Multiple Risk in Pregnancy- Prenatal Risk Constellations and Mother-Infant Interactions, Parenting Stress, and Child

Beate Helmikstøl1,2, Vibeke Moe3, Lars Smith3

  • 1Department of Psychology, Ansgar University College, Fredrik Fransons Vei 4, 4635, Kristiansand, Norway. helmikstol@ansgarskolen.no.

Insights

Prenatal risk factors cluster into distinct constellations, impacting child development and parenting. Identifying these risk groups is crucial for understanding adverse developmental outcomes.

Area of Science:

  • Developmental Psychology
  • Maternal and Child Health
  • Behavioral Science

Background:

  • Multiple risk factors are linked to adverse developmental outcomes.
  • Risk factors often cluster, necessitating investigation into risk constellations.
  • Understanding these patterns is key to addressing child and parental outcomes.

Purpose of the Study:

  • To identify patterns of prenatal risk factors using latent class analysis.
  • To examine the relationship between these risk constellations and child/parental outcomes.
  • To investigate the impact of prenatal risk clusters on interactional quality, parenting stress, and child behavior.

Main Methods:

  • Latent class analysis was used to identify prenatal risk constellations.
  • 1036 Norwegian pregnant women participated in a prospective longitudinal study.
  • Mother-infant interactions, parenting stress, and child behaviors were assessed at 12 and 18 months.

Main Results:

  • Three prenatal risk constellations were identified: broad risk (7.52%), mental health risk (21.62%), and low-risk (70.86%).
  • Membership in the broad risk group was associated with lower interactional quality.
  • Membership in the mental health risk group predicted poorer outcomes across all measures.

Conclusions:

  • Prenatal risks cluster into specific constellations that have differential effects on parent-child outcomes.
  • Identifying these risk constellations can inform targeted interventions.
  • Understanding the interplay of prenatal risks is vital for supporting healthy child development and family well-being.

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