Adverse Perinatal Outcomes Predicted by Prenatal Maternal Stress Among U.S. Women at the COVID-19 Pandemic Onset.
Adverse Perinatal Outcomes Predicted by Prenatal Maternal Stress Among U.S. Women at the COVID-19 Pandemic Onset.
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DOI：
10.1093/abm/kaab005
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发表时间：
2021-03-20
期刊：
影响因子：
--
通讯作者：
Lobel M
中科院分区：
文献类型：
--
作者：
Preis H;Mahaffey B;Pati S;Heiselman C;Lobel M
产前的高压力会导致产妇和婴儿的健康状况不佳。2019冠状病毒病（COVID-19）大流行为孕妇带来巨大压力。了解在大流行开始时怀孕妇女所经历的压力是否与围产期不良结局的发生率较高有关。美国各地年龄≥18岁的孕妇在2020年4月至5月的大流行爆发期间（T1）参加了一项前瞻性队列研究。本报告重点关注在2020年7月至8月（T2）之前分娩的1，367名参与者。分层逻辑回归模型预测早产，小于胎龄儿，和计划外手术分娩的T1压力，社会人口和医疗因素。在控制了社会人口和医疗因素后，早产是由产前母亲的高度压力预测的，分娩小于胎龄的婴儿是由人际暴力和与大流行病导致的出生准备不足有关的压力预测的，计划外剖宫产或阴道手术分娩是由产前预约的改变预测的，经历了重大的压力生活事件，以及由于大流行病而对生育毫无准备的压力。独立于这些协会，非裔美国妇女比其他群体更有可能早产。在COVID-19大流行期间经历高压力的孕妇面临更差的围产期结局的风险。纵向调查对于确定产前产妇压力及其结果是否对在当前流行病期间出生的儿童的健康和福祉产生长期影响至关重要。在COVID-19大流行期间经历更大压力的孕妇更有可能早产，分娩小于胎龄婴儿，以及进行计划外手术分娩。
High stress prenatally contributes to poor maternal and infant well-being. The coronavirus disease 2019 (COVID-19) pandemic has created substantial stress for pregnant women. To understand whether stress experienced by women pregnant at the beginning of the pandemic was associated with a greater prevalence of adverse perinatal outcomes. Pregnant women across the USA aged ≥18 years old enrolled in a prospective cohort study during the pandemic onset (T1) in April–May 2020. This report focuses on the 1,367 participants who gave birth prior to July–August 2020 (T2). Hierarchical logistic regression models predicted preterm birth, small for gestational age infants, and unplanned operative delivery from T1 stress, sociodemographic, and medical factors. After controlling for sociodemographic and medical factors, preterm birth was predicted by high prenatal maternal stress, delivering an infant small for gestational age was predicted by interpersonal violence and by stress related to being unprepared for birth due to the pandemic, and unplanned cesarean or operative vaginal delivery was predicted by prenatal appointment alterations, experiencing a major stressful life event, and by stress related to being unprepared for birth due to the pandemic. Independent of these associations, African American women were more likely than other groups to deliver preterm. Pregnant women who are experiencing high stress during the COVID-19 pandemic are at risk of poorer perinatal outcomes. A longitudinal investigation is critical to determine whether prenatal maternal stress and resulting outcomes have longer-term consequences for the health and well-being of children born in the midst of the current pandemic. Pregnant women who experienced greater stress during the COVID-19 pandemic onset were more likely to have a preterm birth, to deliver a small-for-gestational-age infant, and to have an unplanned operative delivery.
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影响因子：
8
作者：
Gassman-Pines, Anna;Ananat, Elizabeth Oltmans;Fitz-Henley, John, II
通讯作者：
Fitz-Henley, John, II
影响因子：
7.4
作者：
Grote, Nancy K.;Katon, Wayne J.;Carson, Kathy
通讯作者：
Carson, Kathy
影响因子：
3.8
作者：
Earnshaw, Valerie A.;Rosenthal, Lisa;Lewis, Jessica B.;Stasko, Emily C.;Tobin, Jonathan N.;Lewis, Tene T.;Reid, Allecia E.;Ickovics, Jeannette R.
通讯作者：
Ickovics, Jeannette R.
DOI：
10.15585/mmwr.mm6938e1
发表时间：
2020-09-25
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Delahoy MJ;Whitaker M;O'Halloran A;Chai SJ;Kirley PD;Alden N;Kawasaki B;Meek J;Yousey-Hindes K;Anderson EJ;Openo KP;Monroe ML;Ryan PA;Fox K;Kim S;Lynfield R;Siebman S;Davis SS;Sosin DM;Barney G;Muse A;Bennett NM;Felsen CB;Billing LM;Shiltz J;Sutton M;West N;Schaffner W;Talbot HK;George A;Spencer M;Ellington S;Galang RR;Gilboa SM;Tong VT;Piasecki A;Brammer L;Fry AM;Hall AJ;Wortham JM;Kim L;Garg S;COVID-NET Surveillance Team
通讯作者：
COVID-NET Surveillance Team
影响因子：
2.7
作者：
Aksoy Derya Y;Altiparmak S;AkÇa E;GÖkbulut N;Yilmaz AN
通讯作者：
Yilmaz AN