Extreme Stress and Tiny Babies

The repercussions of September 11, 2001 may extend to a generation yet unborn, according to a new study on communal bereavement, the widespread experience of distress among people who never met the deceased. Disasters like the attacks on the World Trade Center and the Pentagon can cause an increase in the number of very low-birth-weight babies, according to researchers who studied this phenomenon after two disasters in Sweden.

Ralph Catalano, Ph.D., professor of public health at the University of California at Berkeley, and Terry Hartig, a docent at the Institute for Housing Research at Uppsala University in Sweden, analyzed birth records after the assassination of Prime Minister Olaf Palme in 1986 and the sinking of the ferry Estonia in 1994. The incidence of very low birth weight--less than 3.3 pounds--increased by 21 percent after the Palme assassination and by 15 percent after the Estonia disaster. The results were published in the Journal of Health and Social Behavior.

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So what's the connection? Stress is assumed to increase the level of corticosteroids in pregnant women. These stress hormones can expedite delivery, causing babies to be born prematurely. "There's a mechanism that senses if the environment is going to be a threat to a particular fetus," says Catalano. "From an evolutionary point of view, you don't want to have a lot of weak fetuses brought into the world, otherwise the gene pool will have a lot of individuals who would not make it to the age of reproduction." Another possible explanation is that stress compromises immune function in women, activating latent infections and increasing the likelihood of preterm delivery.

Catalano now plans to study the incidence of very low birth weight resulting from the September 11 attacks. "The theory suggests that we should get the same response here that we found in Sweden," says Catalano. But given the recent anthrax scares and the economic decline, the study won't be easy. Economic insecurity is itself a known risk factor for very low birth weight.

Tags: california at berkeley, fetuses, gene pool, immune function, journal of health and social behavior, low birth weight, september 11 2001, stress hormones, university in sweden, university of california at berkeley, uppsala university in sweden

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