Document Detail


Psychological trauma associated with the World Trade Center attacks and its effect on pregnancy outcome.
MedLine Citation:
PMID:  16115284     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The destruction of the World Trade Center (WTC) on 11 September 2001 was a source of enormous psychological trauma that may have consequences for the health of pregnant women and their fetuses. In this report, we describe the impact of extreme trauma on the birth outcomes of women highly exposed to the WTC. We enrolled 187 women who were pregnant and living or working within close proximity to the WTC on 11 September. Among women with singleton pregnancies, 52 completed at least one psychological assessment prior to delivery. In adjusted multivariable models, both post-traumatic stress symptomatology (PTSS) and moderate depression were associated with longer gestational durations, although only PTSS was associated with decrements in infant head circumference at birth (beta=-0.07, SE=0.03, P=0.01). The impact of stress resulting from extreme trauma may be different from that which results from ordinary life experiences, particularly with respect to cortisol production. As prenatal PTSS was associated with decrements in head circumference, this may influence subsequent neurocognitive development. Long-term follow-up of infants exposed to extreme trauma in utero is needed to evaluate the persistence of these effects.
Authors:
Stephanie Mulherin Engel; Gertrud S Berkowitz; Mary S Wolff; Rachel Yehuda
Related Documents :
14702884 - The influence of gestational age on depressive reactions, stress and anxiety of pregnan...
22380914 - Assisted reproductive technology in south africa: first results generated from the sout...
18463464 - Psychosocial stress and pregnancy outcome.
4066164 - The subsequent pregnancy after stillbirth: anticipatory parenthood in the face of uncer...
906554 - Hypertension in pregnancy: the use of ultrasound.
12968944 - Breeding season and embryonic diapause in crabeater seals (lobodon carcinophagus).
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Paediatric and perinatal epidemiology     Volume:  19     ISSN:  0269-5022     ISO Abbreviation:  Paediatr Perinat Epidemiol     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-08-23     Completed Date:  2005-10-25     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8709766     Medline TA:  Paediatr Perinat Epidemiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  334-41     Citation Subset:  IM    
Affiliation:
Department of Community and Preventive Medicine, Mount Sinai School of Medicine, New York, NY 10029, USA. Stephanie.Engel@mssm.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Anxiety / psychology
Birth Weight
Depression / etiology,  psychology*
Female
Gestational Age
Head / anatomy & histology
Humans
Infant, Newborn
Maternal Age
Pregnancy
Pregnancy Complications / psychology*
Pregnancy Outcome / psychology*
September 11 Terrorist Attacks*
Stress Disorders, Post-Traumatic / etiology,  psychology*
Grant Support
ID/Acronym/Agency:
5 R01 MH64675-03/MH/NIMH NIH HHS; P42 ES07384/ES/NIEHS NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Intra-operative diagnosis of hypopituitarism in a patient undergoing radical nephrectomy.
Next Document:  Changing patterns of inequality in birthweight and its determinants: a population-based study, Scotl...