Straub Heather, Qadir Sameen, Miller Greg, Borders Ann
*NorthShore University HealthSystem †Department of Psychology, Northwestern University Swift Hall, Evanston, Illinois.
Clin Obstet Gynecol. 2014 Sep;57(3):579-606. doi: 10.1097/GRF.0000000000000038.
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.
慢性应激通过直接的生理机制或行为途径导致早产（PTB）。本综述确定了通过减轻母亲压力来预防早产的干预措施。研究根据干预措施进行分组：团体产前护理（11项研究）、护理协调（8项研究）、医疗保险扩展（4项研究）、诊所内扩大产前教育/支持（8项研究）、家访（9项研究）、电话联系（2项研究）或减压策略（5项研究）。团体产前护理在预防早产方面有最多的证据。需要通过不同模式的产前护理以及母亲支持、教育、赋权、减压和应对策略来进行预防早产的比较研究。
