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Corrigendum to: Angry in America: Psychophysiological Responses to Unfair Treatment
Annals of Behavioral Medicine ( IF 4.871 ) Pub Date : 2021-03-24 , DOI: 10.1093/abm/kaab023
Preis H, Mahaffey B, Pati S, et al.

Abstract
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:

更正:愤怒的美国:对不公平待遇的心理生理反应

摘要
背景
产前的高压力会导致母婴健康不佳。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
在 2020 年 4 月至 2020 年 4 月至 5 月大流行开始(T1)期间,美国各地年龄≥18 岁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。分层逻辑回归模型预测早产、小于胎龄儿的婴儿以及 T1 压力、社会人口统计学和医疗因素导致的计划外手术分娩。
结果
控制社会人口学和医学因素后,早产是由高产前母亲压力预测的,分娩小于胎龄婴儿是由人际暴力和因大流行而未做好分娩准备相关的压力预测的,以及计划外剖宫产或阴道手术分娩是通过产前预约的改变、经历重大的生活压力事件以及由于大流行而没有做好分娩准备的压力来预测的。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有围产期结局较差的风险。纵向调查对于确定产前母亲压力和由此产生的结果是否对当前大流行期间出生的儿童的健康和福祉产生长期影响至关重要。
更新日期:2021-03-25
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