The preterm prediction study: Maternal stress is associated with spontaneous preterm birth at less than thirty-five weeks' gestation
OBJECTIVE: Our purpose was to determine whether various measures of poor psychosocial status in pregnancy are associated with spontaneous preterm birth, fetal growth restriction, or low birth weight. STUDY DESIGN: Anxiety, stress, self-esteem, mastery, and depression were assessed at 25 to 29 weeks...
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| Veröffentlicht in: | American journal of obstetrics and gynecology 1996-11, Vol.175 (5), p.1286-1292 |
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| container_title | American journal of obstetrics and gynecology |
| container_volume | 175 |
| creator | Copper, Rachel L. Goldenberg, Robert L. Das, Anita Elder, Nancy Swain, Melissa Norman, Gwendolyn Ramsey, Risa Cotroneo, Peggy Collins, Beth A. Johnson, Francee Jones, Phyllis Meier, Arlene |
| description | OBJECTIVE: Our purpose was to determine whether various measures of poor psychosocial status in pregnancy are associated with spontaneous preterm birth, fetal growth restriction, or low birth weight.
STUDY DESIGN: Anxiety, stress, self-esteem, mastery, and depression were assessed at 25 to 29 weeks in 2593 gravid women by use of a 28-item Likert scale. Scores for each psychosocial subscale were determined, and an overall psychosocial score was calculated. Scores were divided into quartiles, and the lowest quartile scores were used to define poor psychosocial status. The percent spontaneous preterm birth, low birth weight, and fetal growth restriction in women with low and high psychosocial scores were compared. Logistic regression analyses provided the odds ratios and 95% confidence intervals.
RESULTS: Analyses revealed that stress was significantly associated with spontaneous preterm birth and with low birth weight with odds ratios of 1.16,
p = 0.003, and 1.08,
p = 0.02, respectively, for each point on the scale. A low score on the combined scale or on any subscale other than stress did not predict spontaneous preterm birth, fetal growth restriction, or low birth weight. After multivariate adjustment was performed for psychosocial status, substance use, and demographic traits, black race was the only variable significantly associated with spontaneous preterm birth, fetal growth restriction, and low birth weight; stress and low education were associated with spontaneous preterm birth and low birth weight.
CONCLUSION: Stress was associated with spontaneous preterm birth and low birth weight even after adjustment for maternal demographic and behavioral characteristics. Black race continues to be a significant predictor of spontaneous preterm birth, fetal growth restriction, and low birth weight even after adjustment for stress, substance use, and other demographic factors. (Am J Obstet Gynecol 1996;175:1286-92.) |
| doi_str_mv | 10.1016/S0002-9378(96)70042-X |
| format | Article |
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STUDY DESIGN: Anxiety, stress, self-esteem, mastery, and depression were assessed at 25 to 29 weeks in 2593 gravid women by use of a 28-item Likert scale. Scores for each psychosocial subscale were determined, and an overall psychosocial score was calculated. Scores were divided into quartiles, and the lowest quartile scores were used to define poor psychosocial status. The percent spontaneous preterm birth, low birth weight, and fetal growth restriction in women with low and high psychosocial scores were compared. Logistic regression analyses provided the odds ratios and 95% confidence intervals.
RESULTS: Analyses revealed that stress was significantly associated with spontaneous preterm birth and with low birth weight with odds ratios of 1.16,
p = 0.003, and 1.08,
p = 0.02, respectively, for each point on the scale. A low score on the combined scale or on any subscale other than stress did not predict spontaneous preterm birth, fetal growth restriction, or low birth weight. After multivariate adjustment was performed for psychosocial status, substance use, and demographic traits, black race was the only variable significantly associated with spontaneous preterm birth, fetal growth restriction, and low birth weight; stress and low education were associated with spontaneous preterm birth and low birth weight.
CONCLUSION: Stress was associated with spontaneous preterm birth and low birth weight even after adjustment for maternal demographic and behavioral characteristics. Black race continues to be a significant predictor of spontaneous preterm birth, fetal growth restriction, and low birth weight even after adjustment for stress, substance use, and other demographic factors. (Am J Obstet Gynecol 1996;175:1286-92.)</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/S0002-9378(96)70042-X</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>Philadelphia, PA: Mosby, Inc</publisher><subject>Biological and medical sciences ; Diseases of mother, fetus and pregnancy ; fetal growth restriction ; Gynecology. Andrology. Obstetrics ; low birth weight ; Medical sciences ; Pregnancy. Fetus. Placenta ; preterm birth ; Psychosocial characteristics ; stress</subject><ispartof>American journal of obstetrics and gynecology, 1996-11, Vol.175 (5), p.1286-1292</ispartof><rights>1996</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c368t-80873f8b7c72254a71b77989dbe8b1e76872774fd3271541657b51a402520b9c3</citedby><cites>FETCH-LOGICAL-c368t-80873f8b7c72254a71b77989dbe8b1e76872774fd3271541657b51a402520b9c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S000293789670042X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2498622$$DView record in Pascal Francis$$Hfree_for_read</backlink></links><search><creatorcontrib>Copper, Rachel L.</creatorcontrib><creatorcontrib>Goldenberg, Robert L.</creatorcontrib><creatorcontrib>Das, Anita</creatorcontrib><creatorcontrib>Elder, Nancy</creatorcontrib><creatorcontrib>Swain, Melissa</creatorcontrib><creatorcontrib>Norman, Gwendolyn</creatorcontrib><creatorcontrib>Ramsey, Risa</creatorcontrib><creatorcontrib>Cotroneo, Peggy</creatorcontrib><creatorcontrib>Collins, Beth A.</creatorcontrib><creatorcontrib>Johnson, Francee</creatorcontrib><creatorcontrib>Jones, Phyllis</creatorcontrib><creatorcontrib>Meier, Arlene</creatorcontrib><creatorcontrib>The National Institute of Child Health Human Development Maternal-Fetal Medicine Units Network</creatorcontrib><creatorcontrib>Funded by National Institute of Child Health and Human Development grants HD21410, HD21414, HD21434, HD27860, HD27861, HD27869, HD27883, HD27889, HD27905, HD27915, HD27917, and HD19897</creatorcontrib><title>The preterm prediction study: Maternal stress is associated with spontaneous preterm birth at less than thirty-five weeks' gestation</title><title>American journal of obstetrics and gynecology</title><description>OBJECTIVE: Our purpose was to determine whether various measures of poor psychosocial status in pregnancy are associated with spontaneous preterm birth, fetal growth restriction, or low birth weight.
STUDY DESIGN: Anxiety, stress, self-esteem, mastery, and depression were assessed at 25 to 29 weeks in 2593 gravid women by use of a 28-item Likert scale. Scores for each psychosocial subscale were determined, and an overall psychosocial score was calculated. Scores were divided into quartiles, and the lowest quartile scores were used to define poor psychosocial status. The percent spontaneous preterm birth, low birth weight, and fetal growth restriction in women with low and high psychosocial scores were compared. Logistic regression analyses provided the odds ratios and 95% confidence intervals.
RESULTS: Analyses revealed that stress was significantly associated with spontaneous preterm birth and with low birth weight with odds ratios of 1.16,
p = 0.003, and 1.08,
p = 0.02, respectively, for each point on the scale. A low score on the combined scale or on any subscale other than stress did not predict spontaneous preterm birth, fetal growth restriction, or low birth weight. After multivariate adjustment was performed for psychosocial status, substance use, and demographic traits, black race was the only variable significantly associated with spontaneous preterm birth, fetal growth restriction, and low birth weight; stress and low education were associated with spontaneous preterm birth and low birth weight.
CONCLUSION: Stress was associated with spontaneous preterm birth and low birth weight even after adjustment for maternal demographic and behavioral characteristics. Black race continues to be a significant predictor of spontaneous preterm birth, fetal growth restriction, and low birth weight even after adjustment for stress, substance use, and other demographic factors. (Am J Obstet Gynecol 1996;175:1286-92.)</description><subject>Biological and medical sciences</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>fetal growth restriction</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>low birth weight</subject><subject>Medical sciences</subject><subject>Pregnancy. Fetus. Placenta</subject><subject>preterm birth</subject><subject>Psychosocial characteristics</subject><subject>stress</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><recordid>eNqFUE1P3DAQtRBILJSfgORDJdpDWttJ_MGlqhD9kEAcWKS9WY4z6brNJovHC9o7PxyHRXvtZUYz8968mUfIOWdfOOPy6z1jTBSmVPqTkZ8VY5UoFgdkxplRhdRSH5LZHnJMThD_TqUwYkZe5kug6wgJ4mrKbfApjAPFtGm3l_TW5cHg-lxHQKQBqUMcfcj9lj6HtKS4HofkBhg3uF_UhJgnLtF-IqWlG3LIvW3RhSegzwD_8IL-AUxuUvtAjjrXI5y951Py8ON6fvWruLn7-fvq-03hS6lToZlWZacb5ZUQdeUUb5Qy2rQN6IaDkloJpaquLYXidcVlrZqau4qJWrDG-PKUXOz2ruP4uMnqdhXQQ9_vzrdKVoxxzsuMrHdIH0fECJ1dx7BycWs5s5Pp9s10OzlqjbRvpttF5n18V3DoXd9FN_iAe7KojJZCZNi3HQzyt08BokUfYPDZ_gg-2XYM_xF6BbBgl-s</recordid><startdate>19961101</startdate><enddate>19961101</enddate><creator>Copper, Rachel L.</creator><creator>Goldenberg, Robert L.</creator><creator>Das, Anita</creator><creator>Elder, Nancy</creator><creator>Swain, Melissa</creator><creator>Norman, Gwendolyn</creator><creator>Ramsey, Risa</creator><creator>Cotroneo, Peggy</creator><creator>Collins, Beth A.</creator><creator>Johnson, Francee</creator><creator>Jones, Phyllis</creator><creator>Meier, Arlene</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>19961101</creationdate><title>The preterm prediction study: Maternal stress is associated with spontaneous preterm birth at less than thirty-five weeks' gestation</title><author>Copper, Rachel L. ; Goldenberg, Robert L. ; Das, Anita ; Elder, Nancy ; Swain, Melissa ; Norman, Gwendolyn ; Ramsey, Risa ; Cotroneo, Peggy ; Collins, Beth A. ; Johnson, Francee ; Jones, Phyllis ; Meier, Arlene</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c368t-80873f8b7c72254a71b77989dbe8b1e76872774fd3271541657b51a402520b9c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Biological and medical sciences</topic><topic>Diseases of mother, fetus and pregnancy</topic><topic>fetal growth restriction</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>low birth weight</topic><topic>Medical sciences</topic><topic>Pregnancy. Fetus. Placenta</topic><topic>preterm birth</topic><topic>Psychosocial characteristics</topic><topic>stress</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Copper, Rachel L.</creatorcontrib><creatorcontrib>Goldenberg, Robert L.</creatorcontrib><creatorcontrib>Das, Anita</creatorcontrib><creatorcontrib>Elder, Nancy</creatorcontrib><creatorcontrib>Swain, Melissa</creatorcontrib><creatorcontrib>Norman, Gwendolyn</creatorcontrib><creatorcontrib>Ramsey, Risa</creatorcontrib><creatorcontrib>Cotroneo, Peggy</creatorcontrib><creatorcontrib>Collins, Beth A.</creatorcontrib><creatorcontrib>Johnson, Francee</creatorcontrib><creatorcontrib>Jones, Phyllis</creatorcontrib><creatorcontrib>Meier, Arlene</creatorcontrib><creatorcontrib>The National Institute of Child Health Human Development Maternal-Fetal Medicine Units Network</creatorcontrib><creatorcontrib>Funded by National Institute of Child Health and Human Development grants HD21410, HD21414, HD21434, HD27860, HD27861, HD27869, HD27883, HD27889, HD27905, HD27915, HD27917, and HD19897</creatorcontrib><collection>Pascal-Francis</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Copper, Rachel L.</au><au>Goldenberg, Robert L.</au><au>Das, Anita</au><au>Elder, Nancy</au><au>Swain, Melissa</au><au>Norman, Gwendolyn</au><au>Ramsey, Risa</au><au>Cotroneo, Peggy</au><au>Collins, Beth A.</au><au>Johnson, Francee</au><au>Jones, Phyllis</au><au>Meier, Arlene</au><aucorp>The National Institute of Child Health Human Development Maternal-Fetal Medicine Units Network</aucorp><aucorp>Funded by National Institute of Child Health and Human Development grants HD21410, HD21414, HD21434, HD27860, HD27861, HD27869, HD27883, HD27889, HD27905, HD27915, HD27917, and HD19897</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The preterm prediction study: Maternal stress is associated with spontaneous preterm birth at less than thirty-five weeks' gestation</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><date>1996-11-01</date><risdate>1996</risdate><volume>175</volume><issue>5</issue><spage>1286</spage><epage>1292</epage><pages>1286-1292</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>OBJECTIVE: Our purpose was to determine whether various measures of poor psychosocial status in pregnancy are associated with spontaneous preterm birth, fetal growth restriction, or low birth weight.
STUDY DESIGN: Anxiety, stress, self-esteem, mastery, and depression were assessed at 25 to 29 weeks in 2593 gravid women by use of a 28-item Likert scale. Scores for each psychosocial subscale were determined, and an overall psychosocial score was calculated. Scores were divided into quartiles, and the lowest quartile scores were used to define poor psychosocial status. The percent spontaneous preterm birth, low birth weight, and fetal growth restriction in women with low and high psychosocial scores were compared. Logistic regression analyses provided the odds ratios and 95% confidence intervals.
RESULTS: Analyses revealed that stress was significantly associated with spontaneous preterm birth and with low birth weight with odds ratios of 1.16,
p = 0.003, and 1.08,
p = 0.02, respectively, for each point on the scale. A low score on the combined scale or on any subscale other than stress did not predict spontaneous preterm birth, fetal growth restriction, or low birth weight. After multivariate adjustment was performed for psychosocial status, substance use, and demographic traits, black race was the only variable significantly associated with spontaneous preterm birth, fetal growth restriction, and low birth weight; stress and low education were associated with spontaneous preterm birth and low birth weight.
CONCLUSION: Stress was associated with spontaneous preterm birth and low birth weight even after adjustment for maternal demographic and behavioral characteristics. Black race continues to be a significant predictor of spontaneous preterm birth, fetal growth restriction, and low birth weight even after adjustment for stress, substance use, and other demographic factors. (Am J Obstet Gynecol 1996;175:1286-92.)</abstract><cop>Philadelphia, PA</cop><pub>Mosby, Inc</pub><doi>10.1016/S0002-9378(96)70042-X</doi><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 0002-9378 |
| ispartof | American journal of obstetrics and gynecology, 1996-11, Vol.175 (5), p.1286-1292 |
| issn | 0002-9378 1097-6868 |
| language | eng |
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| source | Elsevier ScienceDirect Journals |
| subjects | Biological and medical sciences Diseases of mother, fetus and pregnancy fetal growth restriction Gynecology. Andrology. Obstetrics low birth weight Medical sciences Pregnancy. Fetus. Placenta preterm birth Psychosocial characteristics stress |
| title | The preterm prediction study: Maternal stress is associated with spontaneous preterm birth at less than thirty-five weeks' gestation |
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