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Related Experiment Video

Updated: May 27, 2026

Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
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Psychosocial risk screening during pregnancy: additional risks identified during a second interview.

Patricia A Harrison1, Amy Godecker, Abbey C Sidebottom

  • 1Minneapolis Department of Health and Family Support, Minneapolis, MN 55415-1384, USA. pat.harrison@minneapolismn.gov

Journal of Health Care for the Poor and Underserved
|November 15, 2011
PubMed
Summary

Repeat screening for prenatal psychosocial risk factors significantly increases identification of at-risk pregnant women. This improves opportunities to address challenges impacting maternal and infant well-being.

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Area of Science:

  • Public Health
  • Maternal Health
  • Psychosocial Factors

Background:

  • Prenatal Risk Overview (PRO) identifies 13 psychosocial risk factors linked to adverse birth outcomes.
  • Identifying these risks early is crucial for effective intervention and improved maternal and child health.
  • Existing screening methods may not capture all relevant risk factors during initial assessments.

Purpose of the Study:

  • To evaluate the effectiveness of a subsequent screening interview in identifying prenatal psychosocial risk factors missed during an initial intake.
  • To determine the proportional increase in risk factor identification through repeat screening.
  • To assess the utility of repeated screening in diverse urban community health settings.

Main Methods:

  • A cohort of 708 pregnant women underwent initial screening and a subsequent re-screening interview.
  • Screening was conducted at three urban community health care centers from July 2007 to April 2010.
  • Data analysis focused on the increase in identified Moderate/High Risk and High Risk classifications between the two interviews.

Main Results:

  • A substantial increase in identified risk factors was observed during the second interview.
  • Proportional increases ranged from 5.6% to 49.0% for Moderate/High Risk and 5.6% to 73.0% for High Risk only.
  • The study population was predominantly young (mean age 23.5), unmarried (75.1%), women of color (92.5%), and foreign-born (38.4%).

Conclusions:

  • Repeat screening effectively identifies additional prenatal psychosocial risk factors.
  • This enhanced identification provides critical opportunities for intervention.
  • Repeated screening is valuable for supporting vulnerable pregnant women facing stressors like poverty and violence.