Life event stress and the association with spontaneous abortion in gravid women at an urban emergency department
Abstract
In this study, the authors hypothesized that life event stress is associated with an increased risk of spontaneous abortion. Using a nested case-control design in an emergency department (N = 970), stress was measured using a life event inventory and a sample drawn from R. B. Ness et al.'s (1999) Early Pregnancy Study. Gestational age at time of fetal loss served as a marker of chromosomal status. Women experiencing more than one life event used more alcohol and public assistance. Spontaneous abortion at 11 weeks or greater was associated with more life event stress (adjusted odds ratio 2.9, 95% confidence interval 1.4-6.2), whereas spontaneous abortion at any gestational age was not, implying that life event stress increases the risk of chromosomally normal spontaneous abortion. An analysis of confounders showed tobacco use was associated with an increased risk of spontaneous abortion, whereas prenatal care was only associated with fetal loss at 11 weeks or greater.
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The association between female age and miscarriage risk is attributed to an age-related increase in the frequency of embryonic trisomies, particularly trisomy 13, 14, 15, 16, 18, 20, 21, and 22.
“This association is attributed to an age-related increase in the frequency of embryonic trisomies, particularly trisomy 13, 14, 15, 16, 18, 20, 21, and 22. 60,61”
From Miscarriage matters: the epidemiological, physical, psychological, and economic costs of early pregnancy loss (2021) · cites this paper as [61]
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References 19 · Cited by 52
- Authors
- Hamilton Boyles, S., Ness, R. B., Grisso, J. A., Markovic, N., Bromberger, J., & CiFelli, D.
- Affiliations
- University of Pittsburgh (US)
- University of Pennsylvania (US)
- ORCID
- Bromberger, Joyce
- Venue
- Health Psychology
- Published
- 2000-11
- Volume
- 19
- Issue
- 6
- Pages
- 510-514
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- OpenAlex
- W2030307286
- Cited by
- 52
- References
- 19
- Citations by year
- 2024: 1 · 2023: 1 · 2022: 2 · 2021: 4 · 2019: 2 · 2018: 4 · 2017: 3 · 2016: 1 · 2015: 1 · 2014: 4 · 2013: 1 · 2012: 2
- FWCI
- 1.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Life Sciences › Immunology and Microbiology › Immunology › Reproductive System and Pregnancy
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Keywords
- life events, miscarriage, early pregnancy, chromosomal abnormalities, alcohol consumption, social assistance, tobacco use, prenatal care, emergency department patients
- MeSH terms
- Congenital Abnormalities, Abortion, Spontaneous, Adolescent, Adult, Female, Gestational Age, Humans, Life Change Events, Pennsylvania, Pregnancy, Risk, Stress, Psychological, Odds Ratio, Case-Control Studies
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