ArticleAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2021
Adverse Perinatal Outcomes Predicted by Prenatal Maternal Stress Among U.S. Women at the COVID-19 Pandemic Onset.
Article in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.
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Who cites it
39 citing papers in PubMed.
- Linking Experiences of Interpersonal Racism and Pandemic Worries to Postpartum Symptoms of Anxiety and Depression Among Asian Birthing Individuals.Maternal and child health journal · 2026Article
- Association of psychological states, sleep patterns, vaccine, and pregnancy outcomes during the COVID-19 pandemic.BMC pregnancy and childbirth · 2026Article
- Lower fetal heart rate variability and parenting stress associate with toddler psychopathology risk.Scientific reports · 2026Article
- Stress and anxiety negatively associated with relationship satisfaction and family functioning among low-income overweight or obese pregnant and postpartum women.PLOS mental health · 2026Article
- Listening to the women's experience of perinatal domestic violence during the COVID-19 pandemic: a qualitative content analysis.BMC pregnancy and childbirth · 2025Article
- Improving maternal well-being: a matrescence education pilot study for new mothers.Maternal health, neonatology and perinatology · 2025Article
- Maternal Social Determinants of Health and Risk of Perinatal Hypoxic-Ischemic Encephalopathy.JAMA neurology · 2025Article
- Associations Among Racial Discrimination, Perceived Stress, and Birth Satisfaction in Black Women in the Postpartum Period.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2024Article
- When pregnancy and pandemic coincide: changes in stress and anxiety over the course of pregnancy.Journal of reproductive and infant psychology · 2024Article
- Patterns of peripartum depression and anxiety during the pre-vaccine COVID-19 pandemic.BMC pregnancy and childbirth · 2024Article
- Helping Us Grow Stronger (HUGS)/Abrazos: a community-based initiative improved perinatal mental health in an urban cohort.American journal of obstetrics & gynecology MFM · 2024Article
- The impact of prenatal mental health on birth outcomes before and during the COVID-19 pandemic in Anhui, China.PloS one · 2024Article
- Becoming a first-time father during the COVID-19 pandemic in France.Frontiers in psychiatry · 2024Article
- The Impact of the COVID-19 Pandemic on Health Behaviours of Pregnant Women in Poland: A Cross-Sectional Study.Nutrients · 2023Article
- Maternal prenatal social contact during the COVID-19 pandemic predicts infant birth weight.Early human development · 2023Article
- The impact of prenatal maternal mental health during the COVID-19 pandemic on birth outcomes: two nested case-control studies within the CONCEPTION cohort.Canadian journal of public health = Revue canadienne de sante publique · 2023Article
- Factors related to COVID-19 vaccination intention and uptake among childbearing women.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2023Article
- Maternal mental health concerns during the COVID-19 pandemic in Iran: a content analysis study.Reproductive health · 2023Article
- Associations of stress, anxiety, and partner satisfaction with maternal-fetal attachment in women pregnant during the COVID-19 pandemic: an online study.BMC pregnancy and childbirth · 2023Article
- Can Universal Cash Transfer Save Newborns' Birth Weight During the Pandemic?Population research and policy review · 2023Article
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Authors and funding
5 authors.
Funding
Abstract
backgroundHigh stress prenatally contributes to poor maternal and infant well-being. The coronavirus disease 2019 (COVID-19) pandemic has created substantial stress for pregnant women. PURPOSE: To understand whether stress experienced by women pregnant at the beginning of the pandemic was associated with a greater prevalence of adverse perinatal outcomes.
methodsPregnant 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.
resultsAfter 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.
conclusionPregnant 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.
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