The balance between stress and personal capital during pregnancy and the relationship with adverse obstetric outcomes: findings from the 2007 Los Angeles Mommy and Baby (LAMB) study

Autor: Fathima Wakeel, Rebekah E. Gee, Whitney P. Witt, Shin M. Chao, Lauren E. Wisk
Rok vydání: 2013
Předmět:
Pediatrics
Maternal stress
California
Pregnancy
Residence Characteristics
Risk Factors
Surveys and Questionnaires
Psychology
Personal capital
Young adult
Psychiatry
Obstetrics
Pregnancy Outcome
Obstetrics and Gynecology
Gestational age
Psychiatry and Mental health
Premature birth
Premature Birth
Cognitive Sciences
Female
medicine.symptom
Infant
Premature
Adult
medicine.medical_specialty
Adolescent
Mothers
Gestational Age
Stress
Article
Life Change Events
Young Adult
Social support
medicine
Humans
Risk factor
Premature
business.industry
Low Birth Weight
Infant
Newborn
Infant
Social Support
Preterm birth
Obstetric outcomes
Infant
Low Birth Weight
Newborn
medicine.disease
Self Concept
Pregnancy Complications
Low birth weight
Socioeconomic Factors
Multivariate Analysis
Psychological
Small for gestational age
business
Stress
Psychological
Zdroj: Wakeel, Fathima; Wisk, Lauren E; Gee, Rebekah; Chao, Shin M; & Witt, Whitney P. (2013). The balance between stress and personal capital during pregnancy and the relationship with adverse obstetric outcomes: findings from the 2007 Los Angeles Mommy and Baby (LAMB) study.. Archives of women's mental health, 16(6), 435-451. doi: 10.1007/s00737-013-0367-6. UCLA: Retrieved from: http://www.escholarship.org/uc/item/1ps3b4kx
Archives of women's mental health, vol 16, iss 6
ISSN: 1435-1102
1434-1816
DOI: 10.1007/s00737-013-0367-6
Popis: Stress during pregnancy is a salient risk factor for adverse obstetric outcomes. Personal capital during pregnancy, defined as internal and social resources that help women cope with or decrease their exposure to stress, may reduce the risk of poor obstetric outcomes. Using data from the 2007 Los Angeles Mommy and Baby study (N = 3,353), we examined the relationships between the balance of stress and personal capital during pregnancy, or the stress-to-capital ratio (SCR), and adverse obstetric outcomes (i.e., pregnancy complications, preterm birth (PTB), low birth weight (LBW), and small for gestational age (SGA)). Women with a higher SCR (i.e., greater stress relative to personal capital during pregnancy) were significantly more likely to experience at least one pregnancy complication, PTB, and lower gestational age, but not LBW or SGA. Accounting for pregnancy complications completely mediated the association between the SCR and PTB. Our findings indicate that experiencing greater stress relative to personal capital during pregnancy is associated with an increased risk for pregnancy complications, PTB, and lower gestational age and that pregnancy complications may be a mechanism by which the SCR is related to adverse obstetric outcomes.
Databáze: OpenAIRE
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