The balance between stress and personal capital during pregnancy and the relationship with adverse obstetric outcomes: findings from the 2007 Los Angeles Mommy and Baby (LAMB) study.

Publisher: Springer Country of Publication: Austria NLM ID: 9815663 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1435-1102 (Electronic) Linking ISSN: 14341816 NLM ISO Abbreviation: Arch Womens Ment Health Subsets: MEDLINE

Original Publication: Wien ; New York : Springer, c1998-

Mothers/*psychology ; Pregnancy Complications/*psychology ; Premature Birth/*etiology ; Stress, Psychological/*complications; Adolescent ; Adult ; California ; Female ; Gestational Age ; Humans ; Infant, Low Birth Weight ; Infant, Newborn ; Infant, Premature ; Life Change Events ; Multivariate Analysis ; Pregnancy ; Pregnancy Complications/etiology ; Pregnancy Outcome ; Premature Birth/physiopathology ; Residence Characteristics ; Risk Factors ; Self Concept ; Social Support ; Socioeconomic Factors ; Stress, Psychological/psychology ; Surveys and Questionnaires ; Young Adult

Stress during pregnancy is a salient risk factor for adverse obstetric outcomes. Personal capital during pregnancy, defined as internal and social resources that help women cope with or decrease their exposure to stress, may reduce the risk of poor obstetric outcomes. Using data from the 2007 Los Angeles Mommy and Baby study (N = 3,353), we examined the relationships between the balance of stress and personal capital during pregnancy, or the stress-to-capital ratio (SCR), and adverse obstetric outcomes (i.e., pregnancy complications, preterm birth (PTB), low birth weight (LBW), and small for gestational age (SGA)). Women with a higher SCR (i.e., greater stress relative to personal capital during pregnancy) were significantly more likely to experience at least one pregnancy complication, PTB, and lower gestational age, but not LBW or SGA. Accounting for pregnancy complications completely mediated the association between the SCR and PTB. Our findings indicate that experiencing greater stress relative to personal capital during pregnancy is associated with an increased risk for pregnancy complications, PTB, and lower gestational age and that pregnancy complications may be a mechanism by which the SCR is related to adverse obstetric outcomes.

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P30 HD003352 United States HD NICHD NIH HHS; T32 HS000083 United States HS AHRQ HHS; R40MC06635 United States PHS HHS; 32 HD049302 United States HD NICHD NIH HHS; T32 HD049302 United States HD NICHD NIH HHS

Date Created: 20130702 Date Completed: 20140218 Latest Revision: 20211021

20231215

PMC3833901

10.1007/s00737-013-0367-6

23812738