Despite evidence linking prenatal psychosocial stress and social support to perinatal maternal and infant health, no study has explored couple conflict behavior during pregnancy as a predictor of subsequent birth outcomes. The current study examines whether couples' positive and negative conflict behaviors during pregnancy predict their stress during the birth experience and gestational and birth outcomes. Forty-seven first-time expectant couples participated in a conflict discussion during pregnancy that was observationally coded. Several months later, following the birth of their child, couples reported on their subjective childbirth stress. By summing medical chart data on gestational outcomes and birth complications, we computed a cumulative birth risk score. Negative conflict behavior was related to higher cumulative birth risk scores, and conversely, positive conflict behavior was associated with lower birth risk, even after controlling for maternal pregnancy symptoms. Similarly, more negative conflict behavior predicted higher mother-reported birth stress, while positive conflict behavior predicted lower father-reported birth stress. However, birth stress effects became nonsignificant after controlling for maternal pregnancy symptoms. Although the pregnancy literature has focused primarily on maternal characteristics, these findings highlight the significance of couple interactions in predicting parental birth stress and birth outcomes. This study integrates psychological, behavioral, and medical chart data to enhance our understanding of how interpersonal factors influence gestational outcomes and the birth experience. These results have important clinical implications for potential couple interventions during pregnancy that can shape fetal development, the labor and delivery experience, and influence child and family health. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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产前关系冲突行为可预测分娩经历和出生结局。

尽管有证据将产前心理社会压力和社会支持与围产期母婴健康联系起来，但尚无研究探讨妊娠期间的夫妻冲突行为作为随后分娩结局的预测指标。目前的研究检查了夫妻在怀孕期间的积极和消极冲突行为是否可以预测他们在分娩经历以及妊娠和分娩结局中的压力。47对首次怀孕的夫妇参加了妊娠期的冲突讨论，采用观察编码。几个月后，在孩子出生后，夫妻俩报告了他们的主观分娩压力。通过汇总有关妊娠结局和出生​​并发症的医学图表数据，我们计算出了累积出生风险评分。负面冲突行为与较高的累计出生风险评分有关，相反，积极的冲突行为与较低的出生风险相关联，即使在控制了孕妇妊娠症状后也是如此。同样，更多的消极冲突行为预测较高的母亲报告的出生压力，而积极的冲突行为预测较低的父亲报告的出生压力。但是，控制孕妇的孕期症状后，出生压力的影响变得不显着。尽管怀孕文献主要关注母体特征，但这些发现突出了夫妻互动对预测父母的出生压力和出生结局的重要性。这项研究整合了心理，行为和医学图表数据，以加深我们对人际因素如何影响妊娠结局和出生​​经历的理解。这些结果对怀孕期间夫妇的潜在干预具有重要的临床意义，可能会影响胎儿的发育，分娩和分娩的经历，并影响儿童和家庭的健康。（PsycINFO数据库记录（c）2020 APA，保留所有权利）。