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Adverse Perinatal Outcomes Predicted by Prenatal Maternal Stress Among U.S. Women at the COVID-19 Pandemic Onset
Annals of Behavioral Medicine ( IF 4.871 ) Pub Date : 2021-03-16 , DOI: 10.1093/abm/kaab005
Heidi Preis 1, 2 , Brittain Mahaffey 3 , Susmita Pati 2 , Cassandra Heiselman 4 , Marci Lobel 1
Affiliation  

Background High stress prenatally contributes to poor maternal and infant well-being. The coronavirus disease 2019 (COVID-19) pandemic has created substantial stress for pregnant women. Purpose To understand whether stress experienced by women pregnant at the beginning of the pandemic was associated with a greater prevalence of adverse perinatal outcomes. Methods Pregnant women across the USA aged ≥18 years old enrolled in a prospective cohort study during the pandemic onset (T1) in April–May 2020. This report focuses on the 1,367 participants who gave birth prior to July–August 2020 (T2). Hierarchical logistic regression models predicted preterm birth, small for gestational age infants, and unplanned operative delivery from T1 stress, sociodemographic, and medical factors. Results After controlling for sociodemographic and medical factors, preterm birth was predicted by high prenatal maternal stress, delivering an infant small for gestational age was predicted by interpersonal violence and by stress related to being unprepared for birth due to the pandemic, and unplanned cesarean or operative vaginal delivery was predicted by prenatal appointment alterations, experiencing a major stressful life event, and by stress related to being unprepared for birth due to the pandemic. Independent of these associations, African American women were more likely than other groups to deliver preterm. Conclusion Pregnant women who are experiencing high stress during the COVID-19 pandemic are at risk of poorer perinatal outcomes. A longitudinal investigation is critical to determine whether prenatal maternal stress and resulting outcomes have longer-term consequences for the health and well-being of children born in the midst of the current pandemic.

中文翻译:

COVID-19 大流行开始时美国妇女产前母体压力预测的不良围产期结局

背景 高产前压力会导致母婴健康状况不佳。2019 年冠状病毒病 (COVID-19) 大流行给孕妇带来了巨大压力。目的 了解在大流行开始时怀孕的妇女所经历的压力是否与围产期不良结局的发生率更高有关。方法 2020 年 4 月至 5 月大流行期间 (T1) 期间,美国 18 岁以上的孕妇参加了一项前瞻性队列研究。本报告重点关注 2020 年 7 月至 8 月 (T2) 之前分娩的 1,367 名参与者。分层逻辑回归模型可预测早产、小于胎龄儿以及因 T1 压力、社会人口学和医学因素导致的计划外手术分娩。结果 在控制了社会人口学和医学因素后,产前母亲的高压力预测早产,人际暴力和因大流行而未做好分娩准备的压力预测分娩小于胎龄的婴儿,产前预约变更预测计划外剖宫产或阴道手术分娩,经历重大的压力性生活事件,以及因大流行而没有准备好出生的压力。独立于这些协会,非裔美国妇女比其他群体更有可能早产。结论 在 COVID-19 大流行期间承受高压力的孕妇存在较差的围产期结局风险。
更新日期:2021-03-16
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