Evidence map›Paper›PMID 37390516›Full record

ArticlePlacenta2023

Prenatal exposure to perceived stress, maternal asthma, and placental size.

Andrew Williams, Sadia Saizy, Pauline Mendola, William Grobman, Akila Subramaniam, Danielle R Stevens, Sunni L Mumford, Kate Larson, Zhen Chen, Lynne C Messer and 3 more

Open access · greenAbstract read
In one paragraph

Article in Placenta, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
4.1field-weighted citation impact, top 7% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Social Determinants of Health and Early Brain Development.Pediatric clinics of North America · 2025
    Review
  2. Fetal Body Composition and Organ Volume Trajectories in Association With Maternal Perceived Stress or Depressive Symptoms in the Fetal 3D Study.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2025
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 10 institutions in 1 country.

Andrew WilliamsPublic Health Program, Department of Population Health, School of Medicine and Health Sciences, University of North Dakota, 1301 N Columbia Rd, Grand Forks, ND, 58202, USA. Electronic address: andrew.d.williams@und.edu.
Sadia SaizyPublic Health Program, Department of Population Health, School of Medicine and Health Sciences, University of North Dakota, 1301 N Columbia Rd, Grand Forks, ND, 58202, USA.
Pauline MendolaDepartment of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, 270 Farber Hall, Buffalo, NY, 14214, USA.
William GrobmanCollege of Medicine, The Ohio State University, 370 W 9th Ave, Columbus, OH, 43210, USA.
Akila SubramaniamUniversity of Alabama at Birmingham, Heersink School of Medicine, 1670 University Blvd, Birmingham, AL, 35233, USA.
Danielle R StevensEpidemiology Branch, National Institute of Environmental Health Sciences, PO Box 12233, Mail Drop A3-05, Durham, NC, 27709, USA.
Sunni L MumfordDepartment of Biostatistics, Epidemiology & Informatics, Perelman School of Medicine, University of Pennsylvania, 423 Guardian Drive, Philadelphia, PA, 19104-6021, USA.
Kate LarsonUSDA Agricultural Research Service, Grand Forks Human Nutrition Research Center, United States Department of Agriculture, 2420 2nd Ave N, Grand Forks, ND, 58203, USA.
Zhen ChenDivision of Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, 6710B Rockledge Drive, Bethesda, MD, 20892, USA.
Lynne C MesserOHSU-PSU School of Public Health, 1805 SW 4th Ave, Portland, OR, 97201, USA.
Virginia DuncanUniversity of Alabama at Birmingham, Heersink School of Medicine, 1670 University Blvd, Birmingham, AL, 35233, USA.
Ona Faye-PetersenUniversity of Alabama at Birmingham, Heersink School of Medicine, 1670 University Blvd, Birmingham, AL, 35233, USA.
Rajesh KumarLurie Children's Hospital, Feinberg School of Medicine, Northwestern University, 420 E Superior St, Chicago, IL, 60611, USA.
University of Alabama at Birmingham · USUniversity of North Dakota · USAgricultural Research Service · USEunice Kennedy Shriver National Institute of Child Health and Human Development · USNational Institute of Environmental Health Sciences · USNorthwestern University · USThe Ohio State University · USUniversity at Buffalo, State University of New York · USUniversity of Pennsylvania · USUniversity of Portland · US

Funding

Stress and Health in American Indian PregnanciesP20GM139759 · NIGMS · UNIVERSITY OF NORTH DAKOTA · PI STEELE, JOEL SUMMER · 2021 to 2025
$8.3M
NICHD NIH HHS HHSN275201300013CNICHD NIH HHS HHSN275201300014CNICHD NIH HHS HHSN275201300026INIGMS NIH HHS P20 GM139759
6 · The paper itself

Abstract

introductionPrenatal exposure to stress has been associated with poor pregnancy outcomes, yet evidence linking stress and placental size is limited. Asthma is associated with worse pregnancy outcomes and women with asthma may be more susceptible to stress. Using the asthma-enriched B-WELL-Mom cohort, we examined the association between perceived stress and placental size.

methodsPlacental measures of weight, length, width, and thickness were available for 345 women (262 with asthma) via placental pathology report. Perceived Stress Scale (PSS) scores were obtained in each trimester of pregnancy and categorized into quartiles (low quartile as reference). For associations between PSS and placental size, generalized estimating equations adjusted for maternal and infant factors were used to estimate regression coefficients (β) and 95% confidence intervals (95% CI). Full models and models stratified by asthma status were run.

resultsCompared to Quartile 1, high levels of stress (Quartile 4) were associated with smaller placental weight (-20.63 95% CI: -37.01,-4.26) and length (-0.55 95% CI: -0.96,-0.15), but not width or thickness. Results by asthma status show a stronger association between perceived stress and shorter placental length in those with asthma and a stronger association between perceived stress and smaller placental thickness in those without asthma. Findings were robust to sensitivity analyses DISCUSSION: Higher levels of perceived stress were associated with smaller placental size. Additional research is warranted to understand the relationship between stress and placental size.

Indexed as

AsthmaPrenatal Exposure Delayed EffectsFemaleHumansMaternal ExposurePlacentaPregnancyPregnancy OutcomeStress, PsychologicalAsthmaPerceived stressPlacentaPlacental lengthPlacental thicknessPlacental weightPlacental widthPregnancyStress

Identifiers

PMID37390516
PMCPMC10529282
OpenAlexW4381940578

What OpenQuestion holds

Textmetadata
LicenceTDM
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.