Skip to main content Accessibility help
×
Home
Hostname: page-component-684bc48f8b-68png Total loading time: 0.43 Render date: 2021-04-13T20:54:42.573Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "metricsAbstractViews": false, "figures": false, "newCiteModal": false, "newCitedByModal": true }

Pregnancy stress, healthy pregnancy and birth outcomes – the need for early preventative approaches in pregnant Australian Indigenous women: a prospective longitudinal cohort study

Published online by Cambridge University Press:  17 January 2019

B. L. Mah
Affiliation:
Centre for Brain and Mental Health, University of Newcastle, Callaghan, NSW, Australia Mothers and Babies Research Centre, Hunter Medical Research Institute, Newcastle, NSW, Australia
K. G. Pringle
Affiliation:
Mothers and Babies Research Centre, Hunter Medical Research Institute, Newcastle, NSW, Australia Gomeroi gaaynggal Centre, Faculty of Health and Medicine, University of Newcastle, Tamworth, NSW, Australia Priority Research Centre in Reproductive Sciences, University of Newcastle, Callaghan, NSW, Australia School of Biomedical Sciences & Pharmacy, University of Newcastle, Newcastle, NSW, Australia
L. Weatherall
Affiliation:
Gomeroi gaaynggal Centre, Faculty of Health and Medicine, University of Newcastle, Tamworth, NSW, Australia
L. Keogh
Affiliation:
Gomeroi gaaynggal Centre, Faculty of Health and Medicine, University of Newcastle, Tamworth, NSW, Australia
T. Schumacher
Affiliation:
Gomeroi gaaynggal Centre, Faculty of Health and Medicine, University of Newcastle, Tamworth, NSW, Australia Department of Rural Health, University of Newcastle, Tamworth, NSW, Australia Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW, Australia
S. Eades
Affiliation:
Baker Heart and Diabetes Institute, Melbourne, VIC, Australia
A. Brown
Affiliation:
South Australia Health and Medical Research Institute, Adelaide, SA, Australia Research Chair Aboriginal Health, University of South Australia, Adelaide, SA, Australia
E. R. Lumbers
Affiliation:
Mothers and Babies Research Centre, Hunter Medical Research Institute, Newcastle, NSW, Australia Priority Research Centre in Reproductive Sciences, University of Newcastle, Callaghan, NSW, Australia School of Biomedical Sciences & Pharmacy, University of Newcastle, Newcastle, NSW, Australia
C. T. Roberts
Affiliation:
Adelaide Medical School and Robinson Research Institute, University of Adelaide, Adelaide, SA, Australia
C. Diehm
Affiliation:
Gomeroi gaaynggal Centre, Faculty of Health and Medicine, University of Newcastle, Tamworth, NSW, Australia
R. Smith
Affiliation:
Mothers and Babies Research Centre, Hunter Medical Research Institute, Newcastle, NSW, Australia Priority Research Centre in Reproductive Sciences, University of Newcastle, Callaghan, NSW, Australia
K. M. Rae
Affiliation:
Gomeroi gaaynggal Centre, Faculty of Health and Medicine, University of Newcastle, Tamworth, NSW, Australia Priority Research Centre in Reproductive Sciences, University of Newcastle, Callaghan, NSW, Australia Department of Rural Health, University of Newcastle, Tamworth, NSW, Australia Priority Research Centre of Generational Health and Ageing, University of Newcastle, Callaghan, NSW, Australia
Corresponding
E-mail address:

Abstract

Adverse pregnancy outcomes including prematurity and low birth weight (LBW) have been associated with life-long chronic disease risk for the infant. Stress during pregnancy increases the risk of adverse pregnancy outcomes. Many studies have reported the incidence of adverse pregnancy outcomes in Indigenous populations and a smaller number of studies have measured rates of stress and depression in these populations. This study sought to examine the potential association between stress during pregnancy and the rate of adverse pregnancy outcomes in Australian Indigenous women residing in rural and remote communities in New South Wales. This study found a higher rate of post-traumatic stress disorder, depression and anxiety symptoms during pregnancy than the general population. There was also a higher incidence of prematurity and LBW deliveries. Unfortunately, missing post-traumatic stress disorder and depressive symptomatology data impeded the examination of associations of interest. This was largely due to the highly sensitive nature of the issues under investigation, and the need to ensure adequate levels of trust between Indigenous women and research staff before disclosure and recording of sensitive research data. We were unable to demonstrate a significant association between the level of stress and the incidence of adverse pregnancy outcomes at this stage. We recommend this longitudinal study continue until complete data sets are available. Future research in this area should ensure prioritization of building trust in participants and overestimating sample size to ensure no undue pressure is placed upon an already stressed participant.

Type
Original Article
Copyright
© Cambridge University Press and the International Society for Developmental Origins of Health and Disease 2019 

Access options

Get access to the full version of this content by using one of the access options below.

References

1. Farooqi, A, Hägglöf, B, Sedin, G, et al. Chronic conditions, functional limitations, and special health care needs in 10- to 12-year-old children born at 23 to 25 weeks’ gestation in the 1990s: a Swedish national prospective follow-up study. Pediatrics. 2006; 118, e1466e1477.CrossRefGoogle ScholarPubMed
2. Hack, M, Taylor, HG, Drotar, D, et al. Chronic conditions, functional limitations, and special health care needs of school-aged children born with extremely low-birth-weight in the 1990s. JAMA. 2005; 294, 318325.CrossRefGoogle ScholarPubMed
3. Barker, DJ, Godfrey, KM, Gluckman, PD, et al. Fetal nutrition and cardiovascular disease in adult life. The Lancet. 1993; 341, 938941.CrossRefGoogle ScholarPubMed
4. Barker, DJ, Eriksson, JG, Forsén, T, et al. Fetal origins of adult disease: strength of effects and biological basis. Int J Epidemiol. 2002; 31, 12351239.CrossRefGoogle ScholarPubMed
5. Gluckman, PD, Hanson, MA, Pinal, C. The developmental origins of adult disease. Matern Child Nutr. 2005; 1, 130141.CrossRefGoogle ScholarPubMed
6. Gracey, M, King, M. Indigenous health part 1: determinants and disease patterns. Lancet. 2009; 374, 6574.CrossRefGoogle ScholarPubMed
7. Centre for Epidemiology and Evidence, New South Wales Mothers and Babies 2012, NSW Ministry of Health, Editor, 2014: Sydney.Google Scholar
8. Pringle, KG, Weatherall, L, Corbisier de Meaultsart, C, et al. The Gomeroi gaaynggal cohort: A preliminary study of the maternal determinants of pregnancy outcomes in Indigenous Australian women. J Pregnancy Child Health. 2015; 3, 17.CrossRefGoogle Scholar
9. Wright, P, Lewis, P. Close the Gap - Progress & Priorities report 2017, Australian Human Rights Commission, Editor, 2017. The Close the Gap Campaign Steering Committee.Google Scholar
10. Bramley, D, Hebert, P, Jackson, RT. et al., Indigenous Disparities in Disease-Specific Mortality, A Cross-Country Comparison: New Zealand, Australia, Canada, and the United States, 2004.Google Scholar
11. Cardwell, MS. Stress: pregnancy considerations. Obstet Gynecol Surv. 2013; 68, 119129.CrossRefGoogle ScholarPubMed
12. Wadhwa, PD, Sandman, CA, Porto, M, et al. The association between prenatal stress and infant birth weight and gestational age at birth: a prospective investigation. Am J Obstet Gynecol. 1993; 169, 858865.CrossRefGoogle ScholarPubMed
13. Wosu, AC, Gelaye, B, Williams, MA. Childhood sexual abuse and posttraumatic stress disorder among pregnant and postpartum women: review of the literature. Arch Womens Ment Health. 2015; 18, 6172.CrossRefGoogle ScholarPubMed
14. Shaw, JG, Asch, SM, Kimerling, R, et al. Posttraumatic stress disorder and risk of spontaneous preterm birth. Obstet Gynecol. 2014; 124, 11111119.CrossRefGoogle ScholarPubMed
15. Glynn, LM, Wadhwa, PD, Dunkel-Schetter, C, et al. When stress happens matters: effects of earthquake timing on stress responsivity in pregnancy. Am J Obstet Gynecol. 2001; 184, 637642.CrossRefGoogle ScholarPubMed
16. Lederman, SA, Rauh, V, Weiss, L, et al. The effects of the World Trade Center event on birth outcomes among term deliveries at three lower Manhattan hospitals. Environ Health Perspect. 2004; 112, 1772.CrossRefGoogle ScholarPubMed
17. Dancause, KN, Laplante, DP, Oremus, C, et al. Disaster-related prenatal maternal stress influences birth outcomes: Project Ice Storm. Early Hum Dev. 2011; 87, 813820.CrossRefGoogle ScholarPubMed
18. Raphael, B, Swan, P, Martinek, N. Intergenerational aspects of trauma for Australian Aboriginal people. In International Handbook of Multigenerational Legacies of Trauma, 1998; pp. 327–339. Springer.Google Scholar
19. Australian Human Rights Commission. Face the Facts 2005. 2005 [refd 2018 20/05/2018]. Available from: https://www.humanrights.gov.au/publications/questions-and-answers-about-aboriginal-torres-strait-islander-peoples#q4 Google Scholar
20. Australian Bureau of Statistics. Australian Aboriginal and Torres Strait Islander Health Survey: First Results, Australia, 2012-13 2013 [refd 2017 29/06/2017]. Available from: http://www.abs.gov.au/AUSSTATS/abs@.nsf/DetailsPage/4727.0.55.0012012-13?OpenDocumentGoogle Scholar
21. Bowen, A, Duncan, V, Peacock, S, et al. Mood and anxiety problems in perinatal Indigenous women in Australia, New Zealand, Canada, and the United States: a critical review of the literature. Transcult Psychiatry. 2014; 51, 93111.Google ScholarPubMed
22. Mah, B, Weatherall, L, Burrows, J, et al. Post-traumatic stress disorder symptoms in pregnant Australian Indigenous women residing in rural and remote New South Wales: a cross-sectional descriptive study. Aust NZ J Obstet Gynaecol. 2017; 57, 16.CrossRefGoogle ScholarPubMed
23. Harris, P, Taylor, R, Thielke, R, et al. Research electronic data capture (REDCap) – a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009; 42, 377381.CrossRefGoogle ScholarPubMed
24. Kessler, R, Andrews, G, Colpe, L, et al. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002; 32, 959976.CrossRefGoogle ScholarPubMed
25. Spies, G, Stein, D, Roos, A, et al. Validity of the Kessler 10 (K-10) in detecting DSM-IV defined mood and anxiety disorders among pregnant women. Arch Women’s Mental Health. 2009; 12, 6974.CrossRefGoogle ScholarPubMed
26. McNamara, B, Banks, E, Gubhaju, L, et al. Measuring psychological distress in older Aboriginal and Torres Strait Islanders Australians: a comparison of the K-10 and K-5. Aust NZ J Publ Health. 2014; 38, 567573.CrossRefGoogle ScholarPubMed
27. Coombs, TA. Australian Mental Health Outcomes and Classification Network. Kessler-10 Training Manual., N.I.o. Psychiatry, Editor. 2005, NSW Institute of Psychiatry: Sydney.Google Scholar
28. Australian Institute of Health and Welfare. Measuring the Social and Emotional Wellbeing of Aboriginal and Torres Strait Islander Peoples. 2009. AIHW: Canberra.Google Scholar
29. Kowal, E, Gunthorpe, W, Bailie, RS. Measuring emotional and social wellbeing in Aboriginal and Torres Strait Islander populations: an analysis of a negative life events scale. Int J Equity Health. 2007; 6, 18.CrossRefGoogle ScholarPubMed
30. Yu, XY, Hu, Y, Li, YC, et al. Application of the triage assessment system for psychological assessment for pregnant women with a deadly fetal abnormality. Int J Nurs Pract. 2015; 21, 102106.CrossRefGoogle ScholarPubMed
31. United Nations Children’s Fund and World Health Organization. Low Birthweight. Country, Regional and Global Estimates. 2004. UNICEF: New York.Google Scholar
32. Gardosi, J, Francis, A. Customised Weight Centile Calculator. GROW version 6.7.8.2 (AU). Gestation Network, www.gestation.net, 2017.Google Scholar
33. Bentler, P, Chou, C. Practical issues in structural equation modeling. Sociol Methods Res. 1987; 16, 78117.CrossRefGoogle Scholar
34. Australian Health Ministers’ Advisory Council. Aboriginal and Torres Strait Islander Health Performance Framework 2017 Report. 2017. AHMAC: Canberra.Google Scholar
35. Pringle, K, Rae, K, Weatherall, L, et al. Effects of maternal inflammation and exposure to cigarette smoke on birth weight and delivery of preterm babies in a cohort of Indigenous Australian women. Front Immunol. 2015; 6, 17.CrossRefGoogle Scholar
36. Bowen, A, Duncan, V, Peacock, S, et al. Mood and anxiety problems in perinatal Indigenous women in Australia, New Zealand, Canada, and the United States: a critical review of the literature. Transcult Psychiatry. 2014; 51, 93111.CrossRefGoogle ScholarPubMed
37. Dennis, C-L, Dowswell, T. Psychosocial and psychological interventions for preventing postpartum depression. Cochrane Lib. 2008; 169.Google Scholar
38. Brugha, TS, Wheatley, N, Taub, NA, et al. Pragmatic randomized trial of antenatal intervention to prevent post-natal depression by reducing psychosocial risk factors. Psychol Med. 2000; 30, 12731281.CrossRefGoogle ScholarPubMed
39. Felitti, V, Anda, R, Nordenberg, D, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) study. Am J Prevent Med. 1998; 14, 245258.CrossRefGoogle ScholarPubMed
40. Australian Institute of Health and Welfare. Australia’s mothers and babies 2014—in brief. Perinatal statistics series no. 32, AIHW, Editor. 2016: Canberra.Google Scholar
41. Hanson, J. Understanding prenatal health care for American Indian Women in a Northern Plains Tribe. J Transcult Nurs. 2012; 23, 2937.CrossRefGoogle Scholar
42. Emanuel, I, Leisenring, W, Williams, M, et al. The Washington State Intergenerational Study of Birth Outcomes: methodology and some comparisons of maternal birthweight and infant birthweight and gestation in four ethnic groups. Paediatr Perinat Epidemiol. 1999; 13, 352371.CrossRefGoogle ScholarPubMed
43. Reibel, T, Walker, R. Antenatal services for Aboriginal women: the relevance of cultural competence. Qual Prim Care. 2010; 18, 6574.Google ScholarPubMed
44. Giscombe, CL, Lobel, M. Explaining disproportionately high rates of adverse birth outcomes among African Americans: the impact of stress, racism, and related factors in pregnancy. Psychol Bull. 2005; 131, 662683.CrossRefGoogle ScholarPubMed
45. Peiris, D, Brown, A, Cass, A. Addressing inequities in access to quality health care for indigenous people. Can Med Assoc J. 2008; 179, 985986.CrossRefGoogle ScholarPubMed
46. Hayman, NE, White, NE, Spurling, GK. Improving Indigenous patients’ access to mainstream health services: the Inala experience. Med J Aust. 2009; 190, 604606.Google ScholarPubMed
48. Richmond, C, Ross, N. The determinants of First Nation and Inuit health: a critical population health approach. Health Place. 2009; 15, 403411.CrossRefGoogle ScholarPubMed

Full text views

Full text views reflects PDF downloads, PDFs sent to Google Drive, Dropbox and Kindle and HTML full text views.

Total number of HTML views: 98
Total number of PDF views: 401 *
View data table for this chart

* Views captured on Cambridge Core between 17th January 2019 - 13th April 2021. This data will be updated every 24 hours.

Send article to Kindle

To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Pregnancy stress, healthy pregnancy and birth outcomes – the need for early preventative approaches in pregnant Australian Indigenous women: a prospective longitudinal cohort study
Available formats
×

Send article to Dropbox

To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

Pregnancy stress, healthy pregnancy and birth outcomes – the need for early preventative approaches in pregnant Australian Indigenous women: a prospective longitudinal cohort study
Available formats
×

Send article to Google Drive

To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

Pregnancy stress, healthy pregnancy and birth outcomes – the need for early preventative approaches in pregnant Australian Indigenous women: a prospective longitudinal cohort study
Available formats
×
×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *