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Associations of perceived prenatal stress and adverse pregnancy outcomes with perceived stress years after delivery
- Source :
- Archives of women's mental health, vol 23, iss 3, Arch Womens Ment Health
- Publication Year :
- 2020
- Publisher :
- eScholarship, University of California, 2020.
-
Abstract
- Maternal stress is a risk factor for adverse pregnancy outcomes (APOs). This study evaluates the associations of prenatal stress and APOs with maternal stress years after pregnancy. The 10-item Perceived Stress Scale (PSS) (0–40 range) was completed in the first and third trimesters, and 2–7 years after delivery among a subsample (n = 4161) of nulliparous women enrolled at eight US medical centers between 2010 and 2013 in a prospective, observational cohort study. Demographics, medical history, and presence of APOs (gestational diabetes (GDM), hypertensive disorders of pregnancy (HDP), preeclampsia (PE), and medically indicated or spontaneous preterm birth (miPTB, sPTB)) were obtained. The associations of prenatal PSS and the presence of APOs with PSS scores years after delivery were estimated using multivariable linear regression. Mean PSS scores were 12.5 (95% CI 12.3, 12.7) and 11.3 (95% CI 11.1, 11.5) in the first and third trimesters respectively and 14.9 (95% CI 14.7, 15.1) 2–7 years later, an average increase of 2.4 points (95% CI 2.2, 2.6) from the start of pregnancy. Regressing PSS scores after delivery on first-trimester PSS and PSS increase through pregnancy showed positive associations, with coefficients (95% CI) of 2.8 (2.7, 3.0) and 1.5 (1.3, 1.7) per 5-point change, respectively. Adding APO indicator variables separately showed higher PSS scores for women with HDP (0.7 [0.1, 1.3]), PE (1.3 [0.6, 2.1]), and miPTB (1.3 [0.2, 2.4]), but not those with GDM or sPTB. In this geographically and demographically diverse sample, prenatal stress and some APOs were positively associated with stress levels 2–7 years after pregnancy. ClinicalTrials.gov Registration number NCT02231398.
- Subjects :
- Perceived Stress Scale
Reproductive health and childbirth
Cohort Studies
0302 clinical medicine
Pre-Eclampsia
Risk Factors
Pregnancy
Medicine
Psychology
030212 general & internal medicine
Prospective Studies
First
Pediatric
Psychiatry
030219 obstetrics & reproductive medicine
Obstetrics
Diabetes
Pregnancy Outcome
Obstetrics and Gynecology
Perceived stress
Gestational diabetes
Psychiatry and Mental health
NICHD nuMoM2b and NHLBI nuMoM2b Heart Health Study Networks
Gestational
Hypertension
Premature Birth
Female
Cognitive Sciences
Pregnancy Trimester
Cohort study
Adult
medicine.medical_specialty
Pediatric Research Initiative
Pregnancy Trimester, Third
Clinical Trials and Supportive Activities
Pregnancy-Induced
Stress
Article
Preeclampsia
03 medical and health sciences
Clinical Research
Humans
Medical history
Prenatal maternal stress
Conditions Affecting the Embryonic and Fetal Periods
Risk factor
Third
business.industry
Contraception/Reproduction
Infant, Newborn
Infant
Preterm birth
Hypertension, Pregnancy-Induced
Perinatal Period - Conditions Originating in Perinatal Period
medicine.disease
Newborn
United States
Pregnancy Complications
Diabetes, Gestational
Pregnancy Trimester, First
Good Health and Well Being
Prenatal stress
Adverse pregnancy outcomes
Psychological
Perception
business
Stress, Psychological
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- Archives of women's mental health, vol 23, iss 3, Arch Womens Ment Health
- Accession number :
- edsair.doi.dedup.....f4ae22280fd4125f71e5ba66e296a095