Cited by 40Maternal Mental Health During Pregnancy and PostpartumMaternal and Perinatal Health InterventionsMaternal and Neonatal Healthcare

The effects of trauma history and prenatal affective symptoms on obstetric outcomes

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Blackmore, Emma Robertson, Putnam, Frank W., Pressman, Eva K., Rubinow, David R., Putnam, Karen T., Matthieu, Monica M., Gilchrist, Michelle A., Jones, Ian +1 more·2016·Journal of Traumatic Stress

Abstract

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).”

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  1. First M 2002 Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Patient Edition With Psychotic Screen (SCID-I/P W/PSY SCREEN) New York Biometrics Research, New York State Psychiatric Institute

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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
Venue
Journal of Traumatic Stress
Publisher
Wiley
Published
2016-06
Volume
29
Issue
3
Pages
245-252
ISSN
  • 0894-9867 (ISSN-L)
  • 1573-6598
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
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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