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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 2587-2597 |
| Number of pages | 11 |
| Journal | Maternal and child health journal |
| Volume | 19 |
| Issue number | 12 |
| DOIs | |
| State | Published - Dec 1 2015 |
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All Science Journal Classification (ASJC) codes
- Epidemiology
- Pediatrics, Perinatology, and Child Health
- Obstetrics and Gynecology
- Public Health, Environmental and Occupational Health
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Psychosocial Stress During First Pregnancy Predicts Infant Health Outcomes in the First Postnatal Year. / Phelan, A. L.; DiBenedetto, M. R.; Paul, I. M.; Zhu, J.; Kjerulff, K. H.
In: Maternal and child health journal, Vol. 19, No. 12, 01.12.2015, p. 2587-2597.Research output: Contribution to journal › Article
TY - JOUR
T1 - Psychosocial Stress During First Pregnancy Predicts Infant Health Outcomes in the First Postnatal Year
AU - Phelan, A. L.
AU - DiBenedetto, M. R.
AU - Paul, I. M.
AU - Zhu, J.
AU - Kjerulff, K. H.
PY - 2015/12/1
Y1 - 2015/12/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=84947128509&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84947128509&partnerID=8YFLogxK
U2 - 10.1007/s10995-015-1777-z
DO - 10.1007/s10995-015-1777-z
M3 - Article
C2 - 26152890
AN - SCOPUS:84947128509
VL - 19
SP - 2587
EP - 2597
JO - Maternal and Child Health Journal
JF - Maternal and Child Health Journal
SN - 1092-7875
IS - 12
ER -