The impact of miscarriage and parity on patterns of maternal distress in pregnancy

The purpose of the current study was to examine patterns of state anxiety and pregnancy‐specific distress across pregnancy in a diverse sample of women with (n = 113) and without (n = 250) prior miscarriage. For both groups, state anxiety and pregnancy‐specific distress were highest in the first tri...

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Bibliographic Details
Published inResearch in nursing & health Vol. 33; no. 4; pp. 316 - 328
Main Authors Woods-Giscombé, Cheryl L., Lobel, Marci, Crandell, Jamie L.
Format Journal Article
LanguageEnglish
Published Hoboken Wiley Subscription Services, Inc., A Wiley Company 01.08.2010
Wiley
Wiley Subscription Services, Inc
Subjects
Abortion, Spontaneous - psychology
Adult
Anxiety
Anxiety - etiology
Anxiety - psychology
Biological and medical sciences
Comparative analysis
Diseases of mother, fetus and pregnancy
Female
Gynecology. Andrology. Obstetrics
Humans
Linear Models
Medical sciences
Miscarriage
Miscarriages
Miscellaneous
Parity
perinatal loss
Pregnancy
Pregnancy - psychology
Pregnancy Trimesters
Pregnancy. Fetus. Placenta
Pregnant women
prenatal stress
Prospective Studies
Psychological distress
Public health. Hygiene
Public health. Hygiene-occupational medicine
Stress
Stress, Psychological - etiology
Stress, Psychological - psychology
Studies
United States
Women
United States
Human
Affect affectivity
Pregnancy disorders
miscarriage
perinatal loss
Loss
Anxiety disorder
Perinatal
prenatal stress
Maternal diseases
Abortion
Stress
Pregnancy
Prenatal
Newborn
Female
Anxiety
Woman
Parity
Public health
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Summary:The purpose of the current study was to examine patterns of state anxiety and pregnancy‐specific distress across pregnancy in a diverse sample of women with (n = 113) and without (n = 250) prior miscarriage. For both groups, state anxiety and pregnancy‐specific distress were highest in the first trimester and decreased significantly over the course of pregnancy. Compared to women without prior miscarriage, women with prior miscarriage experienced greater state anxiety in the second and third trimesters. Having a living child did not buffer state anxiety in women with a prior miscarriage. Attention to patterns of distress can contribute to delivery of appropriate support resources to women experiencing pregnancy after miscarriage and may help reduce risk for stress‐related outcomes. © 2010 Wiley Periodicals, Inc. Res Nurs Health 33:316–328, 2010
Bibliography:ArticleID:NUR20389
This study was funded by NIH Grant NR03443 (Lobel, PI). Cheryl L. Woods-Giscombé received support from NIH/NINR Grant #T32NR007091, the NIH Loan Repayment Program (NCMHD), and the Substance Abuse and Mental Health Services Administration Minority Fellowship Program at the American Nurses Association during work on this manuscript. We are grateful to Anne Moyer, Jennifer Leeman, and Chris Weisen for helpful comments on earlier versions of this manuscript.
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This study was funded by NIH Grant NR03443 (Lobel, PI). Cheryl L. Woods‐Giscombé received support from NIH/NINR Grant #T32NR007091, the NIH Loan Repayment Program (NCMHD), and the Substance Abuse and Mental Health Services Administration Minority Fellowship Program at the American Nurses Association during work on this manuscript. We are grateful to Anne Moyer, Jennifer Leeman, and Chris Weisen for helpful comments on earlier versions of this manuscript.
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SourceType-Scholarly Journals-1
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ISSN:0160-6891
1098-240X
1098-240X
DOI:10.1002/nur.20389