Evidence map›Paper›PMID 32567962›Full record

ArticleJournal of psychosomatic obstetrics and gynaecology2022

Life stressors, hypertensive disorders of pregnancy, and preterm birth.

Nathaniel Morgan, Kylie Christensen, Gregory Skedros, Seungmin Kim, Karen Schliep

Abstract read
In one paragraph

Article in Journal of psychosomatic obstetrics and gynaecology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Nathaniel MorganDivision of Public Health, University of Utah, Salt Lake City, UT, USA.
Kylie ChristensenDivision of Public Health, University of Utah, Salt Lake City, UT, USA.
Gregory SkedrosDivision of Public Health, University of Utah, Salt Lake City, UT, USA.
Seungmin KimDivision of Public Health, University of Utah, Salt Lake City, UT, USA.
Karen SchliepDivision of Public Health, University of Utah, Salt Lake City, UT, USA.ORCID 0000-0003-1771-3157

Funding

Hypertensive Disorders of Pregnancy and Subsequent Risk of Vascular Dementia, Alzheimer's Disease, or Related Dementia: A Retrospective Cohort Study Taking into Account Mid-Life Mediating Factors.K01AG058781 · NIA · UNIVERSITY OF UTAH · PI SCHLIEP, KAREN C. · 2020 to 2024
$610k
NIA NIH HHS K01 AG058781NICHD NIH HHS L50 HD099868
6 · The paper itself

Abstract

backgroundStress-induced pregnancy complications are thought to represent a significant cause of maternal morbidity and mortality; little is known regarding types of stress most predictive of adverse outcomes.

methodsWe used Utah PRAMs 2012-2014 data to evaluate links between preconception life stressors and prevalence of hypertensive disorders of pregnancy (HDP) and pre-term labor (PTB) (births <37 weeks gestational age, and very PTB <33 weeks). We categorized 12 specific stressful events into 4 groups: partner, traumatic, financial, and emotional. Adjusted prevalence ratios (aPRs) and 95% confidence intervals (CIs) were estimated controlling for important sociodemographic, lifestyle, and pregnancy history factors.

results4,378 mothers completed the survey. 26.6%, 12.2%, 32.2%, and 28.4% reported partner, traumatic, financial, and emotional-related stress. Reporting any of the 4-types of life stress was linked with increased prevalence of HDP (aPR: 1.46 [95% CI: 0.96, 2.22]) after adjusting for age, race/ethnicity, BMI, education, prior diagnosis of high blood pressure, and prior history of preterm labor. The strongest association was observed for financial stress (aPR: 1.50 [95% CI: 1.03, 2.18]). Financial stress was also associated with increased prevalence of very PTB (aPR: 1.61 [95% CI: 1.03, 2.51]) after adjustment.

conclusionWomen reporting financial stress, including job loss, pay reduction, or difficulty paying bills, had increased prevalence of HDP and very PTB.

Indexed as

Hypertension, Pregnancy-InducedPre-EclampsiaPremature BirthEthnicityFemaleHumansInfant, NewbornMothersPregnancyHypertensive disorders of pregnancylife stresspre-eclampsiapregnancy risk assessment and monitoring system (PRAMS)premature birthprenatal stress

Identifiers

PMID32567962
PMCPMC7865918

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.