Psychosocial stress during pregnancy

Objective We sought to identify factors associated with high antenatal psychosocial stress and describe the course of psychosocial stress during pregnancy. Study Design We performed a cross-sectional analysis of data from an ongoing registry. Study participants were 1522 women receiving prenatal care at a university obstetric clinic from January 2004 through March 2008. Multiple logistic regression identified factors associated with high stress as measured by the Prenatal Psychosocial Profile stress scale. Results The majority of participants reported antenatal psychosocial stress (78% low-moderate, 6% high). Depression (odds ratios [OR], 9.6; 95% confidence interval [CI], 5.5–17.0), panic disorder (OR, 6.8; 95% CI, 2.9–16.2), drug use (OR, 3.8; 95% CI, 1.2–12.5), domestic violence (OR, 3.3; 95% CI, 1.4–8.3), and having ≥2 medical comorbidities (OR, 3.1; 95% CI, 1.8–5.5) were significantly associated with high psychosocial stress. For women who screened twice during pregnancy, mean stress scores declined during pregnancy (14.8 ± 3.9 vs 14.2 ± 3.8; P < .001). Conclusion Antenatal psychosocial stress is common, and high levels are associated with maternal factors known to contribute to poor pregnancy outcomes.