Accession Number : ADA334329

Title :   Cardiovascular Responsivity, Physical and Psychosocial Job Stress, and the Risk of Preterm Delivery.

Descriptive Note : Annual rept. 1 Oct 96-30 Sep 97

Corporate Author : MOUNT SINAI SCHOOL OF MEDICINE NEW YORK DEPT OF MEDICINE

Personal Author(s) : Hatch, Maureen

PDF Url : ADA334329

Report Date : OCT 1997

Pagination or Media Count : 66

Abstract : Previous studies have found both African-American and military women to be at increased risk for preterm delivery. The main goal of this study is to assess the influence of blood pressure responsivity on the risk of preterm birth among women exposed to similar levels of physical and mental job stress. We are evaluating cardiac responsivity in an ethnically diverse group of active duty military women seeking prenatal care at Wilford Hall Medical Center, Lackland Air Force Base and Brooke Army Medical Center, Fort Sam Houston. As of October 10, 1997, a total of7l pregnant women have been enrolled in our study; of these, 53 have completed a baseline questionnaire. Effects of stress factors on pregnancy outcome may be mediated through increases in maternal heart rate and blood pressure. Therefore, women with a pronounced hemodynamic response to stress could represent a group susceptible to adverse effects of exposure to job stress during pregnancy. To idenfify this susceptible subgroup we plan to administer a stress challenge test at 24-26 weeks of gestation; this testing is scheduled to begin in the middle of October. The possibility that race and aerobic fitness may modulate cardiovascular responsivity will be examined. The resulting information may help not only in determining work policies but also in flirthering our understanding of the etiology of preterm birth.

Descriptors :   *JOBS, *STRESS(PHYSIOLOGY), *MEDICAL SERVICES, *PREGNANCY, *HEART RATE, *CARDIOVASCULAR SYSTEM, *BLOOD PRESSURE, STRESSES, MILITARY PERSONNEL, POLICIES, RISK, HALL EFFECT, STRESS(PSYCHOLOGY), ARMY FACILITIES, BASE LINES, ETIOLOGY, ADVERSE CONDITIONS, AIR FORCE FACILITIES, MENTAL HEALTH, PHYSICAL FITNESS, RESPONSE(BIOLOGY), WOMEN, QUESTIONNAIRES, FEMALES, BLOOD CIRCULATION, SOCIAL PSYCHOLOGY.

Subject Categories : Personnel Management and Labor Relations
      Medicine and Medical Research
      Stress Physiology

Distribution Statement : APPROVED FOR PUBLIC RELEASE