The impact of miscarriage and parity on patterns of maternal distress in pregnancy†
Version of Record online: 11 JUN 2010
Copyright © 2010 Wiley Periodicals, Inc.
Research in Nursing & Health
Volume 33, Issue 4, pages 316–328, August 2010
How to Cite
Woods-Giscombé, C. L., Lobel, M. and Crandell, J. L. (2010), The impact of miscarriage and parity on patterns of maternal distress in pregnancy. Res. Nurs. Health, 33: 316–328. doi: 10.1002/nur.20389
This study was funded by NIH Grant NR03443 (Lobel, PI). Cheryl L. Woods-Giscombé received support from NIH/NINR Grant #T32NR007091, the NIH Loan Repayment Program (NCMHD), and the Substance Abuse and Mental Health Services Administration Minority Fellowship Program at the American Nurses Association during work on this manuscript. We are grateful to Anne Moyer, Jennifer Leeman, and Chris Weisen for helpful comments on earlier versions of this manuscript.
- Issue online: 14 JUL 2010
- Version of Record online: 11 JUN 2010
- Manuscript Accepted: 3 MAY 2010
- prenatal stress;
- perinatal loss
The purpose of the current study was to examine patterns of state anxiety and pregnancy-specific distress across pregnancy in a diverse sample of women with (n = 113) and without (n = 250) prior miscarriage. For both groups, state anxiety and pregnancy-specific distress were highest in the first trimester and decreased significantly over the course of pregnancy. Compared to women without prior miscarriage, women with prior miscarriage experienced greater state anxiety in the second and third trimesters. Having a living child did not buffer state anxiety in women with a prior miscarriage. Attention to patterns of distress can contribute to delivery of appropriate support resources to women experiencing pregnancy after miscarriage and may help reduce risk for stress-related outcomes. © 2010 Wiley Periodicals, Inc. Res Nurs Health 33:316–328, 2010