Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Psychosocial Stress & Adverse Pregnancy Outcomes

Obstet Gynecol; ePub 2018 Jan 9; Grobman, et al

Among a large cohort of nulliparous and geographically diverse women with singleton gestations who self-reported psychosocial stress, non-Hispanic black women were most likely to experience preterm birth, hypertensive disease of pregnancy, and small-for-gestational age (SGA) birth. This according to a study that assessed the relationship between self-reported psychological stress and preterm birth, hypertensive disease of pregnancy, and SGA birth to determine the extent to which these relationships account for racial and ethnic disparities in these adverse outcomes. Researchers found:

  • The study population included 9,470 women (60.4% non-Hispanic white, 13.8% non-Hispanic black, 16.7% Hispanic, 4.0% Asian, and 5.0% other).
  • Non-Hispanic black women were significantly more likely to experience any preterm birth, hypertensive disease of pregnancy, and SGA birth than were non-Hispanic white women.
  • Non-Hispanic black women continued to be at greater risk of any preterm birth and SGA birth after adjusting for confounding factors.

Citation:

Grobman WA, Parker CB, Willinger M, et al. Racial disparities in adverse pregnancy outcomes and psychosocial stress. [Published online ahead of print January 9, 2018]. Obstet Gynecol. doi: 10.1097/AOG.0000000000002441.

This Week's Must Reads

Infection Prevention After Gynecologic Procedures, Obstet Gynecol; ePub 2018 Jun; Soper, Chelmow, et al

Treatment Update for Polycystic Ovary Syndrome, Obstet Gynecol; ePub 2018 Jun; Legro, et al

Preconception Vitamin D Key After Pregnancy Loss, Lancet Diabetes Endocrinol; ePub 2018 May 30; Mumford, et al

Hysterectomy Performed by Very Low-Volume Surgeons, Obstet Gynecol; ePub 2018 May 7; Ruiz, et al

Place of Death in Patients with Gynecologic Cancer, Obstet Gynecol; ePub 2018 May 7; Hicks-Courant, et al

Must Reads in Obstetrics

Preconception Vitamin D Key After Pregnancy Loss, Lancet Diabetes Endocrinol; ePub 2018 May 30; Mumford, et al

PA & Risk of Preterm Birth in African American Women, Women’s Health Issues; ePub 2018 May 7; Straughen, et al

ACOG On Optimizing Postpartum Care, Obstet Gynecol; ePub 2018 May; Stuebe, et al

Cesarean Delivery Rates in the US , Am J Obstet Gynecol; ePub 2018 Apr 12; Hehir, et al

Perinatal Outcomes in Women with Chronic Hypertension, Obstet Gynecol; ePub 2018 Apr 6; Youngstrom, et al