@article{IR,
      recid = {9552},
      author = {Katlaps, Isabel and Ronai, C. and Kim, A. and Gutshall, K.  and Valent, A. and Thornburg, K. and Madriago, E.},
      title = {Harmful intrauterine exposure to stress and resulting  steroid requirements in infants with congenital heart  disease},
      publisher = {Oregon Health and Science University},
      address = {2022},
      number = {IR},
      abstract = {Prenatal diagnoses of congenital heart disease (CHD) is a  significant event that causes parental stress and anxiety.  The presence of elevated cortisol in a pregnant person's  blood can lead to placental transfer of this stress hormone  and subsequently downregulate the fetus' own cortisol  production through negative feedback mechanisms. Babies  with CHD often require very stressful interventions  postnatally that necessitate a properly functioning  hypothalamic-pituitary-adrenal axis in order to mount a  sufficient cortisol mediated stress response. We sought to  investigate the relationship between maternal stress during  pregnancy and need for neonatal steroids.},
      url = {http://digitalcollections.ohsu.edu/record/9552},
      doi = {https://doi.org/10.6083/f4752h48r},
}