Observational studyArchives of women's mental health2020
Associations of perceived prenatal stress and adverse pregnancy outcomes with perceived stress years after delivery.
Observational study in Archives of women's mental health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02231398 (Pregnancy as a Window to Future Cardiovascular Health), which is not on this map. Cited by 19 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Pregnancy as a Window to Future Cardiovascular Health: Adverse Pregnancy Outcomes as Predictors of Increased Risk Factors for Cardiovascular Disease
Who cites it
19 citing papers in PubMed, 41 citations in OpenAlex.
- Perceived stress during labor and its association with depressive symptomatology, anxiety, and pain catastrophizing.Scientific reports · 2021Trial
- Comparison status and factors of pregnancy stress among pregnant women with second child between advanced maternal age and reproductive age: a cross-sectional study.BMC pregnancy and childbirth · 2026Article
- Stress Trajectory and Hypertension 2 to 7 Years After Delivery: A nuMoM2b-HHS Study.Hypertension (Dallas, Tex. : 1979) · 2026Article
- Early and multicomponent intervention after adverse pregnancy outcomes: an opportunity to win hearts and minds.European heart journal · 2025Article
- Associations between psychological or biological stress indicators and gut microbiota in pregnant women - findings from a prospective longitudinal study.BMC microbiology · 2025Article
- Stress across the perinatal period among low-income mothers and the moderating role of perceived social support.Journal of reproductive and infant psychology · 2025Article
- Impact of Stress and Anxiety on Cardiovascular Health in Pregnancy: A Scoping Review.Journal of clinical medicine · 2025Review
- Adverse maternal outcomes among women who gave birth at public hospitals in eastern Ethiopia: a cross-sectional study.Frontiers in global women's health · 2025Article
- Stress of Prematurity in the Experience of the COVID-19 Pandemic-Current State of Knowledge.Life (Basel, Switzerland) · 2023Review
- Interactions between perceived stress and microbial-host immune components: two demographically and geographically distinct pregnancy cohorts.Translational psychiatry · 2023Article
- Article
- Common model of stress, anxiety, and depressive symptoms in pregnant women from seven high-income Western countries at the COVID-19 pandemic onset.Social science & medicine (1982) · 2022Article
- Life stressors, hypertensive disorders of pregnancy, and preterm birth.Journal of psychosomatic obstetrics and gynaecology · 2022Article
- Nature's Role in Supporting Health during the COVID-19 Pandemic: A Geospatial and Socioecological Study.International journal of environmental research and public health · 2021Article
- Sleep Disturbance in Early Pregnancy, but Not Inflammatory Cytokines, May Increase Risk for Adverse Pregnancy Outcomes.International journal of behavioral medicine · 2021Article
- Association of Stress-Related Factors With Anxiety Among Chinese Pregnant Participants in an Online Crisis Intervention During COVID-19 Epidemic.Frontiers in psychology · 2021Article
- Making cell culture more physiological: a call for a more comprehensive assessment of racial disparities in endothelial cell culture studies.American journal of physiology. Cell physiology · 2020Review
- The evolution of health system planning and implementation of maternal telehealth services during the COVID-19 Pandemic.Digital healthArticle
- Article
Corrections and comments
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Authors and funding
19 authors at 11 institutions in 1 country.
Funding
Abstract
Maternal stress is a risk factor for adverse pregnancy outcomes (APOs). This study evaluates the associations of prenatal stress and APOs with maternal stress years after pregnancy. The 10-item Perceived Stress Scale (PSS) (0-40 range) was completed in the first and third trimesters, and 2-7 years after delivery among a subsample (n = 4161) of nulliparous women enrolled at eight US medical centers between 2010 and 2013 in a prospective, observational cohort study. Demographics, medical history, and presence of APOs (gestational diabetes (GDM), hypertensive disorders of pregnancy (HDP), preeclampsia (PE), and medically indicated or spontaneous preterm birth (miPTB, sPTB)) were obtained. The associations of prenatal PSS and the presence of APOs with PSS scores years after delivery were estimated using multivariable linear regression. Mean PSS scores were 12.5 (95% CI 12.3, 12.7) and 11.3 (95% CI 11.1, 11.5) in the first and third trimesters respectively and 14.9 (95% CI 14.7, 15.1) 2-7 years later, an average increase of 2.4 points (95% CI 2.2, 2.6) from the start of pregnancy. Regressing PSS scores after delivery on first-trimester PSS and PSS increase through pregnancy showed positive associations, with coefficients (95% CI) of 2.8 (2.7, 3.0) and 1.5 (1.3, 1.7) per 5-point change, respectively. Adding APO indicator variables separately showed higher PSS scores for women with HDP (0.7 [0.1, 1.3]), PE (1.3 [0.6, 2.1]), and miPTB (1.3 [0.2, 2.4]), but not those with GDM or sPTB. In this geographically and demographically diverse sample, prenatal stress and some APOs were positively associated with stress levels 2-7 years after pregnancy.ClinicalTrials.gov Registration number NCT02231398.
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