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Effects Of Prenatal Stress And Poverty On Fetal Growth, Teresa Anne Lefmann

Doctoral Dissertations

Background. Prenatal stress has negative effects on the developing fetus through the activation of the hypothalamic-pituitary-adrenal (HPA) axis. Programming of the stress response system during gestation has lifelong effects that put the infant at risk for multiple stress-related pathologies. Populations most vulnerable to prenatal stress are African-Americans and individuals of low socioeconomic status.

Methods. The Pregnancy Risk Assessment Monitoring System (PRAMS) research project, a collaboration between the Centers for Disease Control and Prevention and individual state health departments, was utilized for this study. Tennessee data from 2009 were compiled from individual birth certificates and PRAMS questionnaire responses to examine three …