Archives of Women's Mental Health

, Volume 16, Issue 6, pp 435–451

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

Authors

    • Department of Obstetrics and Gynecology, School of Medicine and Public HealthUniversity of Wisconsin—Madison
    • Department of Population Health Sciences, School of Medicine and Public HealthUniversity of Wisconsin—Madison
  • Lauren E. Wisk
    • Department of Population Health Sciences, School of Medicine and Public HealthUniversity of Wisconsin—Madison
  • Rebekah Gee
    • Department of Health Policy and Systems Management, School of Public HealthLouisiana State University Health Sciences Center
  • Shin M. Chao
    • Child and Adolescent Health ProgramsLos Angeles County Department of Maternal
  • Whitney P. Witt
    • Department of Population Health Sciences, School of Medicine and Public HealthUniversity of Wisconsin—Madison
Original Article

DOI: 10.1007/s00737-013-0367-6

Cite this article as:
Wakeel, F., Wisk, L.E., Gee, R. et al. Arch Womens Ment Health (2013) 16: 435. doi:10.1007/s00737-013-0367-6

Abstract

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.

Keywords

Personal capital Maternal stress Obstetric outcomes Preterm birth Pregnancy complications

Copyright information

© Springer-Verlag Wien 2013