- Preface
- Acknowledgements
- Abbreviations
- Section 1 Fundamentals of healthy nutrition and lifestyle
- Chapter 1 The importance of nutrition and lifestyle to healthy development
- Chapter 2 Conceptual background to healthy growth and development
- Section 2 Nutritional requirements of pregnancy and breastfeeding
- Chapter 3 Practicalities: understanding nutrient recommendations
- Chapter 4 Macronutrients and fibre requirements during pregnancy
- Chapter 5 Polyunsaturated fatty acids in pregnancy and breastfeeding
- Chapter 6 Vitamin A in pregnancy and breastfeeding
- Chapter 7 Vitamin B<sub>1</sub> (thiamine) in pregnancy and breastfeeding
- Chapter 8 Vitamin B<sub>2</sub> (riboflavin) in pregnancy and breastfeeding
- Chapter 9 Vitamin B<sub>3</sub> (niacin) in pregnancy and breastfeeding
- Chapter 10 Vitamin B<sub>6</sub> (pyridoxine) in pregnancy and breastfeeding
- Chapter 11 Vitamin B<sub>7</sub> (biotin) in pregnancy and breastfeeding
- Chapter 12 Vitamin B<sub>9</sub> (folate) in pregnancy and breastfeeding
- Chapter 13 Vitamin B<sub>12</sub> (cobalamin) in pregnancy and breastfeeding
- Chapter 14 Choline in pregnancy and breastfeeding
- Chapter 15 Vitamin D in pregnancy and breastfeeding
- Chapter 16 Vitamin K in pregnancy and breastfeeding
- Chapter 17 Vitamins C and E and other antioxidants in pregnancy and breastfeeding
- Chapter 18 Calcium in pregnancy and breastfeeding
- Chapter 19 Iodine in pregnancy and breastfeeding
- Chapter 20 Iron in pregnancy and breastfeeding
- Chapter 21 Magnesium in pregnancy and breastfeeding
- Chapter 22 Potassium in pregnancy and breastfeeding
- Chapter 23 Selenium in pregnancy and breastfeeding
- Chapter 24 Copper in pregnancy and breastfeeding
- Chapter 25 Zinc in pregnancy and breastfeeding
- Chapter 26 Manganese in pregnancy and breastfeeding
- Chapter 27 Prebiotics and probiotics in pregnancy and breastfeeding
- Section 3 A healthy lifestyle for a healthy pregnancy
- Chapter 28 Pre-conception maternal body composition and gestational weight gain
- Chapter 29 Exercise and physical activity in pregnancy
- Chapter 30 Foods, exposures, and lifestyle risk factors in pregnancy and breastfeeding
- Chapter 31 Cultural and traditional food practices in pregnancy and breastfeeding
- Chapter 32 Traditional and herbal remedies in pregnancy and breastfeeding
- Chapter 33 Maternal stress in pregnancy and breastfeeding
- Chapter 34 Effects of maternal age on pregnancy outcomes
- Chapter 35 Paternal factors that affect conception and pregnancy
- Section 4 A management guide—from before conception to weaning
- Chapter 36 Guidelines for the pre-conception period
- Chapter 37 Guidelines for pregnancy
- Chapter 38 Guidelines for breastfeeding and weaning
- References
- Subject Index
(p. 257) Maternal stress in pregnancy and breastfeeding
- Chapter:
- (p. 257) Maternal stress in pregnancy and breastfeeding
- Author(s):
Sir Peter Gluckman
, Mark Hanson
, Chong Yap Seng
, and Anne Bardsley
- DOI:
- 10.1093/med/9780198722700.003.0033
Acute and/or chronic stress in pregnancy is potentially detrimental to the health of both the mother and the developing fetus. The stress response triggers the release of glucocorticoids, mainly cortisol, into the maternal bloodstream, with subsequent effects on energy metabolism, growth processes, and in the functioning of the immune system and brain. The placenta provides a barrier to natural glucocorticoids, buffering the fetus from minor changes in maternal cortisol levels but can be saturated by high maternal levels of cortisol and under conditions of maternal under-nutrition or compromised placental function. Various outcomes can be affected, including birthweight and infant behaviour. Severe stress is not always easily avoided, but daily stress, and specifically that associated with pregnancy itself, should be minimized as much as possible.
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- Preface
- Acknowledgements
- Abbreviations
- Section 1 Fundamentals of healthy nutrition and lifestyle
- Chapter 1 The importance of nutrition and lifestyle to healthy development
- Chapter 2 Conceptual background to healthy growth and development
- Section 2 Nutritional requirements of pregnancy and breastfeeding
- Chapter 3 Practicalities: understanding nutrient recommendations
- Chapter 4 Macronutrients and fibre requirements during pregnancy
- Chapter 5 Polyunsaturated fatty acids in pregnancy and breastfeeding
- Chapter 6 Vitamin A in pregnancy and breastfeeding
- Chapter 7 Vitamin B<sub>1</sub> (thiamine) in pregnancy and breastfeeding
- Chapter 8 Vitamin B<sub>2</sub> (riboflavin) in pregnancy and breastfeeding
- Chapter 9 Vitamin B<sub>3</sub> (niacin) in pregnancy and breastfeeding
- Chapter 10 Vitamin B<sub>6</sub> (pyridoxine) in pregnancy and breastfeeding
- Chapter 11 Vitamin B<sub>7</sub> (biotin) in pregnancy and breastfeeding
- Chapter 12 Vitamin B<sub>9</sub> (folate) in pregnancy and breastfeeding
- Chapter 13 Vitamin B<sub>12</sub> (cobalamin) in pregnancy and breastfeeding
- Chapter 14 Choline in pregnancy and breastfeeding
- Chapter 15 Vitamin D in pregnancy and breastfeeding
- Chapter 16 Vitamin K in pregnancy and breastfeeding
- Chapter 17 Vitamins C and E and other antioxidants in pregnancy and breastfeeding
- Chapter 18 Calcium in pregnancy and breastfeeding
- Chapter 19 Iodine in pregnancy and breastfeeding
- Chapter 20 Iron in pregnancy and breastfeeding
- Chapter 21 Magnesium in pregnancy and breastfeeding
- Chapter 22 Potassium in pregnancy and breastfeeding
- Chapter 23 Selenium in pregnancy and breastfeeding
- Chapter 24 Copper in pregnancy and breastfeeding
- Chapter 25 Zinc in pregnancy and breastfeeding
- Chapter 26 Manganese in pregnancy and breastfeeding
- Chapter 27 Prebiotics and probiotics in pregnancy and breastfeeding
- Section 3 A healthy lifestyle for a healthy pregnancy
- Chapter 28 Pre-conception maternal body composition and gestational weight gain
- Chapter 29 Exercise and physical activity in pregnancy
- Chapter 30 Foods, exposures, and lifestyle risk factors in pregnancy and breastfeeding
- Chapter 31 Cultural and traditional food practices in pregnancy and breastfeeding
- Chapter 32 Traditional and herbal remedies in pregnancy and breastfeeding
- Chapter 33 Maternal stress in pregnancy and breastfeeding
- Chapter 34 Effects of maternal age on pregnancy outcomes
- Chapter 35 Paternal factors that affect conception and pregnancy
- Section 4 A management guide—from before conception to weaning
- Chapter 36 Guidelines for the pre-conception period
- Chapter 37 Guidelines for pregnancy
- Chapter 38 Guidelines for breastfeeding and weaning
- References
- Subject Index