Hmm this is pretty scary for me, when I was pregnant, My husband had cheated on me and the girl kept coming aorund and honking and causing so much stress for me...
Anxiety for Two
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So this schizophrenia study makes some sense?
There's no question that maternal reaction to different stresses and disease may affect fetal development, but it may not be seen immediately upon birth. It's called the Barker hypothesis, which is: fetal programming [reveals itself] later on in adult disease. This probably is part of the same spectrum of what happens. It's not clear why and what exactly happens. There's a lot of work going on about corticotrophin-releasing hormone, a stress hormone. There's some evidence that increased maternal stress would lead to increased levels of stress hormones in the fetus because they cross the placental barrier. There are a lot of theories about it. And there may be some truth to it.
These effects seem most profound in the first trimester, right? Why?
They are probably greater in the first trimester. It's early in the first trimester because organogenesis is occurring—when all the organs are being formed. Most of the organs are formed by the end of the sixth and seventh week. After that it's more organ growth. There's a vulnerability in the beginning, where you have actual organs being formed. People need to take folic acid supplementation before they're pregnant to prevent neural tube defects … But if the mother starts doing things like drinking and [taking drugs], it can not only have an effect in the first part of the pregnancy, it can also have an effect on the last part.
So it's not true that pregnant moms can become more lax after the first trimester?
The bottom line is you should maintain a healthy lifestyle throughout pregnancy. In the second part of pregnancy, there may not be a structural abnormality, but there may be some effect on brain growth and heart growth.
We've had a flurry of studies recently—such as the Kaiser report on the link between caffeine and miscarriage. How worried should women be?
There was a recent study that said exactly the opposite. What do you tell people?
What should women actually worry about?
I just tell people, everything in moderation—but no alcohol and no cigarettes.
How can a pregnant woman stay calm when faced with such anxiety-provoking information?
She can exercise, which is a very, very good mechanism for staying calm, because it releases endorphins. It needs to be in moderation … Start off with half a mile, go to a mile, go to two miles, whatever. You'd be amazed at how quickly you can get into shape, just with walking.










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