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Effects of Stressful Life Events on Maternal Outcomes

Women’s Health Issues; ePub 2016 Oct 31; Mukherjee, et al

Antenatal stressful life events (SLE) that can lead to adverse maternal and/or fetal outcomes are common in pregnant women in the US, suggesting the importance of screening for these SLEs and providing support, a recent study found. Data from the 2009 to 2011 Pregnancy Risk Assessment Monitoring System were used and latent class analysis performed (n=115,704) to identify unobserved class membership. Researchers found:

  • A 3-class model was the most appropriate, with 64% in low-stress class.
  • The illness/death related-stress class (13%) had a high prevalence of illness (77%) and death (63%) of someone close or a family member.
  • Unmarried and women living in lowest poverty were, respectively, more and less likely to be in the multiple stressors class.
  • The highest prevalence of severe pregnancy-associated nausea/vomiting, preterm labor, and postpartum depression was in the multiple stress class.

Citation:

Mukherjee S, Coxe S, Fennie K, Madhivanan P, Trepka MJ. Stressful life event experiences of pregnant women in the United States: A latent class analysis. [Published online ahead of print October 31, 2016]. Women’s Health Issues. doi:10.1016/j.whi.2016.09.007.