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Conclusion Pregnancy-related distress was able to penetrate all lines of defense and impacted the core per Neuman’s Systems Model. Women who had strong spiritual coping and a sense of belonging were able to deflect stress and thus protect their core resulting in healthy birth outcomes. Nurses could thus promote healthier birth outcomes by focusing on social support and coping, especially with women who are culturally marginalized. These results add to the understanding of the Latino paradox.

Acculturation, Stress and Birth Outcomes in Mexican and Mexican American Women