02578nas a2200289   4500000000100000000000100001008004100002260003500043653002200078653002300100653001400123653001100137653002200148100002700170700002600197700003700223700003200260700003100292700002500323245008800348856006700436300001200503490000700515520173900522022001302261020001402274       2020                            d  c12/2020bElsevier Espana S.L.U10aCoping strategies10aGestational stress10aPregnancy10aStress10aStress modulators1 aRaquel González-Ochoa1 aRosío Córdova-Plaza1 aMaría del Rocio Hernández-Pozo1 aDiana María Sánchez-Silva1 aAntonia Barranca-Enríquez1 aTania Romo-González00aPsychological factors as coping skills to attenuate the gestational stress response  uhttps://linkinghub.elsevier.com/retrieve/pii/S1134793720300294  a136-1470 v263 aObjective
Although in the 1940s there was an important decrease in global maternal/infant mortality rates, by the 1990s these rates had become stagnant. Many strategies to decrease maternal/infant mortality had been used, which included the prevention of pregnancy complications. Several studies showed an association between these complications and the stress perceived during pregnancy. However, there are some discrepancies which challenge this association. We believe that these discrepancies are due to the lack of understanding about the pregnant stress response and consequently the ways it is measured. The aim of this study was to understand how pregnant women perceive motherhood, pregnancy stressors and the psychological factors that attenuate the stress response.

Materials and methods
A qualitative study was conducted that explores the perception of gestational stress in 32 pregnant women who were recruited in different Health Centers. Semi-structured interviews were carried out which were conducted by the PhD student in charge of the project and each interview lasted 15–20min. Since the interviews were audio-recorded they were transcribed and the information was then categorized according to the three issues raised in the objective (motherhood, pregnancy stressors, and psychological factors that attenuate the stress response).

Results and conclusions
We found that the gestational stress response and also its magnitude are influenced not only by how women perceive the aspects, but also and most importantly by its articulation. Likewise, results show that gestational stress is only attenuated when women perceive and cope with both the positive and negative aspects of pregnancy and motherhood.  a11347937  a2174-0437