Women of color are at least twice as likely as non-Hispanic White women to die during the perinatal period or deliver infants who are low birthweight, preterm, or die within the first year of life. Maternal stress before and during pregnancy is associated with adverse obstetric outcomes. A growing body of literature has explored maternal resilience as protective factors contributing to healthy maternal and child health (MCH) outcomes. However, several gaps exist in how this construct has been conceptualized and operationalized. First, extant research has primarily conceptualized maternal resilience as individual attributes that enable women to "bounce back" after facing adversity during pregnancy, thereby failing to incorporate the broader systemic and environmental factors that contribute to chronic stress, particularly among vulnerable groups. Second, the literature has largely neglected to examine resilience in relation to maternal stress, therefore not acknowledging that women who experience greater stress will likely require more resources. Third, though resilience has been investigated at discrete life stages, longitudinal research has not been conducted to explore how it develops over the lifecourse. This article critically evaluates the resilience literature, expands upon the gaps described, and proposes a conceptual framework that reimagines material resilience using three population health theories, including Bronfenbrenner's socioecological framework, Elder's lifecourse theory, and Geronimus' weathering hypothesis. The proposed framework will inform future research that examines the development of multilevel resilience resources over the lifecourse as well as interventions to increase resilience and ultimately yield healthier MCH outcomes among vulnerable communities. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译：

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重新构想母体复原力：结合社会生态学框架、生命历程理论和风化假说。


有色人种女性在围产期死亡或生下低出生体重、早产或在出生后第一年内死亡的婴儿的可能性至少是非西班牙裔白人女性的两倍。孕前和孕期的母体压力与不良产科结局相关。越来越多的文献探讨了孕产妇复原力作为有助于健康孕产妇和儿童健康 （MCH） 结果的保护因素。然而，在如何概念化和操作这种结构方面存在一些差距。首先，现有的研究主要将母体复原力概念化为使女性在怀孕期间面临逆境后能够“反弹”的个体属性，因此未能纳入导致慢性压力的更广泛的系统和环境因素，尤其是在弱势群体中。其次，文献在很大程度上忽视了研究与产妇压力相关的弹性，因此没有承认承受更大压力的女性可能需要更多资源。第三，尽管已经在离散的生命阶段研究了恢复力，但尚未进行纵向研究来探索它在生命周期中是如何发展的。本文批判性地评估了弹性文献，扩展了所描述的差距，并提出了一个概念框架，该框架使用三种人口健康理论重新构想材料弹性，包括 Bronfenbrenner 的社会生态学框架、Elder 的生命历程理论和 Geronimus 的风化假说。 拟议的框架将为未来的研究提供信息，这些研究考察了生命周期中多层次弹性资源的开发，以及提高弹性并最终在弱势社区中产生更健康的 MCH 结果的干预措施。（PsycInfo 数据库记录 （c） 2024 APA，保留所有权利）。