Whitney P. Witt|Lauren E. Wisk|Erika R. Cheng|John M. Hampton|Erika W. Hagen
Preconception Mental Health Predicts Pregnancy Complications and Adverse Birth Outcomes: A National Population-Based Study
University of Wisconsin–Madison|University of Wisconsin–Madison|University of Wisconsin–Madison|University of Wisconsin Carbone Cancer Center
pregnancy complications poor birth outcomes affect survival longterm health children preconception period represents opportunity intervene improve outcomes however little known womens mental health prior pregnancy predictor outcomes sought determine extent womens preconception mental health status impacted subsequent pregnancy complications nonlive birth birth weight using nationally representative populationbased sample used pooled 19962006 data nationallyrepresentative medical expenditure panel survey meps poor preconception mental health defined womens global mental health rating fair poor conception logistic regression used assess association preconception mental health pregnancy complications nonlive birth low birth weight baby within follow period poor preconception mental health associated increased odds experiencing pregnancy complication aor 140 95 ci 102192 nonlive birth aor 148 95 ci 096227 low birth weight baby aor 199 95 ci 100398 controlling maternal age raceethnicity marital status education health insurance status income number children household significant racial ethnic disparities exist pregnancy complications nonlive births low birth weight womens preconception mental health modifiable risk factor stands reduce incidence adverse pregnancy complications birth outcomes