This pilot study examined associations between prenatal individual and socioenvironmental determinants of health and symptoms of perinatal maternal distress (PMD) in women enrolled in midwifery practice and living in a rural state. Pearson's correlations between prenatal predictors and PMD scores were calculated. Having experienced emotional abuse in one's lifetime, total number of past year stressors, and everyday discrimination score were all statistically significant predictors of PMD at study enrollment and follow-up. Result suggest shifting to a multi-symptom, life course assessment and intervention paradigm, tailored to the context of specific populations, may improve perinatal care and reduce disparities.
Keyphrases
- pregnant women
- pregnancy outcomes
- healthcare
- affordable care act
- birth weight
- randomized controlled trial
- quality improvement
- public health
- palliative care
- primary care
- mental health
- polycystic ovary syndrome
- south africa
- health insurance
- health information
- smoking cessation
- metabolic syndrome
- depressive symptoms
- skeletal muscle
- type diabetes
- insulin resistance
- weight gain
- physical activity
- climate change
- preterm birth
- health promotion
- patient reported
- chronic pain
- intimate partner violence
- breast cancer risk