to affect uterine activity. Clinical studies suggest that interventions which reduce tension and anxiety can prevent or inhibit preterm labor. A model is proposed that links preterm labor to a disorder of arousal manifested physiologically as a hyperreactivity of the limbic circuitry and its efferent components. Autonomic hyperreactivity has been found repeatedly in women who experience preterm labor. This central hyperreactivity could unleash a cascade of psychophysiological reactions that could cause uterine excitation and facilitate preterm labor.
Access content
To read the fulltext, please use one of the options below to sign in or purchase access.- Personal login
- Institutional Login
- Sign in via OpenAthens
- Register for access
-
Please login/register if you wish to pair your device and check access availability.
Not a subscriber?
PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.
Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).