Prenatal stress and newborn health in assisted reproduction pregnancies

The Effects of Antenatal Stress on the Newborn in Medically Assisted Reproduction: the SARA Study

Observational IRCCS Eugenio Medea · NCT07408453

Researchers will see if psychological and biological signs of stress in parents who conceived using medically assisted reproduction are linked to newborn health.

Quick facts

Study typeObservational
Enrollment100 (estimated)
Ages18 Years and up
SexAll
SponsorIRCCS Eugenio Medea Academic / other
Locations1 site (Bergamo, Bergamo)
Trial IDNCT07408453 on ClinicalTrials.gov

What this trial studies

This is a longitudinal observational study enrolling pregnant women and their partners who conceived through FIVET, including both homologous fertilization and oocyte donation, with data collected during pregnancy and at birth. Mothers and fathers complete online questionnaires about anxiety, depression, social support, and related measures, while mothers provide pregnancy-specific measures; biological stress markers such as salivary cortisol and alpha-amylase are also collected. A cross-fostering design comparing genetically related and unrelated mother–infant pairs (oocyte donation) is used to help separate prenatal environmental effects from genetic influences. Participants are recruited through fertility centers, screened for major psychiatric or medical exclusions, and followed across multiple timepoints until delivery.

Who should consider this trial

Good fit: Ideal participants are pregnant women in their first trimester and their partners who conceived a singleton pregnancy via FIVET (homologous fertilization or oocyte donation), without major medical, endocrine, immune, substance use, smoking, or excluded psychiatric disorders.

Not a fit: People who conceived without FIVET, with donor sperm, multiple pregnancies, preterm birth before 35 weeks, major pregnancy complications, chronic medication use, active substance use, or excluded psychiatric/medical conditions are unlikely to qualify or benefit from the study's findings.

Why it matters

Potential benefit: If successful, the findings could clarify how prenatal stress affects infant health in assisted reproduction and help target prenatal support for these families.

How similar studies have performed: Related research has linked prenatal stress to infant outcomes and the investigators reference prior EDI work, but using a cross-fostering design to separate prenatal versus genetic effects is relatively uncommon.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Pregnant women in the first trimester and their respective partners.
* Pregnancy achieved through homologous assisted reproduction techniques.
* Pregnancy achieved through heterologous assisted reproduction via oocyte donation.
* Singleton pregnancy.
* Pregnancy achieved through FIVET techniques.

Exclusion Criteria:

* Parents under 18 years of age.
* Pregnancy achieved through heterologous assisted reproduction via donor sperm.
* Pregnancy achieved without FIVET techniques.
* Maternal hypertension during pregnancy.
* Endocrine or immune system disorders during pregnancy.
* Chronic use of medications during pregnancy (including anti-inflammatory drugs, antidepressants, or steroids).
* Alcohol or substance abuse.
* Smoking during pregnancy.
* Psychiatric disorders other than anxiety or depression.
* Pregnancy or perinatal complications.
* Multiple pregnancy (twins or higher-order multiples).
* Preterm birth (before 35 weeks of gestation).
* Health problems in the newborn at birth.

Where this trial is running

Bergamo, Bergamo

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Pregnancy and Medically Assisted Reproductionantenatal anxietyantenatal depressionsalivary cortisolsalivary alpha amylasemedically assisted reproduction
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.