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Psychosocial Stress During First Pregnancy Predicts Infant Health Outcomes in the First Postnatal Year.

Abstract：

OBJECTIVES:To evaluate the impact of psychosocial stress during pregnancy on infant health outcomes in the first postnatal year. METHODS:A sample of 3000 women completed a stress inventory (the Psychosocial Hassles Scale) during their third trimester before first childbirth. Infant health outcomes were measured via maternal report at 1, 6 and 12 months postpartum. Poisson regression was used to model the effect of maternal stress during pregnancy on infant health outcomes in the first year, controlling for age, race/ethnicity, education, insurance coverage, marital status, and cigarette smoking during pregnancy. RESULTS:Women who were younger, minority, unmarried, publicly insured and without a college degree were more likely to report high levels of prenatal stress. High prenatal stress was a significant predictor of maternal reporting of gastrointestinal illness (p < 0.0001), respiratory illness (p = 0.025), and total illness in the first year (p < 0.0001). High prenatal stress was also a significant predictor of urgent care visits (p < 0.0001) and emergency department visits (p = 0.001). It was not a significant predictor of hospitalizations (p = 0.36). CONCLUSIONS:Maternal prenatal stress is associated with increased maternal reporting of infant illness, as well as increased frequency of both urgent care visits and emergency department visits.

journal_name

Matern Child Health J

journal_title

Maternal and child health journal

authors

Phelan AL,DiBenedetto MR,Paul IM,Zhu J,Kjerulff KH

doi

10.1007/s10995-015-1777-z

subject

Has Abstract

pub_date

2015-12-01 00:00:00

pages

2587-97

issue

12

eissn

1092-7875

issn

1573-6628

pii

10.1007/s10995-015-1777-z

journal_volume

19

pub_type

杂志文章

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