Evidence map›Paper›PMID 31611411›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2019

Maternal prenatal stress phenotypes associate with fetal neurodevelopment and birth outcomes.

Kate Walsh, Clare A McCormack, Rachel Webster, Anita Pinto, Seonjoo Lee, Tianshu Feng, H Sloan Krakovsky, Sinclaire M O'Grady, Benjamin Tycko, Frances A Champagne and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 101 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
101citing papers in PubMed, 3 pooled it
24.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

101 citing papers in PubMed, 3 syntheses or guidelines pooled it, 263 citations in OpenAlex.

  1. Risks to the Unborn: An Umbrella Review on the Effects of Prenatal Maternal Stress Caused by Natural Disasters.Stress and health : journal of the International Society for the Investigation of Stress · 2025
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  13. Perinatal and laboratory determinants of fortified human milk use: a case-control study.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas · 2026
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41 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 1 country.

Kate WalshFerkauf Graduate School of Psychology, Yeshiva University, The Bronx, NY 10461.
Clare A McCormackCenter for Science and Society, Columbia University, New York, NY 10027.
Rachel WebsterDepartment of Obstetrics and Gynecology, Columbia University Medical Center, New York, NY 10032.
Anita PintoData Science, Columbia University, New York, NY 10027.
Seonjoo LeeDivision of Behavioral Medicine, New York State Psychiatric Institute, New York, NY 10032.
Tianshu FengDepartment of Biostatistics (in Psychiatry), Mailman School of Public Health, Columbia University, New York, NY 10032.
H Sloan KrakovskyDepartment of Obstetrics and Gynecology, Columbia University Medical Center, New York, NY 10032.
Sinclaire M O'GradyDepartment of Obstetrics and Gynecology, Columbia University Medical Center, New York, NY 10032.
Benjamin TyckoHackensack-Meridian Health Center for Discovery and Innovation, Nutley, NJ 07110.
Frances A ChampagneDepartment of Psychiatry, Columbia University, New York, NY 10032.
Elizabeth A WernerDepartment of Obstetrics and Gynecology, Columbia University Medical Center, New York, NY 10032.
Grace LiuDepartment of Psychiatry, Columbia University, New York, NY 10032.
Catherine MonkDepartment of Obstetrics and Gynecology, Columbia University Medical Center, New York, NY 10032; cem31@cumc.columbia.edu.ORCID 0000-0001-7827-2602
Columbia University · USColumbia University Irving Medical Center · USHackensack Meridian Health · USNew York Psychoanalytic Society and Institute · USYeshiva University · US

Funding

Prenatal stress: the epigenetic basis of maternal and perinatal effectsR01MH092580 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CHAMPAGNE, FRANCES A., MONK, CATHERINE E · 2011 to 2015
$3.4M
NIMH NIH HHS R01 MH092580
6 · The paper itself

Abstract

Maternal prenatal stress influences offspring neurodevelopment and birth outcomes including the ratio of males to females born; however, there is limited understanding of what types of stress matter, and for whom. Using a data-driven approach with 27 variables from questionnaires, ambulatory diaries, and physical assessments collected early in the singleton pregnancies of 187 women, 3 latent profiles of maternal prenatal stress emerged that were differentially associated with sex at birth, birth outcomes, and fetal neurodevelopment. Most women (66.8%) were in the healthy group (HG); 17.1% were in the psychologically stressed group (PSYG), evidencing clinically meaningful elevations in perceived stress, depression, and anxiety; and 16% were in the physically stressed group (PHSG) with relatively higher ambulatory blood pressure and increased caloric intake. The population normative male:female secondary sex ratio (105:100) was lower in the PSYG (2:3) and PHSG (4:9), and higher in the HG (23:18), consistent with research showing diminished male births in maternal stress contexts. PHSG versus HG infants were born 1.5 wk earlier (

Indexed as

Fetal DevelopmentMaternal HealthStress, PhysiologicalAdolescentAdultFemaleHumansMaleMiddle AgedNeurodevelopmental DisordersPregnancyPregnancy OutcomeSex Ratiobirth outcomesneurodevelopmentprenatal stresssecondary sex ratiosocial support

Identifiers

PMID31611411
PMCPMC6883837
OpenAlexW2981050931

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.