B4171 - Biopsychosocial stress in pregnancy birth outcomes motor mental health trajectories in childhood - 27/10/2022

B number: 
B4171
Principal applicant name: 
Mary Clarke | Royal College of Surgeons Ireland (RCSI) (Ireland)
Co-applicants: 
Miss Emma Butler, Dr Linda O Keeffe, Dr Michelle Spirtos
Title of project: 
Biopsychosocial stress in pregnancy, birth outcomes & motor & mental health trajectories in childhood
Proposal summary: 

Stress in pregnancy has been linked with adverse cognitive, motor and mental health outcomes in the offspring. In previous research studies stress has been represented by major life events, maternal mental health, economic hardship or stress biomarkers. Due to the wide variability in how stress has been quantified to date we do not know what types of stress or how much stress matters for whom and for which specific developmental outcomes. In addition, far less research has focused on sensorimotor outcomes despite the fact that the central nervous system is most vulnerable as it develops earliest in gestation and for the longest duration in-utero. Furthermore, adequate sensorimotor development may be a protective factor for later mental health. This study aims to quantify stress across biopsychosocial domains both independently and cumulatively, examining its influence on specific adverse birth outcomes (e.g. gestational age, birthweight, mode of delivery and neonatal complications), fine and gross motor trajectories in early childhood and mental health trajectories in middle/late childhood. Moderators such as infant sex, post-natal environment and activity engagement will also be considered.

Impact of research: 
Hopefully to identify which types of women and in turn which types of children are most at-risk of adverse development outcomes not just categorised as a binary clinical need but across the spectrum of outcomes. This may illuminate new factors which need to be considered in practice to quantify risk e.g. giving consideration to poly social risk as well as polygenic risk and to allow intervention to be provided to promote optimum development rather than waiting to intervene once a clinical threshold has been reached.
Date proposal received: 
Friday, 14 October, 2022
Date proposal approved: 
Monday, 24 October, 2022
Keywords: 
Epidemiology, Pregnancy - e.g. reproductive health, postnatal depression, birth outcomes, etc., Statistical methods, Sex differences