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Adverse Perinatal Outcomes Predicted by Prenatal Maternal Stress Among U.S. Women at the COVID-19 Pandemic Onset.
Ann Behav Med. 2021 03 20; 55(3):179-191.AB

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.

Authors+Show Affiliations

Department of Psychology, Stony Brook University, Stony Brook, NY, USA. Department of Pediatrics, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, USA.Department of Psychiatry and Behavioral Health, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, USA.Department of Pediatrics, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, USA.Department of Obstetrics, Gynecology and Reproductive Medicine, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, USA.Department of Psychology, Stony Brook University, Stony Brook, NY, USA.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

33724334

Citation

Preis, Heidi, et al. "Adverse Perinatal Outcomes Predicted By Prenatal Maternal Stress Among U.S. Women at the COVID-19 Pandemic Onset." Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine, vol. 55, no. 3, 2021, pp. 179-191.
Preis H, Mahaffey B, Pati S, et al. Adverse Perinatal Outcomes Predicted by Prenatal Maternal Stress Among U.S. Women at the COVID-19 Pandemic Onset. Ann Behav Med. 2021;55(3):179-191.
Preis, H., Mahaffey, B., Pati, S., Heiselman, C., & Lobel, M. (2021). Adverse Perinatal Outcomes Predicted by Prenatal Maternal Stress Among U.S. Women at the COVID-19 Pandemic Onset. Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine, 55(3), 179-191. https://doi.org/10.1093/abm/kaab005
Preis H, et al. Adverse Perinatal Outcomes Predicted By Prenatal Maternal Stress Among U.S. Women at the COVID-19 Pandemic Onset. Ann Behav Med. 2021 03 20;55(3):179-191. PubMed PMID: 33724334.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Adverse Perinatal Outcomes Predicted by Prenatal Maternal Stress Among U.S. Women at the COVID-19 Pandemic Onset. AU - Preis,Heidi, AU - Mahaffey,Brittain, AU - Pati,Susmita, AU - Heiselman,Cassandra, AU - Lobel,Marci, PY - 2021/3/17/pubmed PY - 2021/3/30/medline PY - 2021/3/16/entrez KW - Adverse perinatal outcomes KW - Behavioral medicine KW - Birth KW - COVID-19 pandemic KW - Pandemic-related stress KW - Pregnancy KW - Prenatal maternal stress SP - 179 EP - 191 JF - Annals of behavioral medicine : a publication of the Society of Behavioral Medicine JO - Ann Behav Med VL - 55 IS - 3 N2 - 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. SN - 1532-4796 UR - https://www.unboundmedicine.com/medline/citation/33724334/Adverse_Perinatal_Outcomes_Predicted_by_Prenatal_Maternal_Stress_Among_U_S__Women_at_the_COVID_19_Pandemic_Onset_ L2 - https://academic.oup.com/abm/article-lookup/doi/10.1093/abm/kaab005 DB - PRIME DP - Unbound Medicine ER -