OBJECTIVE: The aim of this study was to ascertain the contribution of perceived maternal stress and other components of a psychosocial profile to the occurrence of complications of pregnancy. METHODS: We conducted a prospective cohort study of pregnant women in a tertiary perinatal centre in Eastern Townships, Quebec. Psychosocial profile was assessed between 10 and 20 weeks' gestation and 25 and 30 weeks' gestation using six validated self-administered questionnaires. After delivery, data related to maternal, perinatal, and neonatal outcomes were collected. Descriptive, bivariate, and ANOVA repeated measures were performed. RESULTS: Among 303 consenting women, 81 (26.7%) had at least one pregnancy complication. Biomedical risk factors were evenly distributed in both groups (with or without complications). Women with complications had higher mean perceived stress at 10 to 20 weeks than those with uneventful term pregnancies (32.6 ± 11.7 vs. 29.3 ± 10.3; P < 0.05). Among those with complications, women with preterm birth perceived even more stress at 10 to 20 weeks (34.4 ± 11.5 vs. 29.3 ± 10.3; P < 0.05) than those with term pregnancies. Peer social support at 25 to 30 weeks, in women with a complication, was reported to be less than in women with an uneventful term pregnancy (51.0 ± 16.6 vs. 55.5 ± 13.8; P < 0.05). Other psychosocial dimensions were similar in both groups. CONCLUSION: Maternally perceived stress before 20 weeks' gestation is associated with complications of pregnancy and especially with preterm birth.
OBJECTIVE: The aim of this study was to ascertain the contribution of perceived maternal stress and other components of a psychosocial profile to the occurrence of complications of pregnancy. METHODS: We conducted a prospective cohort study of pregnant women in a tertiary perinatal centre in Eastern Townships, Quebec. Psychosocial profile was assessed between 10 and 20 weeks' gestation and 25 and 30 weeks' gestation using six validated self-administered questionnaires. After delivery, data related to maternal, perinatal, and neonatal outcomes were collected. Descriptive, bivariate, and ANOVA repeated measures were performed. RESULTS: Among 303 consenting women, 81 (26.7%) had at least one pregnancy complication. Biomedical risk factors were evenly distributed in both groups (with or without complications). Women with complications had higher mean perceived stress at 10 to 20 weeks than those with uneventful term pregnancies (32.6 ± 11.7 vs. 29.3 ± 10.3; P < 0.05). Among those with complications, women with preterm birth perceived even more stress at 10 to 20 weeks (34.4 ± 11.5 vs. 29.3 ± 10.3; P < 0.05) than those with term pregnancies. Peer social support at 25 to 30 weeks, in women with a complication, was reported to be less than in women with an uneventful term pregnancy (51.0 ± 16.6 vs. 55.5 ± 13.8; P < 0.05). Other psychosocial dimensions were similar in both groups. CONCLUSION: Maternally perceived stress before 20 weeks' gestation is associated with complications of pregnancy and especially with preterm birth.
Authors: Deborah J Watkins; Héctor Ramón Torres Zayas; Carmen M Vélez Vega; Zaira Rosario; Michael Welton; Luis D Agosto Arroyo; Nancy Cardona; Zulmarie J Díaz Reguero; Amailie Santos Rivera; Gredia Huerta-Montañez; Phil Brown; Akram Alshawabkeh; José F Cordero; John D Meeker Journal: Popul Environ Date: 2020-03-17
Authors: Fathima Wakeel; Lauren E Wisk; Rebekah Gee; Shin M Chao; Whitney P Witt Journal: Arch Womens Ment Health Date: 2013-06-29 Impact factor: 3.633
Authors: Carmen Giurgescu; Karen Kavanaugh; Kathleen F Norr; Barbara L Dancy; Naomi Twigg; Barbara L McFarlin; Christopher G Engeland; Mary Dawn Hennessy; Rosemary C White-Traut Journal: J Perinat Neonatal Nurs Date: 2013 Jan-Mar Impact factor: 1.638