ArticleBMC pregnancy and childbirth2023
Measuring resilience and stress during pregnancy and its relation to vulnerability and pregnancy outcomes in a nulliparous cohort study.
Article in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.
- Positive psychology interventions during pregnancy: A systematic review.Applied psychology. Health and well-being · 2026Pooled it
- Resilience and mental health among perinatal women: a systematic review.Frontiers in psychiatry · 2024Pooled it
- Article
- Association Between Postpartum Depression Symptoms of Primiparas and Uterine Recovery, Sleep Quality and Postpartum Stress.Actas espanolas de psiquiatria · 2026Article
- Measuring Maternal Resilience in the Context of Parenting Challenges: A Korean Adaptation of the Maternal Resilience Scale.International journal of women's health · 2026Article
- Determinants of sexual self-efficacy among Iranian married women: a path analysis using the WHO framework.Reproductive health · 2025Article
- Time series and factors associated with prematurity in live births in curitiba, brazil: time series analysis between the years 2000 and 2021.BMC pregnancy and childbirth · 2025Article
- Psychological Vulnerability During Pregnancy and Its Obstetric Consequences: A Multidimensional Approach.Healthcare (Basel, Switzerland) · 2025Article
- Identifying the key influencing factors of psychological birth trauma in primiparous women with interpretable machine learning.International journal of nursing sciences · 2025Article
- The Influence of Personality Traits on Postpartum Depression: A Systematic Review Based on the NEO-FFI Scale.Diseases (Basel, Switzerland) · 2024Review
- Mental health outcomes beyond the post-partum period among adolescent mothers: a systematic review and meta-analysis.Health psychology and behavioral medicine · 2024Review
- The Moderating Effect of Self-Efficacy on Pregnancy Stress and Smartphone Addiction of Pregnant Women in Late Pregnancy: A Longitudinal Study.Risk management and healthcare policy · 2024Article
- Mitochondrial might: powering the peripartum for risk and resilience.Frontiers in behavioral neuroscience · 2023Review
Corrections and comments
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Authors and funding
15 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundResilience reflects coping with pregnancy-specific stress, including physiological adaptations of the maternal organism or factors arising from the socioeconomic context, such as low income, domestic violence, drug and alcohol use, lack of a support network and other vulnerability characteristics. Resilience is a dynamic characteristic that should be comparatively evaluated within a specific context; its association with perceived stress and social vulnerability during pregnancy is still not fully understood. This study aimed at exploring maternal resilience, perceived stress and social vulnerability during pregnancy and its associated factors and outcomes.
methodsProspective multicenter cohort study of nulliparous women in Brazil determining resilience (Resilience Scale; RS) and stress (Perceived Stress Scale; PSS) at 28 weeks of gestation (± 1 week). Resilience and stress scores were compared according to sociodemographic characteristics related to maternal/perinatal outcomes and social vulnerability, defined as having low level of education, being adolescent, without a partner or ethnicity other than white.
resultsWe included 383 women who completed the RS and PSS instruments. Most women showed low resilience scores (median: 124.0; IQR 98-143). Women with a low resilience score (RS < 125) were more likely from the Northeast region, adolescents, other than whites, did not study or work, had a low level of education, low family income and received public antenatal care. Higher scores of perceived stress were shown in the Northeast, other than whites, at low levels of education, low annual family income and public antenatal care. Pregnant women with low resilience scores (n = 198) had higher perceived stress scores (median = 28) and at least one vulnerability criterion (n = 181; 91.4%).
conclusionOur results reinforce the role of resilience in protecting women from vulnerability and perceived stress. It may prevent complications and build a positive experience during pregnancy.
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