The effects of trauma history and prenatal affective symptoms on obstetric outcomes
Open accessAbstract
Prenatal maternal mood may inform the adverse obstetric outcomes seen in disadvantaged populations. The contribution of having a trauma history is not well studied. We examined the impact of trauma exposure and mood symptoms on obstetric outcomes in 358 women. Women with antecedent trauma were more likely to have a history of depression, odds ratio = 2.83, 95% confidence interval [1.81, 4.42], were younger at their first pregnancy, 18.86 years versus 20.10 years, and had a higher number of previous pregnancies, 2.01 versus 1.54, compared to those with no trauma exposure. Women with prenatal anxiety had significantly smaller babies than nonanxious women, 3,313.17 g, (SD = 441.58) versus 3,429.27 g, (SD = 437.82) Trauma history magnified the effects of maternal prenatal mood on birthweight; the moderating effect was limited to those who first experienced a trauma under 18 years of age. Childhood trauma exposure increased vulnerability for low birthweight delivery associated with prenatal mood disturbance. Screening pregnant women for trauma history and current mood symptoms is indicated.
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Childhood stress raises the risk of adult health conditions, including pregnancy complications such as preterm birth.
“There is growing evidence that childhood stress also increases risk for health conditions in adulthood (Murphy et al., 2017; Nusslock and Miller, 2016), including complications of pregnancy such as PTB (Blackmore et al., 2016; Christiaens et al., 2015; Hillis et al., 2004; Smith et al., 2016).”
From Childhood stress and birth timing among African American women: cortisol as biological mediator (2017) · cites this paper as Blackmore et al., 2016
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- Authors
- Blackmore, E. R., Putnam, F. W., Pressman, E. K., Rubinow, D. R., Putnam, K. T., Matthieu, M. M., Gilchrist, M. A., Jones, I., & O'Connor, T. G.
- Affiliations
- University of Rochester Medicine (US)
- University of North Carolina at Chapel Hill (US)
- Saint Louis University (US)
- Cardiff University (GB)
- Department of Psychiatry University of Rochester Medical Center Rochester New York USA
- Corresponding author
- Blackmore, Emma Robertson
- ORCID
- Venue
- Journal of Traumatic Stress
- Publisher
- Wiley
- Published
- 2016-06
- Volume
- 29
- Issue
- 3
- Pages
- 245-252
- ISSN
- 0894-9867 (ISSN-L)
- 1573-6598
- PMC
- PMC4902169
- OpenAlex
- W2409338919
- Cited by
- 40
- References
- 35
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 3 · 2023: 5 · 2022: 7 · 2021: 3 · 2020: 3 · 2019: 8 · 2018: 4 · 2017: 2
- FWCI
- 4.63
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Journal of Traumatic Stress (publishedVersion)
- PubMed (publishedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (acceptedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
- Funders
- Medical Research Council (MR/L010305/1)
- National Institute of Mental Health (K23MH080290, R01MH073019)
- National Center for Research Resources (UL1RR024160)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Keywords
- childhood trauma, prenatal anxiety, antenatal depression, maternal mood, obstetric outcomes, low birth weight, birth weight, trauma history, pregnancy
- MeSH terms
- Adult, Anxiety, Birth Weight, Depression, Female, Gestational Age, Humans, Longitudinal Studies, Pregnancy, Pregnancy Complications, Pregnancy Outcome, Prospective Studies, Surveys and Questionnaires, Regression Analysis, Stress Disorders, Post-Traumatic, Odds Ratio, Case-Control Studies, Young Adult
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