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Proactive Coping in Early Pregnancy and Adverse Pregnancy Outcomes
Tess E K Cersonsky1, Audra C Fain2, Adam K Lewkowitz3,4
1Department of Obstetrics, Gynecology and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
International Journal of Women'S Health
|June 5, 2024
Summary
Lower proactive coping in early pregnancy is linked to increased adverse perinatal outcomes. Interventions to enhance coping strategies may reduce pregnancy complications.
Area of Science:
- Reproductive Health
- Psychological Well-being
- Perinatal Medicine
Background:
- Proactive coping is linked to well-being and quality of life in chronic disease outside of pregnancy.
- Its impact on perinatal outcomes remains understudied.
- Early pregnancy is a critical period for establishing coping mechanisms.
Purpose of the Study:
- To evaluate the association between early pregnancy proactive coping and adverse perinatal outcomes.
- To investigate if proactive coping influences the risk of specific pregnancy complications.
Main Methods:
- Secondary analysis of 281 nulliparous participants recruited from a tertiary care center.
- Proactive coping assessed using the Proactive Coping Scale between 8-20 weeks gestation.
- Adverse perinatal outcomes, including composite measures, were tracked longitudinally through delivery.
Main Results:
- The median Proactive Coping Scale score was 45.0, with 47% experiencing an adverse outcome.
- Lower proactive coping scores (lowest quartile) were associated with 2.2 times higher odds of adverse perinatal outcomes.
- No significant differences were observed for individual composite components or neonatal morbidity.
Conclusions:
- Reduced proactive coping in early pregnancy correlates with a significant increase in adverse perinatal outcomes.
- Interventions aimed at improving proactive coping may offer a novel approach to reduce perinatal morbidity.
Keywords:
adverse pregnancy outcomescesarean deliverygestational diabeteshypertensive disorders of pregnancyproactive copingMore Related Videos
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